FELLOWSHIPS - Department of Family & Community Medicine

Fellowship Opportunities

Underserved Dermatology Fellowship 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 fellowship in dermatology with a focus on care for the underserved. The fellowship began on July 1, 2009.


This fellowship 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 fellow 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 5 exam rooms including one fully equipped outpatient operating room. 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 fellow trains under the direct supervision of Dr. Usatine. Most learning will be hands on caring for patients within the Skin Clinic. 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). Fellows will keep up their family medicine skills through 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 Fellowship - "Skin Surgery: A Practical Guide" and "The Color Atlas of Family Medicine". 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 and the Dermatology Specialty Editor for the online Elsevier publication “First Consult.”



  • 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 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.

Position: Junior Faculty Fellow

Completion: If the requirements are met, the fellow will receive a certificate from the University of Texas that the Dermatology Fellowship was completed. There are no boards or certifying exams.

Two year commitment: The fellow will sign a contract to be available to work a second year as a full faculty member (at a faculty salary) within another UHS clinic teaching and caring for underserved patients needing skin care. This additional year will immediately follow the fellowship and will permit additional mentoring from Dr. Usatine.



  • Board-certified or board-eligible family physician
  • Commitment to the underserved
  • Spanish language fluency preferred but not required
  • 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.