Micrographic Surgery and Dermatologic Oncology Fellowship Program

The UTMB Micrographic Surgery and Dermatologic Oncology (MSDO) Fellowship Program accepts one new trainee each year for a one-year fellowship. The program is fully accredited by the ACGME and is administered by the Department of Dermatology. Trainees attend conferences, act as consultants for residents and faculty and participate in the teaching of procedural dermatology to dermatology and plastic surgery residents.

Fellows acquire special competence in this sub specialty in order to pursue a career in academia or private practice. Supervision is conducted by the faculty in charge of each of the rotations the fellow undertakes. Formal rotational evaluations of the progress of the fellow is performed every three months during the fellowship and the MSDO Clinical Competency Committee also reviews the fellow’s progress biannually in December in and in June.

The main focus of the fellowship is skin cancer diagnosis and management, with emphasis on Mohs micrographic surgery and wound reconstruction. The fellow rotates with three UTMB Mohs faculty, Dr. Richard Wagner (fellowship director) in Galveston, Dr. David Raimer (private practice, Webster, TX), and Dr. Aaron Joseph (Associate Fellowship Director, private practice, Pasadena, TX). The fellow must participate in a minimum of 400 Mohs cases throughout the year and 300 reconstructions. The fellow also rotates on the UTMB Cosmetic Dermatology Service with Dr. Erica Kelly (lasers, fillers, neurotoxins), throughout the year. The fellow also trains students and residents in procedural dermatology, presents interesting cases at conferences, participates in the annual departmental dermatopathology course with Dr. Brent Kelly (Dermatopathology Fellowship Director), participates in Head/Neck Tumor Board and gives the faculty input into the selection of the next fellow.

Applicants must have a valid, unrestricted Texas medical license in order to be considered for interview and must have completed or be in the process of completing a 3 year ACGME residency in dermatology. The fellowship officially starts on July 1st of each year without exception. In addition, all Step scores are required as well as three standardized letters from their dermatology program director, director of Mohs surgery, and department Chair. UTMB participates in the San Francisco Match. UTMB does not permit outside residents from other institutions to rotate in the department. Complete applications must be received by the San Francisco Match by September 1st. Selected applicants will be interviewed.

No moonlighting is permitted during this year long fellowship program. During the fellowship year, the fellow is required to complete at least one clinical research project that is approved by Dr. Wagner. In addition, the fellow is required to complete one quality improvement project, approved by Dr. Gibson related to Mohs surgery. Fellows will be assigned one general dermatology clinic each Friday afternoon as paid faculty and to provide continuity for Mohs patients.  More detailed information can be found in the Fellowship Handbook (PDF).

For more information about our fellowship program and an application please contact Marianne Keeswood at (409) 772-5047 or you may email her.