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Program Highlights
Quick Facts:
 

a. There are fourteen full-time faculty in the Division of Dermatology with full-time staff at each of the major teaching sites.  There are many major part-time and part-time faculty that participate regularly in resident teaching.  

b.  The Division supports a full academic day (Fridays) for PGY3-5.

c.  All residents are funded to attend continuing medical education events within the Division (Toronto Psoriasis Day, Robert Lester Post-graduate Day, Pediatric Dermatology Day, Laser Update, etc.).

d.  The University of Toronto provides residents with access to electronic medical resources.

e.  There are no mandatory rural rotations in our Program; Community rotations in Dermatology are a component of the PGY-5 year.

f. Research Requirement: see program description

 
       
Program Curriculum

The goal of the Dermatology Residency Program at the University of Toronto is to provide an outstanding, broad-based education in dermatology. Established in 1964 to enable medical school graduate physicians to receive specialty training in dermatology, it is the largest such facility in Canada and one of the largest in North America. Clinical education encompasses both medical and surgical approaches to skin disorders in a population that ranges from newborn to elderly. Particular expertise exists in immunodermatology, medical dermatology, photobiology, dermatological surgery, contact dermatitis, hair diseases, dermatoses in skin of colour, wound care, skin cancer and pharmacology.

Trainees are encouraged to become involved with specialty clinics in psoriasis, skin cancers, pigmented lesions, camouflage cosmetics, immune skin diseases, cutaneous surgery, paediatric dermatology and clinical pharmacology. The division has an established Dermatologic Surgery Program which offers a range of cosmetic and surgical procedures including: Mohs' surgery , laser surgery, chemical peeling, filler injections, and sclerotherapy.

Dermatopathology is an integral part of the Division of Dermatology. A comprehensive program of individual and group instruction is provided to all residents of the University of Toronto Dermatology Program.  A full range of diagnostic and consultative services, such as immunopathology, immunohistochemistry and electronmicroscopy is provided to dermatologists across the Province of Ontario.

The division's paediatric dermatologists offer specialized instruction and expert care in treating infants, children and adolescents with skin disorders at The Hospital for Sick Children.

Our commitment to providing innovative care for patients with skin disorders has led to pioneering work in basic research and in-patient care, including:

1. Understanding mechanisms involved in cutaneous drug reactions

2. Understanding the effect of ultraviolet light on skin

3. Understanding the role the skin plays as the peripheral arm of the body's immune system

4. Consultation with industry and government for the evaluation of industrial and environmentally-induced skin diseases

5. Refinement of phototherapy, which uses ultraviolet light for treating psoriasis, cutaneous lymphoma, acne and vitiligo

 
PGY-1 and 2
 

Candidates who select this program will complete two years of approved residency training which encompasses broad-based training in general internal medicine and subspecialties, plastic surgery and paediatrics. Specific rotations include:

 
 
Rotation Duration Location / Notes
General Medicine  4 months  Sunnybrook, University Health Network, St. Michael's Hospital 
Emergency Medicine  2 months  Sunnybrook, Mt. Sinai or Toronto Hospital-Western Division 
Infectious Diseases  2 months  University Health Network, Sunnybrook 
Dermatology  1 month   
Endocrinology  1 month  Sunnybrook, University Health Network 
Haematology  1 month  Sunnybrook, University Health Network 
Pediatric Dermatology  1 month  The Hospital for Sick Children 
 
PGY-2 Rotations
 
Rotation Duration Location / Notes
Medical Genetics  1 month  North York General Hospital 
Occupational Medicine   1 month   St. Michael's Hospital  
Rheumatology  2 months  Sunnybrook, University Health Network, St. Michael's Hospital 
Tropical Medicine  1 month  Toronto General Hospital 
Allergy and Immunology  1 month  St. Michael's Hospital 
Dermatology  2 months  1 month each at a different site 
Plastic Surgery  2 months  Women's College Hospital 
Dermatopathology  1 month  University Health Network 
Paediatrics Subspecialty Outpatient Clinics  1 month  The Hospital for Sick Children and Community Practices 
 
PGY-3 to 5
 

Three years of dedicated resident training in dermatology. This includes:

**All residents attend weekly case conferences and quarterly case conference meetings of the Toronto Dermatological Society.**

 
 
Rotation Duration Location / Notes
General Clinical Dermatology including inpatient and outpatient exposure  15 months  Sunnybrook (6 months); Toronto Western Hospital (3 months); Women's College Hospital (3 months); Selective (3 months). 
Paediatric Dermatology  4.5 months  Hospital for Sick Children 
Dermatopathology  6 months  Life Labs (3 months); Sunnybrook Hospital (3 months) 
Dermatologic Surgery  3 months  Women's College Hospital 
Elective  3 months   
Dedicated Research time  3 months   
Community Clinics  1.5 months   
 
Research
 

All residents are required to complete a 3 month mandatory research rotation. Research projects may encompass anything from Basic Science to Clinical and Health Systems Research. Key areas of expertise within the Faculty include: molecular medicine, health systems research (large database research, E-Health) and clinical trials.

 
Seminars
 

PGY1 and PGY2 residents have a protected academic half-day which includes a 4-5 week introductory course with lectures in basic dermatology topics.  They also have a monthly 2-year longitudinal workshop course which includes topics in morphology, differential diagnoses and disease management.

PGY-3 to PGY-5 residents participate in a full-academic day weekly which includes morphology sessions, topic reviews, dermatopathology, City-wide Rounds, journal club and various topics focussing on CanMEDs competencies.  Additional seminar series include weekly basic sciences rounds and monthly dermatologic surgery workshops.  In addition, each teaching site conducts its own Patient Rounds and seminar teaching.

Residents are encouraged to attend clinical scientific meetings in Canada, the United States and abroad.

 
 
       
Training Sites
Resources
 

The Division includes five main teaching sites:  Sunnybrook, Women's College, Toronto Western Hospital, The Hospital for Sick Children, and Life Labs.

Multidisciplinary specialty clinics are held at Sunnybrook, Women's College, the Hospital for Sick Children and at the Toronto Western Hospital.  Plastic surgeons, dermatologists, radiation and medical oncologists and dermatopathologists work together to optimize therapy for patients in cutaneous T-cell lymphoma, pigmented lesion and skin cancer clinics.  In the Adverse Drug Reaction Clinic, clinical pharmacologists, immunologists and dermatologists collaborate to solve difficult clinical problems.  In the epidermoloysis bullosa clinic, multiple specialties work with the pediatric and wound care dermatologists to optimize patient care.  Other combined specialty clinics include the childhood morphea clinic, the childhood CTCL clinic, and the occupational health clinic.

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