robert e. clark, m.d., ph.d. - cary skin center

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ROBERT E. CLARK, M.D., Ph.D. CURRICULUM VITAE Medical Director, Cary Skin Center 200 Wellesley Trade Lane Cary, NC 27519 Phone: (919) 363-7546 Fax: (919) 363-3616 E-mail: [email protected] Website: www.caryskincenter.com EDUCATION 1981 - 1985 M.D. degree, University of Texas Southwestern Medical School, Dallas, TX 1976 - 1981 Ph.D. degree, University of Illinois, Urbana, IL 1972 - 1976 B.A. degree, Austin College, Sherman, TX MEDICAL TRAINING 1989 - 1990 Mohs Micrographic Surgery Fellowship Duke University Medical Center, Durham, NC 1988 - 1989 Chief Resident in Dermatology Duke University Medical Center, Durham, NC 1986 - 1988 Dermatology Resident, Duke University Medical Center, Durham, NC 1985 - 1986 Medicine Internship, Indiana University Medical Center, Indianapolis, IN

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Page 1: ROBERT E. CLARK, M.D., Ph.D. - Cary Skin Center

ROBERT E. CLARK, M.D., Ph.D. CURRICULUM VITAE Medical Director, Cary Skin Center 200 Wellesley Trade Lane Cary, NC 27519 Phone: (919) 363-7546 Fax: (919) 363-3616 E-mail: [email protected] Website: www.caryskincenter.com EDUCATION 1981 - 1985 M.D. degree, University of Texas Southwestern Medical School, Dallas, TX 1976 - 1981 Ph.D. degree, University of Illinois, Urbana, IL 1972 - 1976 B.A. degree, Austin College, Sherman, TX MEDICAL TRAINING 1989 - 1990 Mohs Micrographic Surgery Fellowship Duke University Medical Center, Durham, NC 1988 - 1989 Chief Resident in Dermatology Duke University Medical Center, Durham, NC 1986 - 1988 Dermatology Resident, Duke University Medical Center, Durham, NC 1985 - 1986 Medicine Internship, Indiana University Medical Center, Indianapolis, IN

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CERTIFICATION AND LICENSURE Federal Licensing Examination (FLEX), June 1985 Texas Medical Jurisprudence Examination, June 1985 Texas State Board of Medical Examiners, August 1986 Board of Medical Examiners, State of North Carolina, May 1987 California Board of Medical Quality Assurance, November 1989 Fellow of the American Board of Dermatology, November 1989 Fellow of the American Board of Mohs Micrographic Surgery and Cutaneous Oncology, June 1991 Fellow of the American Society of Dermatologic Surgery, 1990 Fellow of the American Soc. for Laser, Medicine and Surgery, 1998 Member of the American Society for Laser Medicine and Surgery, 2005 PROFESSIONAL EXPERIENCE 1998 – present Private Practice, Cary Skin Center, Cary, NC 1997 – 1998 Associate Professor of Medicine Assistant Professor of Surgery Director, Dermatologic Surgery & Cutaneous Oncology Unit and Cosmetic Laser Center Duke University Medical Center, Durham, NC 1995 - present Medical Advisor to Coherent Laser Corporation, Palo Alto, CA 1993 - present Medical Advisor to Tri-Point Medical L.P./Closure Medical Corporation, RTP, NC 1990 - 1997 Assistant Professor of Medicine (Dermatology) Director, Dermatologic Surgery and Cutaneous Oncology Unit Duke University Medical Center, Durham, NC 1989 - 1990 Associate in Medicine (Dermatology) Duke University Medical Center, Durham, NC 1982 - 1984 Chilton Post-doctoral Fellow, Department of Biochemistry University of Texas Southwestern Medical School, Dallas, TX 1978 - 1980 NIH Pre-doctoral Fellow, Department of Biochemistry University of IL, Urbana, IL

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HONORS AND SOCIETIES Undergraduate (Austin College): Honors Graduate; Beta Beta Beta, National Biological Honor Society, Treasurer 1974-1975; Beta Beta Beta, National Biological Honor Society, President 1975-1976. Graduate (University of Illinois): Phi Lambda Upsilon, National Chemistry Honor Society for Graduate Chemistry. American Medical Association: member - 1981 to 2010 Texas Medical Association: member - 1981 to present North Carolina Medical Society: member - 1988 to present American Academy of Dermatology: member - 1989 to present American Society for Dermatologic Surgery: member - 1990 to present American College of Mohs Micrographic Surgery and Cutaneous Oncology: member - 1990 to present COMMITTEE APPOINTMENTS North Carolina Dermatology Association: President 2012 North Carolina Dermatology Association: President-Elect 2011 North Carolina Dermatology Association: Secretary Treasurer 2010 DUMC Committees: Clinical Practice Group Committee PDC Keogh Retirement Committee Co-Chairman, Billing and Collections Subcommittee of the PDC Board Member, Center for Aesthetic Services Task Force on PA/NP's Use in Specialty Clinics American Academy of Dermatology: Xeroderma Pigmentosum Task Force 1992 - 1998 American College of Mohs Micrographic Surgery and Cutaneous Oncology: Chairman, Membership Committee 1995-1997

Member, Council/Committee/Task Force: Task Force on Proficiency Testing 1996-1998

Mohs College Fellowship Training Program Site Surveyor American Society for Dermatologic Surgery: Ad Hoc Survey Task Force

