The Clinical Curriculum

All residents start and complete their clinical training in the Dartmouth Hitchcock Medical Center outpatient clinic under the direct supervision of an attending staff preceptor.

The program has a graded responsibility structure, such that residents gain progressive responsibility in patient evaluation and management over their 3 years of training. The cornerstone of the resident clinical experience is the resident continuity clinic, where residents follow their own panel of patients throughout their 3 year residency.

The program is divided into roughly 8 types of rotation blocks.

First year rotations

  • Orientation (1 month)
  • Dermpath/Attending Clinic (4 months)
  • Procedural (2 months)
  • Consult (1 month)
  • VA (4 months)

Second year rotations

  • Continuity Clinics (2 months)
  • Procedural (2 month)
  • Dermpath (1 months)
  • Consult (2 month)
  • Specialty (2 months)
  • Float (1 month)
  • Mohs (2 months)

Third year rotations

  • Continuity Clinic (4 months)
  • Dermpath (1-2 months)
  • Mohs (2 months)
  • Float (1-2 months)
  • Wrap-Up (1 month)


A resident may pursue elective experiences during float blocks in the second and third years of training. A total of 4 weeks is allowed. Examples of recent resident electives include Mohs surgical electives, laser and cosmetic electives, Native American health elective, and a Camp Discovery elective.

Subspecialty clinics

The dermatology residents' schedule includes experiences and active participation in all of the following subspecialty clinics.