MOHS SURGICAL FELLOWSHIP AT THE SKIN CENTRE, TAURANGA, NEW ZEALAND
Dr PJM Salmon and Dr NJ Mortimer, both Fellows 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 and Dr Mortimer are vocationally registered dermatologists with a completely private practice.
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 firstname.lastname@example.org
The Fellowship and Expectations of Competency
The Fellowship is currently a two year Fellowship. There are approximately 550 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. 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.
The 550 cases performed per year will be almost entirely facial tumours, 50% of the closures are complex layered side to side, the remaining percentage are flap and graft closures with a small number of second intention healing (less than 5%). The fellow will become competent at full thickness skin grafts, composite skin grafts, split thickness skin grafts, a wide variety of flap closures including composite flaps, Mustarde, Interpolated Forehead, Hughes, Island Pedicle, Bernard-Webster and many others.
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.
During the course of the Fellowship the Trainee will gain experience and training in techniques of tumescent liposuction, laser resurfacing, Fraxel laser, 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.
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 Wednesday’s.
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
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.
You should expect to spend $20,000 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.
Applicants are required to provide references from three referees, a copy of their current CV, and a Passport quality photograph.