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American Society for Laser Medicine and Surgery: Government Liaison 2000-2003 American Society for Laser Medicine and Surgery: Chairperson of Government Liaison/Blue Ribbon Committee Term expires 2003 North Carolina Medical Society: Member of the Legislative Cabinet for the Society year October 2014 – October 2015 Member of the Surgical Facilities Task Force Member of the Clinical Quality and Health Care Financing Committee for the Society year October 2009 - October 2010 Member of the Quality of Care and Performance Improvement Committee for the Society year October 2008 - October 2009 Member of the Quality of Care and Performance Improvement Committee for the Society year October 2007 - October 2008 Member of the Quality of Care and Performance Improvement Committee for the Society year October 2005 - October 2006 Member of the Definition of Surgery Task Force 2006 Leadership College Scholar RESIDENCY RESEARCH November 1986 to December 1987: Clinical studies involving the treatment of keloids and hypertrophic scars with intralesional bacterial collagenase and corticosteroids. March 1987 to June 1989: Clinical studies on the ability of a topical preparation of a known lysyl hydroxylase inhibitor to prevent the recurrence of keloids following shave excision. January 1988 to May 1988: Restriction fragment length polymorphism patterns in the DNA isolated from two American black patients with clinical and histopathological evidence of dermatitis herpetiformis. Results presented at the Society of Investigative Dermatology meeting in April 1988 and submitted for publication in the Journal of the American Academy of Dermatology in March 1989. May 1989 to June 1990: Use of the flash lamp-pulsed tunable dye laser for the treatment of hypertrophic scars and keloids. POST-DOCTORAL RESEARCH 1982 to 1984: Chilton Post-doctoral fellow in the lab of Nancy Martin, Ph.D., Assoc. Prof. of Biochem., Div. of Molecular Biology, UT Health Sci. Ctr. (Dallas, TX). My research in this laboratory was to develop an understanding of the regulatory process by which isopentenyl tRNA, a nonsteroidal product of the cholesterol biosynthetic pathway, modulates HMG-CoA reductase gene expression and cell growth. Initial studies have resulted in the production, purification and characterization of antibodies to isopentenyl adenosine which is the modified nucleoside found in isopentenyl tRNA. A solid phase radioimmune assay system was developed which has been demonstrated to be the most sensitive and specific assay method available in the published literature for detecting the presence of isopentenyl tRNA in eukaryotic cell cytoplasm. The utility of this assay technique has been demonstrated in collaborative studies with a lab at the Hershey Med. Ctr., Hershey, PA, where tRNA gene

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products from cloned yeast tRNA genes were screened for the presence of isopentenyl tRNA. GRADUATE RESEARCH ACTIVITIES 1976 to 1981: I conducted my graduate research in the lab of David Shapiro, Ph.D., Assoc. Prof. of Biochem., U of IL (Urbana, IL) Sch. of Chem. Sci. The major theme of my research was to characterize the molecular mechanism(s) controlling cholesterol biosynthesis in human and rat liver cells, in vitro. HMG-CoA reductase, the key regulatory enzyme in the cholesterol biosynthetic pathway, was purified from rat liver and used to produce monoclonal antibodies by spleen cell-myeloma fusion methods. The resulting hybridomas were screened for anti-reductase antibody production using a solid phase radioimmune assay technique which I developed specifically for this system. The monoclonal antibodies proved extremely valuable for measurements of the rate of reductase synthesis and degradation, for the assay of HMG-CoA reductase mRNA by in vitro translation, and in the purification of HMG-CoA reductase from gene amplification mutant cells that overproduce HMG-CoA reductase. UNDERGRADUATE RESEARCH ACTIVITIES 1973 to 1976: Completed 7 independent study courses under the direction of Charles Olander, Ph.D., Dept. of Biology (Austin College). Our research investigated the in vitro regulation of heme biosynthesis following erythropoietin stimulation of rat bone marrow cells. Summer 1974: Participated in a 3-month research project funded by the National Science Foundation. The study was titled "Investigation into the Actions of Compounds that Function as Post-Irradiation Chemotherapeutic Agents." January 1975: Conducted an independent research project in the lab of Dr. Eugene Goldwasser, Prof. of Biochem., Univ. of Chicago. The study included in vitro stimulation of heme and protein synthesis by erythropoietin and examination of the effect of high levels of 3H-thymidine on protein and mRNA synthesis in rat bone marrow cells. Summer/Fall 1975: Worked in the laboratory of Robert Dowben, M.D., Ph.D., University of Texas Southwestern Medical School. My research explored the differences in amino acid and carbohydrate transport systems in lymphocytes isolated from trisomic and normal children. 1975 to 1976: Completed research for the Honors Program in Biology at Austin College with studies on the effects of cyclic adenosine 3':5'-monophosphate on rat bone marrow erythropoiesis, in vitro. CURRENT RESEARCH PROJECTS 1. January, 1992: Evaluation of Cyanoacrylate sealants in wound healing. 2. 1993: Laser-Tissue Interaction Using the Free-Electron Laser. 3. 1993: Use of Immunohistochemical Markers to Facilitate Surgical Removal of

Cutaneous Malignancies.

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4. October, 1995: Laser Treatment of Actinic Cheilitis: Ultrapulse CO2 vs Continuous

Wave CO2. PUBLICATIONS AND THESES TITLES 1. Clark, R. (1976) Effects of Cyclic Adenosine 3',5'-Monophosphate on Rat Bone

Marrow Erythropoiesis, in vitro. Undergraduate honors thesis (Austin College, Sherman, TX).

2. Clark, R. (1981) Studies on the Regulation of Hepatic HMG-CoA Reductase and the

Production of Anti-HMG-CoA Reductase Monoclonal Antibodies. Ph.D. dissertation (University of Illinois, Urbana, IL).

3. Clark, R. et. al. (1982) Production and Characterization of monoclonal antibodies to

rat liver microsomal 3-hydroxy-3-methylglutaryl coenzyme A reductase. Proc. Natl. Acad. Sci. USA 79:3734.

4. Dihanich, M., Ellis, S., Najarian, D., Morales, M., Clark, R., Martin, N., Hopper, A.

(1983) Modification of Both Cytoplasmic and Mitochondrial tRNAs are Affected by Single Nuclear Mutations. Cold Spring Harbor Symposium, RNA Processing.

5. Dihanich M., Najarian, D., Clark, R., Gillman, E., Martin, N., Hopper, A. (1987)

Isolation and Characterization of MOD5, a Gene Required for Isopentenylation of Cytoplasmic and Mitochondrial tRNAs of Saccharomyces Cerevisiae. Molecular and Cellular Biology, 7:177-234.

6. Hall, R., Clark, R., and Ward, F. (1990) Dermatitis Herpetiformis in 2 American

Blacks: HLA type and clinical characteristics. Journal of the American Academy of Dermatology, 22(3): 436-439, 1990.

7. Anscher, M., and Clark, R. (1991) Radiotherapy for Non-Melanoma Skin Cancer:

Dispelling the Myths. North Carolina Medical Journal, 52, No. 4: 122-124, April, 1991.

8. White, W., Sherertz, E., Berg, D., and Clark, R. (1991) Periparotid Lupus

Erythematosus Panniculitis: Clinico-pathologic Correlation of Two Cases Presenting as Primary Parotid Disease. Arch Pathol Lab Med, Vol 117, May, 1993.

