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    What is a dermatologic surgeon?

    One of the most innovative and progressive medical subspecialties, these ASDS experts perform medically necessary and cosmetic treatment and procedures to improve skin health and beauty.

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    From aging skin to skin cancer...

    No one is more qualified to help than an ASDS member dermatologist. Each year, these skilled doctors perform 5 million cosmetic procedures and 2.6 million skin cancer treatments.

    Conditions
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    One American dies of melanoma almost every hour

    The good news: With early detection, melanoma has an almost 100 percent five-year survival rate. Schedule a free skin cancer screening today.

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    From crow's feet to spider veins...

    You'll look and feel your best when ASDS member dermatologists combine their training and expertise with the widest range of options available.

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DermSurg Fellowship Finder Survey for Fellowship Directors

* Indicates Required Field

 * Fellowship Director: 

Last Name:  First Name:  

Email:  


 
 * Fellowship Program Name:

 
Address1:
 
Address 2:
 
City:
 
State:
 
Zip Code:
 
Phone Number:  
 (### - ### - ####)  
Fax Number:  
   (### - ### - ####)  
Website: 
 
Fellowship Coordinator Full Name:
 
Fellowship Coordinator Email:
 

 

 Please list other affiliated physicians, other than the Fellowship Director
that the fellow will work with:
 

 

Last Name:    First Name:  

Last Name:    First Name:  

Last Name:    First Name:  

Last Name:    First Name:  

 * Please identify the fellowship's program affiliation:  (check all that apply)  

               

 Choose one that best describes your practice: 

  

 

 Please indicate the term of the fellowship program: 

   

 

 Please indicate the year the fellowship was initiated: 

    

 

 Please indicate the fellowship program application date deadline: 

    /      /    

 MM 

 

 DD 

 

 YYYY 

 Is the application process through a formal match? 

   

 

 Please indicate the fellowship selection announcement date:  

    /      / 

    

  MM 

   

 DD 

   

 YYYY 

 Please indicate the fellowship program beginning date:  

    /      /    

 MM 

   

 DD  

   

 YYYY  

 Please indicate the number of fellowship program positions: 

    

 

 Please specify below, which procedures and the typical number of cases
that are performed in the fellowship program: (if you are unsure of the
number of cases, just check the procedure)
  

Please check: # Of cases per year:
       
   
Laser Surgery  
          
          
         
         
         
        
   
Cosmetic Procedures  
 Injectables     
      
      
   
        
        
   
Body Contouring  
        
         
         
         
         
        
   
      
   
      
   
      
   
Vein Surgery  
       
      
 Please list past fellows from fellowship program from the past five years:  

Name:  

Year Completed:  

 

Name:  

Year Completed:  

 

Name:  

Year Completed:  

 

Name:  

Year Completed:  

 

Name:  

Year Completed:  

 

 Please enter image text:  


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