Dermatology Fellowships: Mohs, Pediatric, Derm-Path, Cosmetic, and More

Dermatology is a highly specialized and evolving field, offering several avenues for advanced training through subspecialty fellowships. These programs allow dermatologists to refine their skills, explore niche areas of practice, and meet the growing demand for expertise in specific domains. Below, we explore the most common dermatology fellowships, their structure, career prospects, and standout programs. Mohs Surgery and Dermatologic Oncology Mohs surgery fellowships focus on skin cancer treatment, particularly using the Mohs micrographic surgery technique, which offers high cure rates and maximal tissue preservation. Fellows gain expertise in tumor mapping, histopathologic interpretation, and reconstructive surgery. Most programs are one year in length and are accredited by the American College of Mohs Surgery (ACMS). Fellows typically perform hundreds of cases during training, addressing basal cell carcinoma, squamous cell carcinoma, and less commonly, melanoma or rare cutaneous malignancies. Training also includes advanced cutaneous reconstruction, ranging from primary closures to complex flaps and grafts. Career outlook: As skin cancer incidence continues to rise, Mohs surgeons are in high demand, particularly in areas with aging populations or high sun exposure. Most graduates work in multidisciplinary practices or private dermatology clinics. Top programs: Well-regarded fellowships include those at the Mayo Clinic, Memorial Sloan Kettering Cancer Center, and the University of California, San Francisco. Pediatric Dermatology Pediatric dermatology fellowships train dermatologists to manage skin diseases in children, from common conditions like atopic dermatitis and acne to rare genetic disorders, vascular anomalies, and pediatric skin cancers. This subspecialty requires a deep understanding of age-specific considerations, including developmental biology and the psychosocial impacts of skin disease on children and families. These programs are typically one year