9. Jimenez, F., Grichnik, J., Clark, R. (1993). CD34 Positive Spindle Cells in Nerves. J

Cutan Pathol 1994: 189-190. 10. Jimenez F., Grichnik, J., Buchanan, M., Clark, R. Immunohistochemical Margin

Control Applied to Mohs Micrographic Surgical Excision of Dermatofibrosarcoma Protuberans. J Dermatol Surg Oncol 1994: 20: 687-689.

11. Clark, R., Alternatives to Surgery for Nonmelanoma Skin Cancer. Skin Cancer

Foundation Journal 1994: Vol 12: pgs. 17, 82-83. 12. Clark, R., Tope, W. Nail Surgery. In Cutaneous Surgery, W. B. Saunders Co., 1994, Chp. 31, pg. 375-402.

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13. Clark, R., Carson, S. Treatment of the Aging Hands. In Evaluation and treatment of

the Aging Face.. Springer Verlag, NY, 1995: pg. 243-54. 14. Jimenez, F., Grichnick J., Buchanan, M., Clark, R. (1994) Immunohistochemical

techniques in Mohs micrographic surgery: their potential use in the detection of neoplastic cells masked by inflammation. JAAD, Vol. 32, No. 1, pg. 89-94, 1995.

15. Clark, R., Jimenez, F. (1994) Poikiloderma of Civatte: Resolution with the pulsed

dye laser. NCMJ, Vol. 55, No. 6, pg. 234-235, June, 1994. 16. Garcia, C., Clark, R. Tattoo removal using the Alexandrite laser. N C Med J,

56(7):336-8, July, 1995. 17. Grichnik, J., Crawford, J., Jimenez, F., Kurtzberg, J., Buchanan, M., Blackwell, S.,

Clark, R., Hitchcock, M. Human recombinant stem-cell factor induces melanocytic hyperplasia in susceptible patients. JAAD, Vol. 33, pg. 577-583, October, 1995.

18. Jimenez, F., Clark, R., Kamino H., Buchanan, M.: Lymphoepithelioma-like carcinoma

of the skin: Treated with Mohs micrographic surgery in combination with immunostaining for cytokeratins. JAAD, Vol. 32 (5, part 2) pg. 878-881, May, 1995.

19. Hren, C., Garcia, C., Clark, R. Sclerotherapy of Telangiectases Using Sodium

Tetradecyl Sulfate (Sotradecol). NCMJ, Vol. 57, No. 1, January, 1996. 20. Garcia, C., Viehman, G, Clark, R. DFSP treated with MMS: A case with CD34

variability. Dermatol Surg, 1996; 22: 177-79. 21. Krunic, A., Garcia, C., Viehman, G., Clark, R. Treatment of Benign Cutaneous

Vascular Proliferations with the 585-nm Flashlamp-Pulsed Tunable Dye Laser. NCMJ, 1996; Vol. 57(3): 180-182.

22. Hale, L., Dhavalkumar, D., Clark, R., Haynes, B. Distribution of CD44 variant

isoforms in human skin: Differential expression in components of benign and malignant epithelia. J. Cutaneous Pathol, 22(6): 536-545, Dec., 1995.

23. Grichnik, J., Burch, J., Ali, W., Byers, J., Garcia, C., Clark, R., Shea, C. KIT

Expression Reveals a Population of Precursor Melanocytes in Human Skin. JID, Vol. 106(5): 967-971, May, 1996).

24. Garcia, C., Clark, R. DFSP treated with MMS (18 pts.) Int J Dermatol, Vol.35, No.

12, December, 1996. 25. Krunic, A., Vesic, S., Goldner, B., Novak, A., and Clark, R. Ectrodactyly, Soft-tissue

Syndactyly and Nodulocystic Acne - Coincidence or Association. Pediatric Dermatology, Vol. 14, No. 1, pgs. 31-35, 1997.

26. Viehman, G., Garcia, C., Krunic, A., Clark, R. Treatment of Nevus of Ota with the

Pigmented Lesion Dye Laser. NCMJ, 57(5): 326-327, 1996.

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27. Garcia, C., Krunic, A., Viehman, G., Grichnik, J., and Clark, R. Multiple Acral Syringomata with Uniform Involvement of the Hands and Feet. Cutis, Vol. 59, April, 1997.

28. Krunic, A., Viehman, G., Madani, S., and Clark, R. Ultrapulse CO2 Laser Resurfacing. NCMJ, 58(3): 214-217, May/June, 1997. 29. Krunic, A., Clark, R. The Use of Antidesmoglein Stains in Mohs Micrographic Surgery: A Potential Aid for the Differentiation of Basal Cell Carcinoma from Horizontal Sections of the Hair Follicle and Folloculocentric Basaloid Proliferation. Dermatologic Surgery. 30. Krunic, A., Viehman, G., and Clark, R. Microscopically Controlled Excision combined with UltraPulse CO2 Vaporization in the Management of a Patient with the Nevoid Basal Cell Carcinoma Syndrome. 31. Ratner, D., Thomas, C., Johnson, T., Sondak, V., Hamilton, T., Nelson, B., Swanson, N., Garcia, C., Clark, R., and Grande, D. Mohs Micrographic Surgery for the Treatment of Dermatofibrosarcoma Protuberans: Results of a Multi-Institutional Series with an Analysis to the Extent of Microscopic Spread. JAAD, Nov, 1997. 32. Clark, R., Madani, S., and Bettencourt, M. Nail Surgery In Dermatologic Clinics, W. B. Saunders Co., 1998, Vol. 16, 1, January, 1998, Pages 145-164. 33. Clark, R., Madani, S., Bettencourt, M. Atlas of Excision & Repair, Case 3. 34. In Dermatologic Clinics, W. B. Saunders Co., 1998, Vol. 16, 1. January, 1998, Pages

184-185. 35. Krunic, AL, Garrod, DR, Madani, S, Buchanan, MD, Clark, RE. Immunohistochemical Staining for Desmogleins 1 and 2 in Keratinocytic Neoplasms with Squamous Phenotype: Actinic Keratosis, Keratoacanthoma and Squamous Cell Carcinoma of the Skin. British Journal of Cancer (1998) In Press. 36. Gardner, E, Viehman, G, Clark, R. Mohs Surgical Therapy for DFSP. Facial Plastics

Surgical Clinics of North America. 37. A. L. Krunic, R.E. Clark, M.M. Urosevic. UltraPulse CO2 Laser Therapy for Nevus

Sebaceus Jadassohn. Dermatovenerologica, Volume 6, 1997, Pages 157-160. 38. Aleksandar L. Krunic, Greg E. Viehman, Shabnam Madani, and Robert E. Clark.

