Cosmetic Dermatology Training in Residency: Results of a Survey from the Residents' Perspective


  • The authors have indicated no significant interest with commercial supporters.

Address correspondence and reprint requests to: Ashley Group, MD, Department of Dermatology, University of Texas Medical Branch, Galveston, TX, or e-mail:



Dermatologists are expected to be experts in the evaluation and treatment of their patient's cosmetic concerns. It has been reported that some dermatology residents do not feel adequately trained in this field.


To assess how dermatology residents are being trained in cosmetic dermatology.


A survey was e-mailed to 473 third-year dermatology residents.


One hundred eighteen surveys were returned (24.9%), representing 45% of programs. Most residents have assigned reading (70.7%) and lectures (81.4%) in cosmetic dermatology. To learn technical skills, 79.7% participate in formal training sessions, and 73% have an apprenticeship model. Most residents have the opportunity to perform botulinum toxin injections, laser surgery, fillers, chemical peels, and sclerotherapy. More than 58% of programs have an encouraging or somewhat encouraging attitude toward teaching cosmetics, whereas 22% were somewhat discouraging or discouraging. Most residents (75.4%) plan to incorporate cosmetics into their practice. Residents do not feel less prepared (94.9%) or less interested (97.4%) in medical dermatology as a result of their cosmetic training.


Residents are being trained in cosmetic dermatology through a variety of methods. Residency programs should periodically assess and adapt their curricula to ensure adequate training in this field.