(Seoul National University Hospital)



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Department of Dermatology (Seoul National University Hospital) 1. Introduction Seoul National University Hospital Department of Dermatology has been proved its excellence both in clinics as well as research. Every year, more than 56,000 outpatients visit our department for various chief complaints. Our department is one of the largest dermatologic referral centers in Korea, and the number of patients is still growing. We are very proud of our specialties and outstanding abilities of diagnosis and treatment in psoriasis, occupational dermatosis, skin cancer, dermatopathology, vitiligo, bullous diseases, acne, alopecia and dermatosurgery. There are specialized clinics for laser treatment, photodynamic therapy and hair restoration surgery. With the regard of specialty, there are distinct dermatologic clinics in the Children s Hospital and in the Cancer Hospital. The tight relationship with the emergency room facilitates the one-stop system. The quality as well as quantity of the clinical trials carried out in our department for the past decades is remarkable. We have been proved the efficacies and safeties of many novel medications, biological products, and laser equipments. One of the monumental successes is the clinical trial for the evaluation of efficacy and safety of dutasteride on androgenetic alopecia. The Research Institute, IHEIB (Institute of Human-Environment Interface Biology) is another pride of our department. The harmony of dermatologists and molecular biologists have generated plenty of valuable achievements in the field of skin aging, hair biology and pigmented disorders. Many foreign doctors and medical students have visited our department. We offer diverse experiences and learning opportunities for visiting scholars. The coursework includes observation of outpatient clinic, dermatosurgery, rounds for inpatients and participation for morning conferences. The SNUH department of dermatology would be the best option for any dermatologists and scientists who are interested in dermatoses in Asian population as well as basic skin research.

2. Short-term visiting fellowship program As the Dermatologic Fellow, you would be able to participate as a sub-investigator or researcher for clinical trials, assisting dermatologic procedures including surgery, and observing patients in our clinics. Through our outpatient and dermatologic surgery clinic, you can experience not only basic management of skin diseases but also surgical management of skin cancer. You also have the opportunity to work on research and animal experiments in our Biomedical Research Institute. Therefore, the trainee is expected to have fundamental principles and various experiences in all aspects of dermatology with this program. 1) Duration : There are 2 weeks and 4 weeks program courses, which are basically similar in contents; however more chances will be available in 4 weeks program including outpatient clinic, conferences, and in-depth discussion on issues of skin cancer. 2) Accommodations : Accommodations can be made in the dormitory located inside the hospital compounds. Nearby accommodation at 10 minutes of distant on walk are another option by trainees will or when the dormitory is not available.

3) Educational contents 1 Outpatient Clinics : 27 adult clinics, 10 pediatric clinics, 5 special clinics, 5 cancer center clinics, 1 international clinic, 1 telemedicine clinic A. Adults outpatient clinics (27 regular sessions, 5 cancer center clinics) Regular outpatient clinics: Psoriasis, eczematous diseases, cutaneous tumors, vitiligo, atopic dermatitis, bullous diseases, autoimmune diseases, acne and periappendageal diseases, alopecia, hair diseases, infectious skin diseases etc. Various common dermatologic disease in adult. Cancer center clinic: skin cancer, dermatologic symptoms due to paraneoplastic syndrome, dermatologic side effect of oncologic treatment B. Children s outpatient clinics (10 sessions) Vitiligo, eczematous diseases, atopic dermatitis, congenital dermatologic diseases, hemangioma, vascular malformation and hair diseases etc. Various common dermatologic diseases in children 2 Operation - Observation and participation of operations - In-depth discussion about different operations of surgical procedures including excision of benign and malignant tumors, Mohs micrographic surgery, scar revision, dermabrasion, and hair transplantation - Dermatologic surgery : Tuesday, Thursday(AM, PM) 3 Special Clinic: : Contact dermatitis clinic, Laser clinic, Acne clinic, Dermatologic surgery, Hair transplantation clinic Contact dermatitis clinic Use an allergen patch test panel consisting of the most commonly implicated allergens as reported by the Korean Contact Dermatitis Group, including various occupational irritants.

Laser Clinic Variable types of Laser: Er:YAG fractional laser, fractional microneedle radiofrequency device (MRF), fractional carbon dioxide laser, Nd:YAG laser, Intense Pulsed Light, Polaris laser, Carbon Dioxide laser Laser clinic: Monday, Tuesday (PM) Dermatologic surgery Observation and participation of operations In-depth discussion about different operations of surgical procedures including excision of benign and malignant tumors, Mohs micrographic surgery, scar revision, dermabrasion Operation : Tuesday, Thursday(AM, PM) Hair transplantation clinic Observation and participation of operations Procedures: hair transplantation (male pattern alopecia, female hair loss, scar) Operation : Thursday(PM) 4 Dermatologic procedure - Variable types of Laser : Fractional laser, Nd: YAG laser, Intense Pulsed Light, Polaris laser, Carbon Dioxide laser - Phototherapy : Excimer laser, narrowband UVB phototherapy and PUVA. - Other dermatologic skills training