Microscopically Controlled Surgical Excision Combined with UltraPulse CO2 Vaporization in the Management of a Patient with the Nevoid Basal Cell

Carcinoma Syndrome. Reprinted from Journal of Dermatology, Volume 25, No. 1 pp 10-12, January 1998. 38. Krunic, A., Ljiljana, M., Novak, A., Garcia, C., Clark, R. Hereditary Bullous

Acrokeratotic Poikiloderma of Weary-Kindler Associated with Pseudoainhum and Sclerotic Bands. Int J Dermatology, Vol. 36, No. 7, Pgs. 529-533, July, 1997.

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39. Krunic, A., Kokai, D., Bacetic, B., Kesic, V., Nikolic, M., Petkovic, S., Clark, R. Retroperitoneal Round-cell Liposarcoma Associated with Paraneoplastic Pemphigus

Presenting as Lichen Planus Pemphigoides-like Eruption. Int J of Dermatology, Vol. 36, No. 7:526-529, July, 1997.

40. Gardner, Erin, Viehman, Greg, Clark, Robert, Mohs Micrographic Surgery for

Dermatofibrosarcoma Protuberans, Facial Plastic Surgery Clinics of North America, Volume 6, No. 3, Pages 319-328, August, 1998.

41. Aleksandar Krunick, David Garrod, John Hunter, Robert Clark, Desmoglein in Multiple

Self-healing Squamous Epithelioma of Ferguson-Smith – Comparison of Staining Patterns With Actinic Keratoacanthoma and Squamous Cell Carcinoma of the Skin, Archives of Derm. Res. (1998) 290:319-324.

42. Rostan, E., Madani, S., Krunic, A., Clark, R. Two Unusual Complications Following

UltraPulse CO2 Laser Resurfacing, Dermatologic Surgery, 1998, Vol. 24:1406-8. 43. Duffy D.M, Garcia C, Clark RE. The Role of Sclerotherapy in Abnormal Varicose Hand

Veins. Plastic and Reconstructive Surgery, Vol. 104, No. 5, October 1999, p 1474-1479.

44. Dolan RW, Clark RE, et al: Dolan: Facial Plastic, Reconstructive, and Trauma Surgery. New York, Marcel Dekker, Inc., October 2003. 45. Clark RE, Flynn TC: Liposuction of Torso, Back, and Abdomen, in Hanke CW,

Sattler G (eds): Procedures in Cosmetic Dermatology Series, Vol. Liposuction. Edinburgh, Martin Mellor Publishing Services Ltd, Vol 9, 2004.

46. Clark RE, Flynn TC: Liposuction of the Torso, Back, and Abdomen, in Hanke CW, Sattler G (eds): Procedures in Cosmetic Dermatology. China, Elsevier Inc., Liposuction, 2005, pp 79-92.

47. Clark RE: “Skin Cancer’s Increasing Burden on Health Care Costs.” The Triangle Physician, May 2010, pp 12-14.

SUBMITTED FOR PUBLICATION 1. Rostan, Elizabeth, MD, Burton, Claude, MD, Clark, Robert, M.D., Ph.D., Squamous

Cell Carcinoma in Black Patients. Submitted to Journal of Dermatologic Surgery. ABSTRACTS 1. Clark, R., Ward, F., Hall, R. (1987) HLA Types of American Black Patients with

Dermatitis Herpetiformis (DH). Abstract presented at the Society of Investigative Dermatology, April, 1988.

2. White, W., Sherertz, E., Berg, D., and Clark, R. (1990) Periparotid Lupus

Erythematous Panniculitis: Two Cases Presenting as Primary Parotid Disease. (Abstract) J. Cutaneous Pathology, 17, No. 5: 324, October, 1990.

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3. Grichnik, J., Jimenez, F., Vervaert, C., Buchanan, M., Darrow, T., Clark, R., Lightner, V., Pinnell, S., Seigler, H. Human early melanoma xenografting. (Abstract) Society for Investigative Dermatology Annual Mtg., Washington, D.C., April, 1994.

4. Garcia, C., Clark, R., Hitchcock, M., Grichnik, J. Acral syringoma. (Abstract) American Academy of Dermatology 1995 Gross and Microscopic Symposium, New Orleans, February, 1995. 5. Grichnik, J., Burch, J., Ali, W., Byers, J., Garcia, C., Clark, R., Shea, C. KIT

Expression identifies a population of undifferentiated melanocytes in human skin. (Abstract) Submitted to American Society of Dermatopathology, 33rd Annual Meeting.

6. Viehman, G., Garcia, C., and Clark, R. Basal Cell Carcinoma in Blacks: Case Report

and Review. (Abstract) American Academy of Dermatology Annual Meeting, Washington, D.C., February, 1996.

7. Grichnik, J., Ali, W., Burch, J. Byers, J., Garcia, C., Clark, R. and Shea, C.

Undifferentiated Melanocytes are Present in Adult Human Hair Follicles and Basal Cell Carcinomas. Submitted to Society for Investigative Dermatology, May, 1996.

8. Garcia, C., Viehman, G., and Clark, R. Treatment of EMPD with MMS in Combination

with Preoperative 5-FU and Intraoperative CEA Immunostaining. (Abstract) American College of Mohs Micrographic Surgery and Cutaneous Oncology Annual Meeting, Palm Desert, CA, May 13-15, 1996.

9. Viehman, G., and Clark, R. Residual Tumor in Sections with Dense Inflammation:

The Use of Immunohistochemical Staining. (Abstract) American College of Mohs Micrographic Surgery and Cutaneous Oncology Annual Meeting, Palm Desert, CA, May 13-15, 1996.

10. Viehman, G., and Clark, R. Treatment of Diffuse Scalp Actinic Keratoses with the

Ultrapulse CO2 Laser Combined with Tumescent Anesthesia. (Abstract) ASDS Annual Clinical and Scientific Meeting, May, 1997.

