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Micrographic Surgery and Dermatologic Oncology Fellowship

As one of the country’s highest-volume referral centers for Mohs micrographic, dermatologic, and reconstructive surgery located in the Dallas-Ft. Worth metroplex, our training provides fellows experience in a broad range of pathology in a diverse population base with a focus on hands-on learning.

The mission of the BUMC MSDO fellowship is to train fellows to the highest standards in Micrographic Surgery and Dermatologic Oncology. We aim to mentor ethically responsible fellows in developing a lifelong professional commitment to advance our specialty and serve the patient needs through academic productivity, leadership development, and patient care. This is a one-year ACGME-accredited and American College of Mohs Surgery (ACMS)-accredited fellowship with a focus on cutaneous surgical oncology and reconstruction.

The BUMC MSDO fellowship is a rigorous educational yearlong experience. Fellows who display ethical principles, diligent work ethic, a habit of independent study, and contribute enthusiastically to the dermatologic surgery team will graduate with the skills to practice dermatologic surgery independently to the highest standard.

Baylor University Medical Center (BUMC) is a major academic hospital serving DFW and surrounding areas with a variety of residency programs and fellowships and is affiliated with the BUMC Dermatology Residency and the Texas A&M College of Medicine. Our program is one of the busiest and most robust programs in the country.

Curriculum

The fellowship has a strong focus on cutaneous oncology and reconstructive surgery. Our goal is to prepare fellows to manage the most complex tumors, to recognize preoperative and postoperative needs of the patient, to perform complex reconstructive surgery, to organize multidisciplinary care teams for the complete care of the patient, and to care for patients with the highest ethical standards and empathy. The fellow will gain expertise in the following four main areas:

  1. Cutaneous oncologic surgery, including medical, surgical, and dermatopathological knowledge of cutaneous neoplasms. A special emphasis is placed on Mohs micrographic surgery to treat cutaneous neoplasms. Fellows gain exposure to a high volume of high-risk tumors and complex Mohs cases. They learn to recognize when a multidisciplinary approach or adjuvant care is needed for cutaneous malignancies to best serve the needs of the patient.
  2. Cutaneous reconstructive surgery, including the repair of defects after surgical removal of cutaneous neoplasms and scar revision. The fellow gains knowledge and expertise in cutaneous anatomy, wound healing, and cutaneous reconstructive techniques. Fellows gain experience in a high volume of cases with complex reconstructions, with hands-on reconstruction done on the majority of tumors that are excised.
  3. Cutaneous cosmetic surgery, including medical, surgical, and dermatopathological knowledge of cutaneous disorders and the aging of skin. The fellow gains knowledge and expertise in procedures that improve the appearance of the skin and control cutaneous disease.
  4. Scholarly activity, including research, publications, quality improvement project, local and national presentations, and didactics for peers, residents, students, and patients. Fellows will receive mentorship and support in advancing their skills as physician-scientists. They will obtain a firm foundation for lifelong contribution to medical literature and patient care.

Volume: This is a very high volume program with the Director performing over 3400 Mohs surgery cases last year with reconstruction. Fellows will have robust exposure to a large variety of tumors, complex reconstructions and the latest immunohistochemistry stains available including special stains for melanoma, high-risk squamous cell carcinoma, high-risk basal cell carcinoma, DFSP, and Merkel cell carcinoma. Mohs surgery with special stains for melanoma is commonly done at this program, something that will set our fellows apart in their communities after training.

Cosmetic training includes injectable fillers and neurotoxins, ablative and non-ablative lasers, chemical peels, scar revision, sclerotherapy, hair-loss therapy, and other devices and procedures.

  • Dermatopathology
  • Oculoplastics
  • Surgical Oncology
  • Radiation Oncology
  • ENT/Head and Neck Oncology
  • Lasers
  • Cosmetics
  • Veins
  • Hair Transplant
  • Lab Set Up and CLIA

  • Journal Club
  • Interdisciplinary Tumor Board
  • Core Curriculum including Board Review
  • Peer Didactics
  • Dermatopathology/Mohs Slide Review
  • Lab Set-up and CLIA
  • Immunohistochemistry
  • Reconstructive Review
  • Local, National and International Conferences

This program produces an average of 25 peer reviewed publications per year. Fellows will have ample opportunity to participate in clinical research, contribute to publications, clinical trials, and work alongside residents and students if they are interested.

Fellows are required to submit one abstract to a national, international, or local meeting before the completion of their training year and submit at least one paper for publication.

How to Apply

Applicants may apply through the Electronic Residency Application Service (ERAS) to electronically submit residency applications, letters of recommendations, dean’s letters, transcripts and other credentials directly from their medical school.

Applications are due by August 1st. Interviews will take place beginning in early September.

Visit ERAS to apply

Application Requirements

Applicants must have completed at least three years Dermatology residency. In order to be considered for the program, applicants must submit the following materials:

  • Personal statement
  • CV Minimum of three letters of recommendation
  • ECFMG certificate (if applicable)
  • United States Medical Licensing Examination (USMLE) and/or COMLEX scores

Please see the ACGME requirements for the MSDO fellowship and SF Match for additional details.