How to Shine on a Dermatology Sub-Internship

Securing a dermatology residency can be competitive, and excelling during a sub-internship (sub-I) is a critical step in this process. As a sub-I, you will be evaluated not just on your medical knowledge, but also on your interpersonal skills, work ethic, and ability to function within a team. This article outlines day-to-day expectations during your dermatology rotation, how residents and attendings assess your performance, and practical habits that can help you stand out. Understanding the Structure of a Dermatology Sub-Internship A typical dermatology sub-I lasts for four weeks and includes a combination of clinical rotations, didactic sessions, and opportunities for independent study. Here’s a breakdown of what to expect on a day-to-day basis: Week 1: Orientation and Introduction Familiarization with the clinic layout, staff, and patient workflow. Introduction to dermatological terminology and common conditions. Establishing relationships with residents and attendings. Week 2: Active Clinical Participation Increased patient interaction, including taking histories and performing basic examinations. Participation in daily rounds and case discussions. Engagement in procedural dermatology (e.g., biopsies, excisions) under supervision. Week 3: Independent Learning and Responsibilities Presenting cases during morning reports or grand rounds. Taking on more responsibilities, including follow-ups and patient education. Seeking opportunities for procedural involvement. Week 4: Final Evaluations and Reflection Engaging in self-reflection and seeking feedback on performance. Participating in a final presentation or project. Networking with faculty and residents for future mentorship opportunities. Evaluation Criteria: What Residents and Attendings Look For Understanding how your performance will be evaluated is key to excelling in your sub-I. Attending physicians and residents typically assess students across several domains: Clinical Knowledge: Familiarity with dermatolog