The Dermatology Residency Training Program at the Columbia Presbyterian campus of New York Presbyterian Hospital is under the full-time direction of David Bickers, MD, Carl Truman Nelson Professor and Chairman and Cheryl Hutt, MD, Assistant Clinical Professor of Dermatology. The resident practice is fully integrated with the faculty practice.
Residents assigned to the outpatient rotation see patients in the clinic on Monday, Tuesday, and Wednesday mornings and Monday, Tuesday and Thursday afternoons. Monday and Thursday afternoon clinics are almost exclusively devoted to pediatric dermatology patients. All other sessions are general dermatology, with the exception of the second and fourth Tuesday afternoons, which are surgery clinics. Each clinic session lasts approximately four hours. In the 2007-2008 academic year dermatology residents treated 11,000 patients in the outpatient services at the Herbert Irving Center for Dermatology and Skin Cancer. Residents spend approximately 6 months per year in resident practice.
On Thursday mornings residents have the opportunity to work closely with various full-time and voluntary faculty members in their private practices to broaden both their clinical knowledge as well as their approach to practice management. In the private practice setting, residents are exposed to a more diverse patient population with a variety of skin types and observe specialized dermatology practices and procedures. Residents are assigned on an individual basis as observers in one of the private practices or to the Phototherapy Unit, Rheumatology Clinic, or Dermatopathology Lab.
Dermatology Consult Services
Dermatology residents consult on patients admitted to all units of the NewYork-Presbyterian Hospital (Columbia University Medical Center) including the Milstein Hospital (Dr. Marc Grossman, Attending), the Allen Pavilion (Dr. Ali Jabbari, Attending), and the Morgan Stanley Children’s Hospital (Drs. Maria Garzon and Kimberly Morel). Columbia University Medical Center is one of two main campuses of New York Presbyterian Hospital, the largest hospital in New York, and one of the most comprehensive health care institutions in the world. Residents are assigned individually to the Milstein Consult Service (adult), the Pediatric Consult Service, or the Allen Consult Service. Residents on the Milstein Consult Service attend one clinic session per week. Residents assigned to the Pediatric and Allen Consult Services attend two clinic sessions per week. Residents average 4-5 months on each consult service over the 3 years of residency. There are approximately 1000 new patient consults annually on these services (total).
Pediatric Dermatology is an active and diverse service at the Morgan Stanley Children’s Hospital of NewYork Presbyterian Hospital. The Program is a joint venture between the Departments of Dermatology and Pediatrics dedicated to providing dermatologic care to children and adolescents and maintaining an interdisciplinary relationship with the Divisions of Pediatric Surgery, Radiology, Interventional Neuroradiology, Plastic Surgery, Hematology and Oncology and Orthopedics. Care is provided to inpatients and outpatients at the Morgan Stanley Children’s Hospital and the Columbia Presbyterian Eastside office. Maria Garzon, M.D., a board-certified pediatrician and dermatologist with specialized training in Pediatric Dermatology, directs the Pediatric Dermatology Program.
The Pediatric Dermatology service cares for children and adolescents with a wide variety of dermatologic conditions from the most common to the most complex. Areas of specialized interest include the diagnosis and management of complex vascular birthmarks including hemangiomas and vascular malformations and genetic diseases affecting the skin.
The surgical training program is directed by Désirée Ratner, MD, Asssociate Clinical Professor of Dermatology, who is a fellowship-trained Mohs Surgeon. The program consists of didactic lectures and demonstrations covering all aspects of dermatologic surgery. The program offers extensive hands-on experience during all three years of training. Residents perform surgical procedures on patients in bimonthly surgical clinics, and in a weekly cosmetic surgical clinic. Proper pre-operative and post-operative care and comprehensive instruction regarding the surgical patient is stressed.
During the surgical rotation (3-4 months/3 years), residents work in the faculty practice assisting in Mohs surgery, more complicated excisions and repairs, and cosmetic and laser procedures. During the surgical rotation, residents spend time in the offices of the part-time faculty on a weekly basis to observe procedures not performed by full-time faculty. All residents are scheduled quarterly to observe major cosmetic procedures in a surgically accredited ambulatory surgical facility. These include: the proper administration of anesthesia, conscious sedation and patient monitoring, tumescent liposuction, various laser procedures including resurfacing, hair removal, tattoo removal, hair transplantation and scalp reduction, chemical peels, dermabrasion and tissue augmentation.
James J. Peters Bronx VA Clinic
Residents spend 3-4 months each year at the James J. Peters VA Medical Center in the Bronx. There are 3 residents assigned to the VA rotation each month, one resident from each level of training. The residents see patients in the clinic on Monday, Tuesday, Wednesday and Thursday mornings, and Monday, Tuesday and Thursday afternoons. Morning clinics are from 9am to 12pm and afternoon clinics are from 1pm to 4pm. All clinics are general dermatology, except for Tuesday afternoon surgery clinics. In addition, the residents and attending see inpatient consults at the bedside, on an as-needed basis.
The dermatology service at the VA is dedicated to providing excellent dermatologic care to our nation’s veterans, and in the process, residents are exposed to a diverse population of patients with a wide range of skin types. This allows for ample opportunity for the residents to learn and perform procedures in the treatment of skin cancer, in addition to their training in general dermatology. The residents on the VA rotation attend all of the educational sessions at the Columbia campus on Wednesday afternoons and all day Friday. The VA rotation is directed by Dr. Jessica Newman, Assistant Clinical Professor of Dermatology at Columbia University.