Resident Rounds. Part I: St. Joseph Mercy Health System DermatologyResidency Program

December 2012 | Volume 11 | Issue 12 | Features | 1497 | Copyright © December 2012

Heather Kiraly Orkwis DO and Daniel M. Stewart DO

Resident Rounds is a section of the JDD dedicated to highlighting various dermatology departments with residency training programs. Resident Rounds includes three sections: (1) a program spotlight, highlighting pertinent information about the department and residency training program; (2) a section presenting study materials used by residents at the program; and (3) a section designed to highlight recent interesting cases seen at the institution. This issue of Resident Rounds features the St. Joseph Mercy Health System Dermatology Residency Program. The editor of Resident Rounds is Omar A. Ibrahimi MD PhD. He is currently the Founding and Medical Director of the Connecticut Skin Institute. Dr. Ibrahimi is also a Visiting Assistant Professor of Dermatology Wellman Center for Photomedicine at Massachusetts General Hospital/Harvard Medical School. If you are interested in highlighting your training program in a future issue, please contact Dr. Ibrahimi at
The dermatology residency program at St. Joseph Mercy Health System (SJMHS), Ann Arbor, MI, began in 2006. The osteopathic training program has 12 current residents in the 2012 to 2013 academic year. In addition, the program offers fellowships in Mohs micrographic surgery (MMS) and dermatopathology. The teaching faculty consists of 18 attending physicians with focuses on general dermatology, contact dermatitis, dermatopathology, MMS, immunobullous diseases, cosmetics, laser dermatology, and skin of color.
In addition to working with a wide range of faculty members, SJMHS residents are exposed to numerous patient ethnicities through the academic teaching clinic in Ann Arbor as well as private practices in metro Detroit area, with exposure to more than 130,000 patients annually. Unique to the SJMHS dermatology residency is an international dermatology rotation in the Dominican Republic for senior residents. This unprecedented rotation abroad immerses residents in tropical dermatology and provides exposure to rare cases in infectious disease, while allowing residents to strengthen their medical Spanish skills.
The residents gain autonomy and confidence in their diagnostic and decision-making skills at the academic dermatology continuity clinic. Residents have numerous opportunities for procedural dermatology, including dermatologic surgery, MMS, chemical peels, toxin and filler injection, and laser treatments. Adjacent to the resident clinic is the dermatopathology department, which has 4 full-time dermatopathologists and offers a greater understanding of clinical pathologic correlations.
Residents have presented at numerous national meetings, including the American Academy of Dermatology (AAD), the American Osteopathic College of Dermatology, the American Society for Dermatologic Surgery, and the American Society of Dermatopathology. In 2012, 9 of 12 residents presented cases at the Gross & Microscopic Dermatology Symposium Resident Forum at the AAD meeting in San Diego, CA. Each year, the program hosts a Michigan Dermatologic Society (MDS) meeting, 1 of 4 conducted by the major academic der
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matology programs in the state. This event is a large patient grand rounds with discussions of esoteric dermatologic conditions seen in the various resident clinics. Last year, 40 live patients were present, and their cases were presented, along with poster sessions and feature cases from the Dominican Republic. More than 130 Michigan dermatologists attended the meeting, which also included presentations by guest speakers and residents.
Resident didactics include weekly textbook reviews, dermatopathology slides, clinical images, and board review sessions. Grand rounds and journal clubs are held on a monthly basis. The growth and success of the dermatology residency program at SJMHS has been dependent on our dedicated, active teaching faculty.


The authors have disclosed no relevant conflicts of interest.


Heather Kiraly Orkwis