5 Conferences - 7-8 conferences per week - Staff lecture, dermatopathology conference, journal review, text reading, dermatologic grand round, histology meeting, differential diagnosis conference, rheumatoid conference, conference with plastic surgery department. time Conference Monday 8A Staff lecture Tuesday 8A Dermatopathology conference Wednesday 8A Journal review Thursday 8A Text reading Friday 8A Dermatologic Grand Round 4P30 Histology meeting Others Once a week differential diagnosis conference Once a month conference with plastic surgery department(in every month) When it needs Rheumatoid conference with internal medicine and ophthalmology 6 Ward round - 2 times per day (morning, afternoon) - Visiting in-patients in 82 ward (adult patients) or west 7 ward (pediatric patients) with attending physician

7 Research meeting at biomedical research institute - Tuesday 9 am : laboratory meeting of cutaneous anti-aging research team - Friday 12 pm : laboratory meeting of hair research team - Discussions and reports of a variety of research activities by clinicians, dermatology lab, collaborating co-researchers 8 Reports of accomplishment - 2 times at the end of the 2 nd and 4 th week - Presentation of trainee about what the trainee learn and feedback from the faculties 9 Participation to various academic meetings in Korean Dermatological Socities. 4) Curriculum 2 weeks program 1 Outpatient Clinic - Observation of 16 sessions of outpatient clinic including adult clinic, pediatric clinic, special clinic, cancer center clinic, international clinic, or telemedicine clinic. 2 Operation - Observation and participation of about 4-5 operations in 1-2 operations - Introduction of different operations of surgical procedures 3 Dermatologic procedure - Observation or participation of dermatologic procedures including laser, chemical peeling, phototherapy, etc..

4 Conferences - Participating 10-15 times of conferences including staff lecture, dermatopathology conference, journal review, text reading, dermatologic grand round, histology meeting, differential diagnosis conference and conference with plastic surgery department. 5 Research meeting at biomedical research institute - Participating 2 of laboratory meeting - Participating 2 of journal meeting with lunch 6 Reports of accomplishment - Presentation of trainee about what the trainee learn and feedback from the faculties 7 Optional schedules - Visit to Seoul Nat l Univ. Bundang hospital and SMG-SNU Boramae medical center - Conversation with medical students 4 weeks program 1 Outpatient Clinic - Observation of 32 sessions of outpatient clinic including adult clinic, pediatric clinic, 2 Operation special clinic, cancer center clinic, international clinic, or telemedicine clinic. - Observation and participation of about 5-10 operations in 2-4 operations - In-depth discussion about different operations of surgical procedures 3 Dermatologic procedure - Observation or participation of dermatologic procedures including laser, chemical 4 Conferences peeling, phototherapy, etc.. - Participating 15 30 times of conferences including staff lecture, dermatopathology conference, journal review, text reading, dermatologic grand round, histology meeting, differential diagnosis conference and conference with plastic surgery department.

5 Research meeting at biomedical research institute - Participating 4 times of laboratory meeting - Participating 4 times of journal meeting with lunch 6 Reports of accomplishment - 2 times at the end of the 2 nd and 4 th week - Presentation of trainee about what the trainee learn and feedback from the faculties 7 Optional schedules - Visit to Seoul Nat l Univ. Bundang hospital and SMG-SNU Boramae medical center - Conversation with medical students

5) Routine time tables Mon Tue Wed Thu Fri 8am 8am 8am 8am 8am Staff lecture Histoconference Journal meeting Text reading Dermatology Grand Round 9am 9:30am 9am 9am Research meeting Dermatologic 9am surgery 10:30am or Dermatologic surgery 12pm Journal with lunch meeting 1:30pm 1:30pm 1:30pm 1:30pm 1:30pm Dermatologic surgery or 5pm 4pm DM-PS conference Histsomeeting (monthly, 5pm 2 nd week) Differential diagnosis conference * Optional schedules can be arranged individually

3. Faculty lists in dermatologic department Dermatology Hee-Chul Eun Kwang-Hyun Cho Kyu-Han Kim Jin-Ho Chung Professor Professor Professor Professor Dae-Hun Suh Oh-Sang Kwon Seong-Jin Jo Koo-Il Seo Professor Associate Professor Clinical professor Pathology Hye-Sook Min Clinical Professor

4. Homepages Seoul national university hospital SNUH Department of dermatology http://www.snuh.org/english/, http://www.snuh.org/english/ihc/ihc04/sub01/sub09/ SNUH Institute of Dermatological Science http://plaza.snu.ac.kr/~sids Korean Dermatological Association Information of Korea Information of Seoul http://www.derma.or.kr http://www.visitkorea.com/ http://www.visitseoul.net/ 5. Contact point Seong jin Jo Clinical professor ayin76@hanmail.net