11. Krunic, A., Viehman, G., Madani, S., and Clark, R. 2-Octyl Cyanoacrylate Tissue

Adhesive for Closure of the Skin Wounds - A Prospective Randomized Comparison with Sutures. (Abstract). Submitted to 19th World Congress of Dermatology, June 15-20, 1997, Sydney, Australia.

12. Krunic, A., Garrod, D., Bettencourt, M., Madani, S., and Clark, R.

Immunohistochemical Expression of Desmoglein 2 in Keratinocytic Neoplasms: Actinic Keratosis, Keratoacanthoma and Squamous Cell Carcinoma of the Skin. (Abstract) Submitted to 19th World Congress of Dermatology, June 15-20, 1997, Sydney, Australia.

13. Krunic, A., Viehman, G., Bettencourt, M., Madani, S. and Clark, R. Successful

Ablation of Nevus Sebaceous of JADASSOHN with UltraPulse CO2 Laser. (Abstract) Submitted to 19th World Congress of Dermatology, June 15-20, 1997, Sydney, Australia.

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14. Clark, R. The Use of the VersaPulse Laser (VPL) withVariable Pulse Width (VPW) for the treatment of Hypertrophic Scars. (Abstract) April, 1998.

15. Clark, R., Krunic, A., Lesar, C. 2-Octyl Cyanoacrylate Tissue Adhesive for Closure of

the Skin Wounds - A Prospective Randomized Comparison with Sutures. (Abstract) Submitted to AAFPRS Foundation, 7th International Symposium, June 16-20, 1998.

16. Krunic, A., Garrod, D, Madani, S., Buchanan, M., and Clark, R. Immunohistochemical

Staining for Desmogleins 1 and 2 in Keratinocytic Neoplasms with Squamous Phenotype; Actinic Keratosis, Keratoacanthoma and Squamous Cell Carcinoma of

The Skin. (Abstract) Submitted to British Journal of Cancer. 17. Krunic, A., Garrod, D., Hunter, J, and Clark, R. Desmoglein In Multiple Self-Healing

Squamous Epithelioma of Ferguson-Smith - Comparison of Staining Patterns with Actinic Keratoacanthoma and Squamous Cell Carcinoma of the Skin. (Abstract) Submitted to Archives of Dermatological Research.

LECTURES AND PRESENTATIONS 1. Hall, R., Clark, R., and Ward, F. (1990) Dermatitis Herpetiformis in 2 American

Blacks: HLA type and clinical characteristics. Society of Investigative Dermatology, April, 1988, Washington, D.C.

2. Dermatology Core Curriculum, Division of Dermatology, Duke University Medical Center, August, 1990. "Dermatologic Surgery in Dermatology." 3. Southeastern Consortium for Dermatology, September, 1990, Winston-Salem, NC.

"TCA Chemical Peel for Diffuse Facial Actinic Keratoses." 4. Dermatology Core Curriculum, Division of Dermatology, Duke University Medical

Center, October, 1990. "Elastic Tissue." 5. American Academy of Dermatology Summer Session, Monterey, CA, June, 1991.

"Histologic Evaluation of Trichloroacetic Acid Chemexfoliation in the Treatment of Diffuse Facial Solar Keratoses."

6. American Academy of Dermatology Summer Session, Monterey, CA, June, 1991.

Poster presentation: "Preservation of Normal Tissue in the Treatment of Dermatofibrosarcoma Protuberans by Mohs Micrographic Surgery."

7. Duke/Lewis-Gale Symposium, Roanoke, VA, September, 1991. "Recent Advances in

Cancer Diagnosis and Treatment." 8. Young Dermatologists School on Wound Repair, Duke University Medical Center,

October 10, 1991. "Wound Healing and Angiogenesis in Dermatologic Surgery." 9. 1991 Fall Clinical Conference of Kansas City Southwest Clinical Society, Overland

Park, Kansas, November, 1991. "Skin Cancer - Pitfalls and Management." 10. Symposium on Skin Cancer, Greensboro, NC, November 16, 1991. "Epidemiology

and Biology of Skin Cancer."

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11. Dermatology Grand Rounds, Duke University Medical Center, January 23, 1992.

"Cutaneous Malignancy and Immunosuppression." 12. Duke at Vail, Vail, CO, February 12-14, 1992. "Skin Cancer in Immunocompressed

Patients." 13. Duke at Vail, Vail, CO, February 12-14, 1992. "Wound Healing." 14. 18th World Congress of Dermatology, New York, NY, June 14, 1992. "Treatment of

Diffuse Facial Solar Keratoses with Trichloroacetic Acid Chemexfoliation." 15. Division of Plastic Surgery Grand Rounds, Duke University Medical Center,

September 9, 1992, "Skin Cancer: Epidemiology and Treatment." 16. N.C. Medical Society Annual Meeting, Pinehurst, NC, November 7, 1992. "Skin

Cancer." 17. American Academy of Dermatology Annual Meeting, San Francisco, CA, December 4-

11, 1992. "Treatment of Facial Solar Keratoses by Chemical Peels." 18. Department of Surgery Grand Rounds, Duke University Medical Center, December

16, 1992. "Skin Cancer: Epidemiology and Treatment." 19. Division of ENT Grand Rounds, Duke University Medical Center, May 26, 1993. "Skin

Cancer: Epidemiology and Treatment." 20. Dermatology for Non-Dermatologists, Myrtle Beach, SC, June 12-16, 1993. "Skin

Cancer." 21. Dermatology for Non-Dermatologists, Myrtle Beach, SC, June 12-16, 1993.

"Perioperative Complications." 22. Division of Geriatrics Grand Rounds, Duke University Medical Center, August 24,

1993. "Skin Cancer." 23. Jimenez-Acosta, F., Buchanan M., Grichnik, J., Hornung, R., Clark, R. (1993). Poster

presentation: "Immunohistochemistry Applied to Mohs Micrographic Surgery". European Academy of Dermatology and Venereology.

24. Jimenez, F., Clark, R., Buchanan, M., Grichnik, J., Hornung, R.

Immunohistochemical approach to Mohs micrographic surgery. Poster presentation at American Academy of Dermatology meeting, Washington, D.C., December, 1993.

25. Tran, L., Clark, R. Use of the flash lamp-pulsed tunable dye laser for the treatment

of hypertrophic scars and keloids. Poster presentation at American Academy of Dermatology meeting, Washington, D.C., December, 1993.

