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ERAS: 14955768

NRMP: 2192080A0

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About our program

The program is orderly, progressive, academic, and clinically oriented. It is designed to prepare the resident for the practice of dermatology and for examination and certification by the American Board of Dermatology. The primary training clinic is based out of River Ridge Dermatology.

Highlights of the program include:

  • Pure basic and clinical research
  • Pure clinical suburban practice
  • Various blends of sub-specialty practice
  • An education-oriented practice

Under supervision and direction, the program presents opportunities for clinical applications of dermatological principles. Residents accepted will participate in all didactic sessions, clinic sessions, and rotation settings that HCA provides. Didactic sessions are designed to address issues in dermatology that will impact the success of the resident's future practice; they also present a weekly opportunity to maintain and improve the organization of the program through discussion of problems and coordination of schedules.

The clinical experience provided strives to assure longitudinal as well as continuity of care training. It is intended that each trainee learn through the hands-on experience of caring for patients, by self-evaluation, and by faculty evaluation.

The primary method of education is hands-on patient care management. Therefore, each resident is provided with diverse patients in terms of age, gender, and socio-economic background. The location of the ambulatory care training sites provides the demographics suitable for serving a wide variety of patients.

Welcome letter

Dr Chad JohnstonThere is no better place to start your training than with HCA LewisGale Hospital-Montgomery/VCOM’s Dermatology Residency program. The excellent clinical care, tremendous variety and complexity of patient care settings you will experience while in our training program will prepare you for independent practice as well as connect you to the largest healthcare organization in the United States. We don’t just want to train you, we want you to stay in our communities and practice with us for years to come.

As a resident in our program you will have the opportunity to work with experienced faculty in a very robust program. The foundation of our program is to provide you quality clinical training that emphasizes educational opportunities, clinical excellence, teamwork, leadership, and career development. As a graduate of our program, you will be capable of independently caring for all age groups, managing complex medical conditions, and performing common office procedures.

Our program is located in Blacksburg, VA, home of Virginia Tech, one of the nation’s leading research centers; Edward Via College of Osteopathic Medicine; nearby Radford University; and New River Community College. In addition to the unmatched educational opportunities, the New River Valley is known for its access to outdoor recreation, fine arts, and high-quality employment.

I want to personally invite you to explore our program via our program page. Thank you for considering us and I look forward to meeting you and sharing the opportunities we have to offer as you explore the next phase of your medical training.

Chad Johnston, DO

Dermatology Program Director

Mission statement

The LewisGale Hospital - Montgomery Dermatology Residency program’s mission is to develop the next generation of physicians and physician leaders. As a part of HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.

This program is designed to offer residents a rewarding, educational environment where residents are provided individualized learning opportunities by faculty and staff who support and sustain one another throughout quality care delivery. Our faculty are committed to ensuring the residents' clinical experience and educational needs are fulfilled while expanding residents’ perspectives to be inclusive of cultures, values and ideals.

List of leadership and faculty

Program Director

  • Chad Johnston, DO, FAAD

Program Administrator

  • Donna Underwood, MBA, MS

Core Faculty

  • Sandra Brown, DO, FAOCD, River Ridge Dermatology
  • Craig Garofola, DO, River Ridge Dermatology
  • Gary Gross, MD, LewisGale Physicians

Conference schedule


Residents assigned to local rotations participate in local didactics on Mondays. Resident’s weekly didactic schedule includes a review of designated reading from dermatology textbooks; review of pharmacology, faculty lectures, and kodachromes; and review of pediatric dermatology reading from Hurwitz textbook; students/resident presentations; and review of dermatopathology unknown slides.

Unless on rotation at PRW or Wake Forest, all residents attend Carilion Clinic Dermatology surgical lectures quarterly.

Grand Rounds

In addition to local Grand Rounds, residents participate in quarterly Grand Rounds with Carilion Clinic.

Morning Report

Morning Report is held on Fridays from 7:00 - 8:00am. The discussion addresses important aspects of the history and physical examination, formulation of a complete differential diagnosis, and management of the disease process for the individual patient.

In order to effectively discuss each case, the presenter should prepare to answer pertinent questions concerning the patient's work-up, including lab values and test results. Any available pathology studies or slides should be brought to the presentation when possible.

The presenter should have detailed knowledge about the patient's diagnosis and management. This is not intended to be a morbidity and mortality conference; however, the residents should prepare to defend their decisions and reasoning. Attendance at morning report is required for all residents on site.

Curriculum and rotation schedule

The residency program teaches the basic classification of diseases and the pharmacodynamics of the various therapeutic agents as they relate or apply to the field of dermatology.

The clinical protocol includes recognition and treatment during the chronological progression of the integumentary system, i.e., the neonatal, pediatric, adolescent, adult, and geriatric cycles of life to provide total health care delivery as it relates to dermatology and dermatologic physical modalities.

In addition to basic requirements, the program prepares the resident in:

  • gross and histodermatopathology
  • therapeutic radiology and phototherapy
  • medical mycology
  • allergy and immunology
  • dermatologic surgery and oncology
  • medical dermatology
  • dermatologic physical modalities

As the resident acquires skills in diagnosis and treatment of the diseases of the skin, we provide progressive experience and increasing responsibility in patient care throughout the training period under the supervision of the program director.

The curriculum includes instruction on special dermatological diagnostic and surgical techniques and other such modalities that are in current use. We also include in-patient dermatology to allow the resident to develop the skills necessary to perform standard consultations. The curriculum evolves in response to the rapidly changing and increasing knowledge base in dermatology.