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    What is a dermatologic surgeon?

    Part of a progressive medical subspecialty, ASDS member dermatologists perform medically necessary and cosmetic procedures to improve the health, function and beauty of skin through every stage of life.

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    From forehead furrows to frown lines…

    Performing more than 5 million cosmetic procedures each year, ASDS member dermatologists offer many treatments that are less intense, safer and have quicker recovery times than ever before.

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    1.5 million Americans are diagnosed with skin cancer every year

    Any suspicious new growths or changes should be examined by a dermatologist immediately. ASDS member dermatologists are trained to select the best treatment choice based on the individual patient.

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    From excess fat to wrinkles…

    Offering a range of office-based cosmetic procedures, ASDS member dermatologists can select the appropriate treatment choice to meet your individual goals.

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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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