From Dr. Begüm's Perspective: Dermatology Rotation and Mohs Surgery Experience in the U.S.

Dermatology Rotation

During my dermatology rotation, I had the opportunity to participate in both outpatient clinical dermatology and procedural dermatologic surgery. Working in a high-volume dermatology practice helped me develop a stronger understanding of common dermatologic conditions, patient management, communication, and procedural techniques.

In the outpatient clinic setting with Dr. Usman and Dr. Zahir, I was involved in several aspects of patient care. I was responsible for taking focused histories, following up with patients regarding treatment progress, and presenting cases to the attending physicians. With these responsibilities, I became more comfortable recognizing common dermatologic complaints and understanding how treatment plans are made depending on patient response and progress. I also gained exposure to a wide range of dermatologic conditions, including acne, psoriasis, atopic dermatitis, contact dermatitis, and benign and malignant skin lesions. Seeing how these conditions present in different patients strengthened the importance of pattern recognition and careful skin examinations.

I also assisted with multiple tasks that helped support the flow of the clinic. I helped prepare patient rooms, ensured necessary materials were available for procedures, and assisted patients in completing consent forms. I documented patient histories in the eClinicalWorks electronic medical record system after speaking with patients and reviewing their concerns. These experiences gave me a better understanding of the logistical and documentation aspects of outpatient dermatology practice.

In addition to clinical exposure, I gained hands-on experience assisting with dermatologic procedures. I assisted with local anesthesia administration, helped with suturing by blotting and cutting sutures, and performed suture removal during follow-up visits. I also assisted with wound care and dressing changes. Being involved in these procedures helped me become more comfortable with sterile technique and the general flow of minor dermatologic procedures. It also showed me how important it is to communicate clearly with patients and reassure them during these visits.

A major part of my rotation was observing and assisting in Mohs micrographic surgery with Dr. Khachemoune. During these surgical days, I reviewed patient charts and biopsy reports in preparation for the procedures and helped collect and organize relevant case information. I observed the staged excision process and learned how tissue mapping and margin evaluation guide surgical decision-making. During each stage of the procedure, I reviewed the slides under the microscope and observed the histologic features of basal cell and squamous cell carcinoma. I also observed the various reconstruction techniques used after tumor removal, including primary closures and other repair techniques depending on the size and location of the defect.

This rotation also showed me how important patient education is in dermatology. Many skin conditions require long-term management, and I saw how physicians take time to explain treatment expectations, medication use, and skin care practices. This helps patients better understand their condition and makes it easier for them to stay consistent with treatment, especially for chronic conditions like psoriasis or eczema.

I am very grateful for the opportunity to work with the physicians and staff during this rotation. They were always willing to involve me in patient care and walk me through their thought process, which made the experience both educational and really enjoyable. The exposure I gained to dermatologic evaluation, procedures, and clinic workflow will continue to guide me as I move forward in my training