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26. Clark, R., Straub, D., Jimenez, F., Grichnik, J. Free electron laser-skin tissue interaction: preliminary studies. Presented at the 14th Annual Meeting of the American Society for Laser Medicine and Surgery, Inc., Toronto, Ontario, Canada, April 8-10, 1994.

27. Clark, R., Jimenez, F., Kamino, H. Painful malignant eccrine neoplasm arising from

an eccrine hamartoma: a unique case treated by Mohs micrographic surgery. Poster presentation at the American College of Mohs Micrographic Surgery, San Diego, May,

1994. 28. Clark, R., Straub, D., Jimenez, F., Grichnik, J. Free electron laser-skin tissue

interaction: preliminary studies. Oral presentation at the American Society for Dermatologic Surgery, San Diego, May, 1994.

29. Department of Medicine Grand Rounds, Duke University Medical Center, July 22,

1994. "Skin Cancer: Trends and Treatment Options." 30. Grichnik, J., Burch, J., Jimenez, F., Vervaert, C., Buchanan, M., Darrow, T., Clark, R.,

Lightner, V, Pinnell, S. and Seigler, H. Human skin xenografts as a system for studying melanocytes. Abstract presentation at the Society for Investigative Dermatology, Chicago, IL, May 24-28, 1995.

31. Bohjanen, K., Jimenez, F., Stough, D., Ali, W., Buchanan, M., Clark, R., and Grichnik,

J. Frozen section technique to evaluate senescent depigmentation of human scalp hair. Abstract presentation at the Society for Investigative Dermatology, Chicago, IL, May 24-28, 1995.

32. Ali, W., Jimenez, F., Buchanan, M., Clark, R., and Grichnik, J. Abstract presentation

at the Society for Investigative Dermatology, Chicago, IL, May 24-28, 1995. 33. Garcia, C., Clark, R. DFSP treated with MMS: A case with CD34 variability. Poster

presentation at ASDS, Hilton Head, SC. 1995. 34. Ministry of Health Workshops, Cairo, Egypt, December, 1995. Workshops on

"UltraPulse CO2 Laser," "Sclerotherapy," and "Chemical Peels." 35. Cancer Screening Project of Genesien, South Tyerol, Italy, June, 1996.

"Epidemiology and Treatment of Skin Cancer." Also participation in five skin cancer screening clinics.

36. ENT Grand Rounds, Duke University Medical Center, August 21, 1996. "Melanoma

and Non-melanoma Skin Cancers." 37. NC Dermatology Nurses Association, Duke University Medical Center, Sept. 28, 1996.

"UltraPulse CO2 Laser Resurfacing." 38. Visiting Professor to Department of Dermatology, University of Belgrade Medical

School, Belgrade, Yugoslavia, October 30-November 2, 1996. "UltraPulse CO2 Laser Resurfacing for Treatment of Wrinkles & Acne Scarring."

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39. Invited speaker to XV Congress of Dermatology and Venereology in Belgrade, Yugoslavia, October 31, 1996. "UltraPulse Laser Skin Resurfacing."

40. Duke Palm Beach Lecture Series, Palm Beach Country Club, Palm Beach, FL, March 7,

1997. "Advances in Treatment of Skin Cancer." 41. American Academy of Dermatology Annual Meeting, San Francisco, CA, March 23,

1997. Advanced Surgery Course: Panel Discussion. 42. Alamance Regional Hospital - Tumor Board, Burlington, NC, March 27, 1997.

"Resection Techniques for Skin Cancer." 43. Diet and Fitness Center, Duke University Medical Center, April 3, 1997. "UltraPulse

CO2 Laser Resurfacing." 44. Merck Employee Training Program, Duke University Medical Center, April 4, 1997.

"Primary Skin Cancers." 45. Merck Employee Training Program, Duke University Medical Center, April 15, 1997.

"UltraPulse Laser Resurfacing for Treatment of Wrinkles & Acne Scars." 46. Topical Skin Adhesive Investigator's Meeting, New York, NY, April 29, 1997. 47. OHNS Resident Conference, Duke University Medical Center, May 1, 1997.

"UltraPulse Laser Skin Resurfacing." 48. Ophthalmic Oncology Update, Duke University Medical Center, Washington Duke Inn

and Country Club, May 3, 1997. "Mohs Micrographic Surgery for Periocular Tumors." 49. Skin Cancer Lecture - Alamance Regional Hospital, Burlington, NC, Spring, 1997. 50. Faircloth, E., Madani, S., Krunic, A., Clark, R. "Two Unusual Complications Following

UltraPulse CO2 Laser Resurfacing." ASDS Meeting, Boston, MA, May, 1997. 51. The Future of Dermatologic Surgery - AAD - Orlando, Florida, Feb. 27, 1998. 52. VersaPulse Aesthetic Laser System - AAD - Orlando, Florida, Feb. 28, 1998. 53. Hand & Nail Surgery - AAD - Orlando, Florida, Feb. 28, 1998. 54. Use of the UltraPulse CO2 and UltraFine Erbium:YAG Lasers, Orlando, Florida, March 1, 1998. 55. VersaPulse Aesthetic Laser System - AAD - Orlando, Florida, March 1, 1998. 56. VersaPulse Aesthetic Laser System - ADD - Orlando, Florida, March 2, 1998. 57. Laser Treatment of Leg Veins Expert Panel - ASLMA - San Diego, CA, April 6, 1998. 58. Advances in Laser Resurfacing Using the UltraPulse CO2 Laser and the UltraFine

Erbium:YAG laser - Detroit Medical Center, Detroit, Michigan, April 18, 1998.

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59. Erbium:YAG Lasers for Resurfacing - Tulane University Medical Center, New Orleans, LA, April 19, 1998.

60. Lasers for Cosmetic Vascular Disorders - Tulane University Medical Center, New

Orleans, LA, April 19, 1998. 61. Laser Laboratory and Live Surgery for UltraFine Erbium:YAG Facial Resurfacing and

Treatment of Vascular Lesions and Tattoos using the VersaPulse laser - Tulane University Medical Center, New Orleans, LA, April 19, 1998.

