Micrographic Surgery and Dermatologic Oncology
The Micrographic Surgery and Dermatologic Oncology training program at the University of Missouri under the guidance of Nicholas Golda, M.D. offers a complete training experience for the modern practice of dermatologic surgery. Fellowship training in this program includes hands-on experience in all techniques available for the diagnosis and treatment of cutaneous malignancy including Mohs micrographic surgery, conventional excision, surgical destructions, and the use of various systemic, topical and light-based therapies. Fellows will be educated on working with patients to help them make informed medical decisions on how to proceed with their cancer treatment and how to work as a part of a multidisciplinary team in the treatment of complicated cases requiring such an approach. The fellow assists in all aspects of patient care and will become skilled at using the Mohs technique for even the most complicated tumors and reconstructions.
The main surgical experience will be at the University of Missouri in an academic-based outpatient setting. Fellows will also rotate monthly with Dr. George Hruza at the Laser and Dermatologic Surgery Center in Chesterfield, Missouri. This experience will give the fellow exposure to dermatologic surgery in the private practice setting and provide an additional avenue for mentorship as the fellow moves forward with his or her career.
Other experiences that will be a part of the fellow’s training will include interaction with other surgical subspecialties such as oculoplastic surgery, head and neck surgery and plastic surgery, dermatopathology education with our fellowship-trained dermatopathology faculty, general dermatology exposure to ensure that these skills do not wane during the fellowship year and the opportunity to participate in pediatric procedures with our fellowship-trained pediatric dermatology faculty.
The fellowship experience at the University of Missouri site includes hands-on experience with laser and light devices including the Q-switched Nd:YAG, pulsed dye laser, diode laser and blue light PDT. Other procedures performed include botulinum toxin injection, chemical peels, dermabrasion, and scar revision. Other devices, including resurfacing laser technology, are available at the Chersterfield site.
Academically, the fellow will participate in weekly textbook reviews with the program director, monthly dermatologic surgery/dermatologic oncology journal clubs with the residents, weekly head and neck tumor boards, and participate in medical student and resident education in dermatologic surgery. Academic inquiry is a key component of fellowship training and the fellow must participate in at least one scholarly project during the course of the program. Results of this project must result in a publication in an academic journal and/or presentation at the American College of Mohs Surgery Annual Meeting. This is an ACGME requirement.
A great deal of knowledge and surgical skill must be learned during this one-year fellowship experience; consequently, successful completion will require an individual with significant motivation, energy and desire to maximize the educational benefit made available in this program. We look forward to training candidates who have proven to possess these qualities.
Nicholas Golda, MD