Faculty Development - Department of Family & Community Medicine

Faculty Development

Underserved Dermatology in Family Medicine

The demand for dermatology services in the United States far exceeds the supply of dermatologists. Current wait times for appointments with dermatologists often ranges from 3 to 6 months nationwide. There is a national shortage of dermatologists and there is a severe shortage of dermatologists taking care of underserved patients without insurance or with Medicaid.


Primary care physicians often do not learn sufficient dermatology to be proficient in skin problems without additional learning opportunities. University Health Science Center San Antonio (UTHSCSA) and the University Health System (UHS) are offering a one-year faculty development program in dermatology with a focus on care for the underserved. The program began on July 1, 2009 and takes 2 participants per year.


This program is designed for a board-certified or board-eligible family physician that wants to develop expertise in dermatology and wants to give back to their community by providing needed skin care for underserved populations. The faculty member will improve their skills in the full range and depth of medical and surgical dermatology (excluding cosmetics).


Setting: The UHS Skin Clinic opened its doors in August 2006, and is run by the Department of Family and Community Medicine. It has 6 exam rooms including two fully equipped outpatient operating rooms. It is open 5 days a week and has an unending demand for its services. It receives consults locally and from all over South Texas.


Education: The faculty member trains under the direct supervision of Dr. Usatine. Most learning will be hands on caring for patients within the Skin Clinic. Wednesday morning and Friday afternoon will consist of didactic time with the Dermatology faculty and residents. Fellows attend learning seminars with the faculty and residents of the Division of Dermatology on Thursday and Friday afternoons. Fellows are encouraged to attend the week long "Skin Problems and Diseases Course" of the American Academy of Family Physicians in June before the fellowship begins (Dr. Usatine is the chair). Faculty members will keep up their family medicine skills while working 1 – 2 evenings per week in the primary care student-run clinics for the underserved.


Director: Dr. Richard Usatine, Professor of Family Medicine and Dermatology.
Dr. Usatine is a nationally recognized leader in dermatology education for family physicians. He is the lead author of two books that will provide some of the curriculum for this year - "Dermatologic and Cosmetic Procedures in Office Practice" and "The Color Atlas of Family Medicine, 2nd edition". Both are provided free in their electronic app versions. Dr. Usatine developed the Interactive Dermatology Atlas (www.dermatlas.net) that currently has over 1400 images and 60 cases on the Internet for interactive online learning. He is also the editor of Photo Rounds in the Journal of Family Practice. He teaches dermoscopy nationally for the AAFP and within the annual American Dermoscopy Meeting.



  • Dermatology patient care 5 days a week (7 half-days) in the UHS Skin Clinic (Downtown San Antonio).
  • Family medicine patient care and student teaching 1-2 evenings per week in the primary care student-run free clinics for the underserved.
  • Assist in training residents and medical students within the Skin Clinic and student-run clinics (http://studentrunclinics.org/).
  • Writing and teaching with mentoring from Dr. Usatine.
  • There are no night calls or inpatient responsibilities.

Completion: If the requirements are met, the faculty member will receive a certificate from the University of Texas that the Dermatology Faculty Development program was completed. There are no boards or certifying exams.



  • Board-certified or board-eligible family physician
  • Commitment to the underserved
  • Spanish language fluency preferred
  • Interest in academics (teaching and writing)

HOW TO APPLY: Interested applicants should email their CV and letter of interest to Dr. Richard Usatine at usatine@uthscsa.edu.


TIME LINE: The program runs from July 1 to June 30 each year. Interested applicants should contact Dr. Usatine as early as possible for the upcoming year.  Family medicine residents who are a great fit for the program may be invited to do a rotation in the Skin Clinic during their residency. The best candidates will be invited for a 2-day interview from January – March before the July 1 start.


PLANNING AHEAD: Many applicants attend the "AAFP Skin Problems and Diseases Course" and are able to meet Dr. Usatine in person to discuss the fellowship as he chairs this course. The next time the course will be taught is October 19- 22, 2016 in Las Vegas. Other ways to meet Dr. Usatine include attending his many dermatology workshops and lectures at the AAFP Scientific Assembly each fall.