Block Diagram & Rotations
UNMC Dermatology: Block Rotations
PGY-2 First Year |
||||
Block |
Site |
Rotation Name |
%Outpatient |
%Research |
1 | UNMC/NM | Clinic | 100% | 0% |
2 | UNMC/NM | Clinic | 100% | 0% |
3 | UNMC/NM | Clinic | 100% | 0% |
4 | UNMC/NM | Clinic-R | 50% | 50% |
5 | UNMC/NM | Consults | 25% | 0% |
6 | UNMC/NM | Consults | 25% | 0% |
7 | UNMC/NM | Dermpath1 | 50% | 0% |
8 | UNMC/NM | Derm Surg | 100% | 0% |
9 | VA | VA | 100% | 0% |
10 | VA | VA | 100% | 0% |
11 | VA | VA | 100% | 0% |
12 | CHMC | PEDS | 90% | 0% |
13 | — | Vacation/CME | — | — |
Rotations
Wednesday and Friday mornings are protected didactic time for all resident physicians. PGY-2 Residents have continuity clinic every other week. PGY-3 and PGY-4 Residents will have continuity clinic weekly. All residents will have an administrative/wellness half day every other week.
- At least one article to a peer-reviewed journal article.These may take the form of case reports, review articles, and clinical or research studies. Publication should serve as a source of motivation for completion of specific projects and the development of critical thinking and scientific writing.
- A Quality Improvement Project. The resident will work with their core mentor, PD, and/or APD on developing a QI project. The results of this project will be presented at the bi-annual M&M or Grand Rounds Conference. If appropriate, submission to a peer-reviewed journal may be suggested by the mentor.
We have a robust inpatient consultative dermatology program with residents taking care of patients with GVHD, DRESS, pemphigus, SJS/TEN, nutritional deficiencies, calciphylaxis, panniculitis, and so much more. Consults are staffed at Nebraska Medicine Hospital (Lied Transplant Center, Clarkson Tower, University Tower), the Fred & Pamela Buffett Cancer Center, and the ED (all on one campus!). Residents maintain some general dermatology clinics in the mornings on the inpatient consultative dermatology rotation, however, are excused if the service is particularly busy. In addition to in-person consultations, the department is in the process of rapidly expanding our inpatient teledermatology platform led by Corey Georgesen, MD who completed a one-year fellowship in teledermatology with a large inpatient component. Faculty attendings on the inpatient consultative dermatology rotation include Erin Barrett, MD, Jesse Hirner, MD,Corey Georgesen, MD, Matthew Stephany, MD, and Megan Arthur, MD.
Participating Sites
The primary clinical site (Nebraska Medical Center, 300453) is a large, tertiary and quaternary academic medical center with an extensive catchment area from Nebraska, Iowa and the larger Midwest region. Nebraska Medicine is UNMC's primary clinical partner.
On the main Omaha campus of UNMC and Nebraska Medicine, the comprehensive dermatology clinics are held in the Lauritzen Outpatient Center, a multispecialty ambulatory building. The dermatology clinics are on the third floor, and the academic department with faculty offices, administrative support and the resident library, is on the fourth floor. An additional hub of ambulatory and surgical buildings is located out at Village Pointe. Comprehensive dermatologic care is provided at Village Pointe including phototherapy services, general dermatology, Mohs surgery, Vein clinic, etc.
The dermatology clinics have a large number of general dermatology and complex medical patients requiring systemic work-up and medications. Residents will be assigned to participate in our multidisciplinary clinics in autoimmune/connective tissue disease and HIV/ID dermatology. Dermatologic surgery education will primarily take place at this site with Mohs Surgery, excisional surgery, comprehensive vein clinics, and laser/aesthetic dermatology. We have a state-of-the-art CLIA laboratory for Mohs surgery, eight laser/light devices, phototherapy/PDT, and several microscopes in clinic with eyepieces and flat screen TVs for teaching.
Nebraska Medicine has one of the largest transplant centers in the country requiring management of complex immunosuppressed populations and our program is actively involved in transplant dermatology.
UNMC also has the new Fred and Pamela Buffett Cancer Center, where our program is developing multidisciplinary skin cancer programs. Currently there is a monthly multidisciplinary cutaneous lymphoma clinic attended by dermatology, medical oncology, and radiation oncology. Dr. Wysong serves as the Director of the Skin Cancer Program for the cancer center and is developing similar programs in melanoma, NMSC, and merkel cell carcinoma.
UNMC is a comprehensive health sciences campus with a College of Medicine, College of Pharmacy, College of Nursing, College of Allied Health, College of Public Health, and College of Dentistry, allowing for phenomenal academic and research collaborations.
Residents will participate in monthly Grand Rounds with complex patient presentations, quarterly Morbidity & Mortality Conferences, Tumor Boards (melanoma/sarcoma and high-risk cutaneous NMSC), and will participate in the annual RAIN symposium to learn multidisciplinary management of rheum-derm patients.
VA Nebraska-Western Iowa Health Care System
The VA Nebraska-Western Iowa Health Care System is an accredited regional medical center for adult patients with a total of 100 in-patient beds. This facility serves the eastern two-thirds of Nebraska as well as western Iowa, providing acute and emergent care for the adult veteran patient.
The VA dermatology clinic is located in the outpatient clinic building. The residents see a wide variety of dermatology cases at the VA which enhances their education and clinical and operative skills. Residents will see general dermatology patients, perform excisional and laser surgery (CO2 laser, PDL laser, hair removal laser). In addition, the residents will get exposure to store-and-forward teledermatology.
There is secretarial and nursing support at the VA as well as educational support in the form of conference rooms and projection/viewing equipment and on-site educational support staff.
Children’s Nebraska
Children’s Nebraska employs more than 250 physicians and is the only full-service, pediatric health care center in Nebraska. Children’s Nebraska provides expertise in more than 50 pediatric specialty services to children across a five-state region and beyond and is dedicated to exceptional clinical care, research, education, and advocacy.
The University of Nebraska Department of Pediatrics is housed primarily at Children’s Nebraska, along with specialty faculty from the majority of UNMC departments. UNMC's Child Health Research Institute is housed on the Children’s Nebraska campus and was formed to promote discovery and innovation to improve children’s health in the state of Nebraska and to become a global leader in child health research.
Residents will rotate one to two months per year on pediatric dermatology for a comprehensive clinical experience.