Mohs Surgery Fellowship

INTRODUCTION

Director

Dr PJM Salmon, Fellow of the American College of Micrographic Surgery and Cutaneous Oncology, runs a Fellowship training programme based at the campus at 171 Cameron Road, Tauranga.

Dr Salmon is a vocationally registered dermatologist with private and public hospital practice. He is a visiting consultant at Tauranga Public Hospital and Honorary Consultant at Waikato Public Hospital. He is in charge of surgical training for dermatology residents at Waikato Hospital. He has admitting and operating rights at Tauranga Public Hospital and Norfolk/Southern Cross Private Hospitals in Tauranga. He is on the Executive, Specialist Advisory and Continuing Medical Education Committees of the New Zealand Society of Dermatologists.

Registration

Foreign Fellows wishing to undergo the Fellowship at the Skin Centre should be Board Certified in Dermatology, be eligible to sit, or have passed, the Fellowship Examination of the Australian College of Dermatologists or be Advanced Trainees in Dermatology from the United Kingdom and Fellows of the Royal College of Physicians.

Foreign Fellows will need to obtain temporary registration as a dermatologist in New Zealand. The Manager of the Skin Centre will assist you in this process.  Please contact her at 0064 7 578 5788, or email meganp@skincentre.com

The Fellowship and Expectations of Competency

The Fellowship is currently a two year Fellowship.   There are approximately 350 Mohs cases a year. Mohs surgery takes place on Tuesdays and Thursdays.   Fellows are also encouraged to attend cosmetic procedures taking place on a Wednesday.   The Fellowship week is Monday to Friday inclusive with days off being Saturday and Sunday.  Most of Monday, Wednesday and Friday will be spent seeing your own consultations and operating on your own patients, or at Tauranga Public Hospital doing a Fellow’s Clinic (one per week).   The vast majority of your work as a Fellow having your own clinic, will involve skin cancer and to some extent cosmetic dermatology.  Nevertheless you are expected to have a high level of competence in general dermatology and dermatoscopy.

Dermatology in New Zealand is generally a secondary or tertiary referral service and expectations of standards are more in keeping with those in a large academic institution in the United States or a teaching hospital in the United Kingdom rather than a private practice. Graduates with no skills in dermatologic surgery need not apply for this Fellowship.

A reasonable standard of basic dermatologic surgery procedural work will be expected from Day 1.

Fellows are expected to be competent in simple complex layered closures, utilisation of M-Plasty or T-Plasty and a preliminary understanding and some experience with basic flaps and grafts. They should be familiar with a variety of suture techniques and the treatment of surgical complications such as infection and haematoma.

Fellows will be expected to be on call 24/7 throughout the Fellowship, (apart from leave days) for both their patients and Dr Salmon’s patients.   The Skin Centre will cover their cell phone rental over this period, but not calls (there is no payment to receive calls in New Zealand).

The Fellow will be expected to work a total of 226 days per year.  They will be awarded 20 days annual leave and 5 days conference leave.

During the Fellowship Dr Salmon will pay registration and accommodation for the American College of Mohs Micrographic Surgery and Cutaneous Oncology Annual Meeting for one year of the Fellowship, provided they present a paper at that meeting based on work done at the Skin Centre.

The Skin Centre is an equal opportunity provider.

Cosmetic Procedures

During the course of the Fellowship the Trainee will gain experience and training in techniques of tumescent liposuction, laser resurfacing, sclerotherapy, treatment of leg veins with long pulsed Yag laser, hair removal laser, treatment of superficial veins of the face with the Dio-Lite laser, chemical peeling, dermabrasion, Botulinum toxin treatment, Collagen and Restylane fillers, fat transfer and occasionally hair transplantation. Close interaction with Oculoplastics is available through the contracted provision of Mohs service to the Oculoplastic Department of Waikato Hospital.

Didactic Teaching

An extended syllabus of the Mohs College will be addressed through morning tutorials, once a week, prepared by the Fellow, encompassing all areas of cutaneous oncology and some areas of cosmetic dermatology surgery (please see schedule).  This currently occurs as a breakfast meeting at 8:00am Friday’s.

Daily Schedule:

Monday - Full day of consults and non Mohs surgery

Tuesday - Mohs Surgery

Wednesday - Cosmetic Surgery and Fellow's Clinic

Thursday - Mohs Surgery, non Mohs surgery and Oculoplastic Surgery

Friday - Fellow's own consults, non Mohs surgery, and half day list at Tauranga Hospital

Saturday/Sunday - Days off

Facility

The Skin Centre at 171 Cameron Road, Tauranga, is a purpose built dermatology facility (2002) and incorporates 8 consultation rooms, two day stay theatre and Mohs laboratory, as well as ultraviolet treatment (go to skincentre.com). A dedicated Mohs unit comprising three purpose built theatres, treatment room and consultation room is located our remote site, 42 Girven Road, Mt Maunganui.

Tauranga

Tauranga is a provincial town in New Zealand servicing a population of 250,000.  It has an agreeable temperate climate, great beaches, and is well known for its surfing, sailing and water-skiing.  There are good schools in the area.  Climate and lifestyle are similar to Northern California.  

See:

  • tauranga.co.nz
  • purenz.co.nz
  •  citynews.co.nz
  •  city of tauranga.co.nz
  •  gotauranga.co.nz

You should expect to spend $15,000 and $30,000 per annum to rent a 3-4 bedroom detached house on its own lot and around $20,000 per annum for an apartment.

Application Requirements

Applicants are required to provide references from three referees, a copy of their current CV, and a Passport quality photograph.

Click the link below to access the Mohs college website.

(http://www.mohscollege.org/sisrb/ACMSFellowshipTrainingProgramDirectorsListing2012.pdf).