62. Seminar in Treatment of Leg Veins - Center for Living, Duke University Medical

Center, Durham, NC, April 20, 1998. 63. Dermatologic Disorders - 21st Annual Gold Coast Conference Session on Medicine -

Good Samaritan Medical Center - West Palm Beach, Florida, May 4, 1998. 64. Mohs Practice Efficiency Panel - 30th Annual Meeting American College of Mohs

Micrographic Surgery & Cutaneous Oncology, Portland, Oregon, May 11-13, 1998. 65. Cosmetic Surgery - Duke Children's Classic, Durham, NC, May 30, 1998. 66. Near-and-Mid-Infrared Free Electron Laser Studies on Collateral Thermal Damage

and Tissue Welding in Pig Skin - Department of Defense and Office of Naval Research Medical Free Electron Laser Meeting, Natick, MA, June 12, 1998.

67. Treatment of Vascular Lesions, Tattoos, and Pigmented Lesions using the VersaPulse

Aesthetic Laser, Cleveland, OH, June 17, 1998. 68. 2-Octyl Cyanoacrylate (Dermabond) Adhesive for Wound Closure - Seventh

International Symposium of Facial Plastic Surgery, Orlando, FL, June 18, 1998. 69. Botox Therapy for Treatment of Periorbital and Forehead Wrinkles - Triad Plastic

Surgery Society, High Point, NC, October 20, 1998. 70. Erbium vs. Carbon Dioxide Laser Resurfacing; Treatment of Cutaneous Vascular

Lesions – Sixth Annual Winter Symposium On the Latest Advances in Facial Plastic Surgery, Snowbird, UT, February 18, 1999.

71. Panel discussion on the treatment of leg veins - ASLMS Conference, Lake Buena

Vista, FL, April 17, 1999. 72. 2-Octyl Cyanoacrylate (Dermabond) Adhesive for Wound Closure – Symposium

on Advanced Wound Care & Medical Research Forum on Wound Repair, Anaheim, CA, April 25, 1999.

73. Tissue Adhesives in Dermatologic Surgery – 17th Annual Mohs Micrographic Surgery

Conference of the Skin Cancer Foundation, Costa Rica, January 15-17, 2000.

74. “Laser Hair Removal: The Future is Here” – Society for Clinical & Medical Electrologists Conference 2000, Dallas, TX, March 16-19, 2000.

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75. “Microdermabrasion for Cosmetic Improvement of the Facial Skin” - American Health Radio, Northbrook, IL - 7:00 p.m., June 4, 2001.

76. “Current Laser Technology in Cutaneous Medicine” – University of Oklahoma Health

Science Center, Oklahoma City, OK, January 5, 2002. 77. “Masters Program in Intense Pulsed Light (IPL) and Laser Technology.”

Course Director. Dallas, TX, September 28, 2002. 78. “Recognition and Treatment of Nonmelanoma Skin Cancer.” Course Director.

CME Course. Cary, NC, October 23, 2002. 79. “Microdermabrasion” - ASDS Mini Course: Skin Resurfacing, 9:15 a.m. November 1, 2002 - ASDS-ACMMSCO Combined Annual Meeting, Chicago, IL, October 31–November 3, 2002. 80. “Full Face Laser Resurfacing” – ASDS Session: Afternoon at the Movies, 4:48 p.m.

November 2, 2002 - ASDS-ACMMSCO Combined Annual Meeting, Chicago, IL, October 31–November 3, 2002.

81. “Recognition and Treatment of Nonmelanoma Skin Cancer.” Course Director.

CME Course. Cary, NC, January 29, 2003. 82. “Recognition and Treatment of Nonmelanoma Skin Cancer.” Course Director.

CME Course. Cary, NC, April 23, 2003.

83. “Recognition and Treatment of Nonmelanoma Skin Cancer.” Course Director. CME Course. Cary, NC, July 23, 2003.

84. “Office Digital Photography: Keys to Success in Dermatologic Surgery” – Joint Session,

JG 283, ASDS-ACMMSCO Combined Annual Meeting, New Orleans, LA, October 9–12, 2003.

85. “Liposuction” – ASDS Session AS 353, ASDS-ACMMSCO Combined Annual Meeting, New Orleans, LA, October 9–12, 2003. 86. “Mohs’ Micrographic Surgery for Treatment of Periocular Tumors” – Updates in

Ophthalmic Oncology, UNC, Chapel Hill, North Carolina, September 30 and October 1, 2006.

87. “Pay for Performance” Invited speaker. Oklahoma State Dermatology Society

Meeting, Oklahoma City, OK, Saturday, April 19, 2008. 88. “When Common Cutaneous Malignancies do Uncommon Things” – CME conference:

Mastering Advances in Dermatology – Beyond Skin Deep, Greensboro, NC, Saturday, March 31, 2012.

FILMING OF HELP-G CASES BY COHERENT 12/04/97

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PALOMAR EPI-LASER TRAINING SEMINAR 01/24/98 - Duke Center for Aesthetic Services TRAINING COURSES IN TUMESCENT LIPOSUCTION - FACULTY MEMBER 1. 04/03/98 - Raleigh Dermatology, Raleigh, NC 2. 09/18/98 - Raleigh Dermatology, Raleigh, NC CONFERENCE CALL - MOHS COLLEGE PROFICIENCY TESTING COMMITTEE 02/18/98 CONFERENCE CALLS - RESEARCH ON VERSAPULSE HIGH ENERGY LONG PULSE- GREEN (HELP-G) 1. 10/30/97 4. 01/21/98 2. 11/25/97 5. 06/30/98 3. 12/15/97 CONFERENCE CALLS - TRAINING IN USE OF COHERENT LASERS 1. 07/15/97 8. 01/05/98 15. 05/26/99 2. 08/05/97 9. 01/20/98 16. 06/09/29 3. 09/30/97 10. 06/30/98 4. 10/06/97 11. 07/22/98 5. 10/20/97 12. 08/03/98 6. 10/29/97 13. 10/28/98 7. 12/08/97 14. 04/06/99 COHERENT MEDICAL GROUP SEMINARS, WORKSHOPS, PRECEPTORSHIPS: ULTRAPULSE, VERSAPULSE, ULTRAFINE, AND LIGHTSHEER LASERS 1. 02/15/96 Ultrapulse Seminar, Center for Living, Durham, NC 2. 02/29/96 Preceptorship at DUMC, Doctors from Roanoke, VA 3. 03/07/96 Preceptorship at DUMC, Dr. Carol Lekan, Cardinal Health Care, Raleigh, NC 4. 03/09/96 Ultrapulse Seminar, Bowman-Gray Hospital, Winston-Salem, NC 5. 04/24/96 Ultrapulse Seminar, Center for Living, Durham, NC 6. 09/02/96 Preceptorship at DUMC, Dr. Catherine Vlasteria 7. 09/23/96 Preceptorship at DUMC, Hope Sylvain, NP 8. 09/28/96 Ultrapulse Seminar, Serle Center, Durham, NC 9. 10/16/96 Ultrapulse Seminar, Center for Living, Durham, NC 10. 12/12/96 Preceptorship at DUMC, Dr. Ed Weimer, Myrtle Beach, SC 11. 02/27/97 Ultrapulse Seminar, Raleigh Hilton, Raleigh, NC 12. 03/01/97 Workshop, Greensboro, NC 13. 03/27/97 Workshop, Burlington, NC 14. 04/26/97 Workshop, Columbia, SC 15. 05/01/97 Preceptorship at DUMC, Dr. Robert Skidmore, UNC, Chapel Hill, NC

