The Pediatric Dermatology Clinic meets four half-days each week. Children referred to this clinic have common pediatric dermatology problems as well as complicated and unusual skin diseases. The pediatric dermatologist on-call and third-year consult resident also evaluate and treat pediatric inpatients at the Lucile Packard Children's Hospital at Stanford.
Residents spend a total of six months of their training in cutaneous surgery. During this period residents refine their techniques in basic excisional surgery and develop skills in complex surgical closures such as flaps and grafts. Residents also work in the cutaneous laser surgery clinic where they gain experience in laser resurfacing and the use of lasers for treating vascular and pigmented lesions. .
Opportunities for extensive exposure to Mohs' micrographic surgery are also provided as part of the surgical program.
Laser and Cosmetic Surgery
The Department of Dermatology directs the laser surgery center at Stanford
University. The program is active in the treatment of vascular and pigmented
lesions, and skin resurfacing. The Department has ongoing research collaborations
with laser manufacturers located in Silicon Valley. Residents have ample
opportunity to establish skills in laser surgery with pediatric and adult
Each resident spends six weeks in each of the last two years rotating full-time on the dermatopathology service. During this rotation residents preview all cases, participate in daily signouts, and carry out dermatopathology research projects. Time is allocated for review of glass slide study sets.
The Cutaneous Lymphoma Clinic at Stanford is a major referral center for patients with mycosis fungoides, other cutaneous T-cell lymphomas, and cutaneous B-cell lymphomas. Stanford's 35-year experience in mycosis fungoides is internationally recognized, and the patient database of over 600 patients is the largest single-center resource for vertical data analysis. The multidisciplinary Cutaneous Lymphoma Clinic meets weekly and is jointly directed by the Departments of Dermatology and Radiation Oncology.
Pigmented Lesion and Melanoma
The Pigmented Lesion Clinic employs regional and total body photography to monitor patients at increased risk of developing melanoma. Patients with low-risk primary cutaneous melanoma are followed in the Pigmented Lesion and Cutaneous Melanoma Clinic, and a computerized melanoma database has been established to interact with existing regional melanoma registries. Patients with intermediate- and high-risk melanoma are managed in the Multidisciplinary Melanoma Clinic, held in the Dermatology Department, in conjunction with medical and surgical oncologists and dermatopathologists at Stanford. Stanford is an active participant in the Eastern Cooperative Oncology Group melanoma trials and the Sunbelt Melanoma Trial assessing the role of selective sentinel node dissection in melanoma patients. The melanoma clinics meet weekly and collaborate with the UCSF/Mt. Zion Melanoma Center in patient management and clinical trials.
Epidermolysis Bullosa Clinic (EB)
The EB Clinic, which meets bi-monthly, utilizes a multidisciplinary teamwork approach where the dermatology group leads the team of representatives from dietary, oral medicine, physical therapy, pediatric gastroenterology, hand surgery, and psychiatry.
Autoimmune Blistering Disease Clinic
The Blistering Disease Clinic is dedicated to the management of individuals with autoimmune-mediated bullous disorders such as pemphigus/pemphigoid, epidermolysis bullosa acquisita, IgA-mediated diseases, and a number of rare blistering disorders. A wide variety of advanced diagnostic techniques and therapies are utilized in the clinic. Complex patients with difficult diagnosis and treatment issues benefit from the interface with Dr. Marinkovich's basic science research laboratory at Stanford, which studies the pathogenesis and treatment of many of these disorders.
Residents are also exposed to dermatology specialty clinics managing Oral Medicine and Dermatopsychiatry problems.