Dermatology in East of England
A popular, vibrant specialty which is rapidly developing. It is principally 'medicine' based, although overlaps with many other disciplines within hospital specialties. All aspects of skin disorders are encountered and dealt with. The increased incidence of skin disease and tumours has led to greater demand for dermatology services by patients and general practitioners alike.
This demand is likely to remain high for the foreseeable future, especially as the United Kingdom has relatively few Consultant Dermatologists per head of the population compared with the rest of the developed world. Therefore, dermatology has a relatively secure demand-led future within the Health Service.
The United Kingdom is one of the leading countries in world Dermatology both in terms of professional standards and research into skin disease. The specialty is readily compatible with full-time or part-time employment giving considerable job satisfaction, professional reward and quality of life.
Attractions of the Specialty
It is an acute hospital-based medical specialty which is principally out-patient located, but also has in-patient involvement. The specialty covers the entire age range of patients and a high percentage of general practice consultations are dermatological. Within the hospital-based provision, there are a variety of interesting sub-specialties which are continuing to develop.
An in-depth knowledge of the skin is required in terms of physiology, anatomy, cell biology and pharmacology together with insight and experience in general internal medicine. Additional experience or interest in immunology, pathology, genetics, rheumatology, infectious diseases and GU medicine is helpful.
Exciting sub-specialties have evolved including: dermatological surgery/oncology/laser therapy, paediatric dermatology, photo-dermatology, contact dermatology/allergy/ occupational dermatology, genital dermatology and dermatopathology. Although all general dermatologists would include aspects of these in their routine work, many hospitals are creating sub-specialty specific services.
Introduction to the speciality from a trainee perspective, by Dr Louise Fuller
Training in Dermatology in the East of England offers a unique opportunity to combine excellent clinical experience in an environment where research is encouraged.
There are fourteen StR posts with their attached NTNs in the region.
There are four dermatology rotations based in either Cambridge, Norwich, Hertfordshire or Essex. Rotations based at Addenbrooke's Hospital, Cambridge link with Bury St Edmunds and King's Lynn, while the Norfolk & Norwich University Hospital, Norwich rotation links to Ipswich, James Paget Hospital or King 's Lynn. The Hertfordshire rotation includes Watford, Luton and Cambridge with links to the Royal Free Hospital and rotations in Essex are based Chelmsford and Basildon
From August 2017, there will be 15 specialty trainee posts in the Eastern Region. Specialty training in dermatology will be based at 4 separate centres. Each centre has developed their own individual rotations which link with their surrounding district general hospitals.
- Cambridge University Hospital NHS Foundation Trust
3 Full-time and 3 flexible trainees
- Norfolk and Norwich University Hospital NHS Foundation Trust
4 Full-time trainees
- Basildon and Thurrock University Hospital and Broomfield Hospital NHS Trust (Essex rotation)
3 Full-time trainees
- Luton and Dunstable University Hospital, Watford General Hospital with Cambridge (Hertfordshire rotation)
- 3 trainees
The training in the East of England Multi-Professional Deanery is based around three teaching centres. There are combined training sessions held monthly for all trainees. Most trainees also attend monthly Regional Training Clinics in Cambridge and Norwich. There are opportunities to attend the RSM academic meetings.
Trainees are expected to participate in research and research meetings are held to present work in progress.
The dermatology curriculum consists of section A which includes both general and dermatology specific progressive elements. This includes areas to record audit, research and teaching. Section B of the curriculum lists modular elements or subspecialty interests for dermatology, including paediatric dermatology, cosmetics and laser.
This is the link to the curriculum:
There are fourteen SpR posts, each with their attached NTN number, in the region.
There are four dermatology rotations based in Cambridge, Norwich, Essex or Hertfordshire.
The posts based at Addenbrooke's Hospital, Cambridge link with clinics in Bury St Edmunds, The Norfolk & Norwich University Hospital. The Norwich posts link to clinics in James Paget Hospital or King 's Lynn. The rotation in Essex is based at Chelmsford and Basildon . The Hertfordshire rotation includes Luton, Watford and Cambridge and rotates between these 3 sites.
Current duration of training is four years.
These exist in all the posts and many StRs take time during or out of programme to develop and further their research. Encouragement is given to work towards an MD or PhD thesis.
Almost all aspects of sub-specialty training can be provided in the region.
Experience gained from overseas work in Dermatology is encouraged.
Foundation and CMT posts with a dermatology component do exist within UK. Posts at CMT level at Guy's and St Thomas' Hospital in London are recommended as possible pre-StR experience.
Other experience that is advantageous pre-StR application can be gained in Clinical Fellow or Teaching Fellow posts.
- Completion of a core medical training programme or equivalent.
- Documented evidence of completion of full MRCP(UK) Examination.
Most successful Specialty Registrar applicants will have had some additional experience at CMT level in dermatology and/or other allied areas in medicine, such as surgery, GU medicine, paediatrics, radiotherapy/oncology, or may have gained experience from work as a LAT, LAS, Specialty Doctor or Clinical Fellow in the specialty of Dermatology.
- Good communication skills and interpersonal skills
- Good understanding of psychological needs of patients
- Good self-motivation
- The ability to work within a team
Detailed guidance on the Dermatology curriculum and assessment blueprint is available from the JRCPTB website.
British Association of Dermatologists website:
- A useful reference: http://www.dermnetnz.org/
- Dermatology. Jean L. Bolognia, Joseph Jorizzo and Ronald Rapini. 2 volume set. 2nd Edition 2007. 2432 pages. Mosby.
- Clinical Dermatology. Rona M MacKie. 5th edition 2003. 336 pages. Oxford Medical Publications.
- Clinical Dermatology. John Hunter, John Savin and Mark Dahl. 3rd edition 2003. 365 pages. Blackwell Science.
- Color Atlas & Synopsis of Clinical Dermatology. Thomas B Fitzpatrick, Richard Allen Johnson, Klauss Wolff, Dick Suurmond. 4th Edition 2001. 1041 pages. McGraw-Hill Companies, Inc.
- Dermatology: An Illustrated Colour Text. David J. Gawkrodger. 3rd edition 2002. 138 pages. Churchill Livingstone.
- Textbook of Dermatology. Rook/Wilkinson/Ebling. 6th edition 1998. 3678 pages. Blackwell Science.
- Fitzpatrick's Dermatology in General Medicine. Irwin M., Md. Freedberg, Arthur Z. Eisen, Klaus Wolff, K. Frank Austen, Lowell A. Goldsmith, Stephen I. Katz, Thomas B. Fitzpatrick. 6th edition, 2003. 2872 pages. McGraw-Hill Companies, Inc.