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16. 06/26/97 Preceptorship at DUMC, Dr. Pearon Lang, Charleston, SC 17. 07/12/97 Workshop, Atlanta, GA 18. 07/17/97 Preceptorship at DUMC, Dr. Morris Minton, Encinitas, CA 19. 08/09/97 Workshop, Shreveport, LA 20. 08/21/97 Preceptorship training at DUMC, Drs. Paul Gwyn and John Fagg, Winston-Salem, NC 21. 08/27/97 Workshop, Richmond, VA 22. 08/28/97 Preceptorship at DUMC, Doctors Malcom Edward, Lois Martin, Webb Kempson, Wilmington, NC 23. 09/11/97 Preceptorship at DUMC, Dr. Edward Ricciardelli, Wilmington, NC 24. 09/13/97 Workshop, Dayton, OH 25. 10/14/97 Workshop, Atlanta, GA 26. 11/01/97 Workshop, Mobile, AL 27. 11/08/97 Workshop, Rockford, IL 28. 11/15-16/97 Workshop, Salisbury, England 29. 12/18/97 Preceptorship at DUMC, Dr. Roger Mixter 30. 01/21/98 Workshop, Atlanta, GA 31. 01/26/98 Ultrapulse Seminar, Center for Living, Durham, NC 32. 02/04/98 Workshop, Charlotte, NC 33. 02/07/98 Workshop, Nashville, TN 34. 02/12/98 Preceptorship at DUMC, Dr. Scott Karempelis, Atlanta, GA 35. 02/19/98 Preceptorship @ DUMC, Dr. Gary Palmer, Dayton, OH 36. 02/21/98 Workshop, Birmingham, AL 37. 03/11/98 Workshop, Portsmouth, VA 38. 03/12-16/98 Lectures, Beijing, People's Republic of China 39. 03/17-21/98 Lectures, Xi'an, People's Republic of China 40. 03/22-24/98 Lectures, Quilin, People's Republic of China 41. 03/25-28/98 Lectures, Shanghai, People's Republic of China 42. 04/09/98 Preceptorship at DUMC, Dr. Robert Frank, Hilton Head, SC 43. 05/09/98 Workshop, Chattanooga, TN 44. 05/18/98 Ultrapulse Seminar, Center for Living, Durham, NC 45. 06/17/98 Workshop, Cleveland, OH 46. 06/25/98 Preceptorship at DUMC, Dr. Lawrence Fortier, Hartford, CT 47. 06/27/98 Workshop, Troy, MI 48. 07/30/98 Preceptorship at DUMC, Dr. Geoffrey Fenner, Chicago, IL 49. 08/13/98 Preceptorship at DUMC, Dr. Charyl Koserek, El Paso, TX 50. 08/15/98 Workshop, Kansas City, MO 51. 08/19/98 Workshop, Birmingham, AL 52. 08/26/98 Lectures, Prague, Czech Republic 53. 09/03/98 Preceptorship at DUMC, Dr. Mark Hamilton, Indianapolis, IN 54. 09/10/98 Preceptorship at DUMC, Drs. Wayne Paris and Charles Castoro, Bel Air, MD 55. 09/10/98 Preceptorship at DUMC, Dr. David Kitchen, Mackay, Australia 56. 09/12/98 Workshop, Santa Clara, CA 57. 09/24/98 Preceptorship at DUMC, Drs. Bunting and Raines, England 58. 09/26/98 Workshop, Indianapolis, IN 59. 10/02/98 Preceptorship at DUMC, Dr. Michael Rabkin, San Francisco, CA 60. 10/15/98 Preceptorship-DUMC, Dr. Jim Green, Louisville, KY 61. 10/15/98 Preceptorship at DUMC, Dr. Ignazio Acosta, Glendale, CA 62. 10/17/98 Workshop, Indianapolis, IN 63. 11/05/98 Preceptorship at Cary Skin Center, Dr. Perron Lang, Columbia, SC 64. 11/05/98 Preceptorship at Cary Skin Center, Dr. Frederick Fiber, Albuquerque, NM

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65. 11/13-15/98 Workshop, Salisbury, England 66. 12/12/98 Workshop, Atlanta, GA 67. 01/16/99 Workshop at Cary Skin Center, NC 68. 01/23/99 Workshop, Troy, MI 69. 01/25/99 Preceptorship at CSC, Dr. Brian Dubow, Los Angeles, CA 70. 02/06/99 Workshop, Marina Del Rey, CA 71. 02/13/99 Workshop, Cary Skin Center, Cary, NC 72. 02/18/99 Lectures, Snowbird, UT 73. 02/25/99 Preceptorship at CSC, Dr. Robert Sanke, Cary, NC 74. 03/27/99 Workshop, Grand Rapids, MI 75. 03/28-29/99 UltraPulse/UltraFine studies on new technology, Birmingham, England 76. 03/31/99 Workshop at Cary Skin Center, NC 77. 04/10/99 Workshop, Santa Clara, CA 78. 04/15/99 Preceptorships at CSC, Dr. Edward Diekhoff, Cindy Ruegg, NP, Tony Kokjohn, Coherent Rep. 79. 05/06/99 Preceptorship at CSC, Dr. Robert Caridi, Elk Grove Village, IL 80. 05/08/99 Workshop, Seattle, WA 81. 05/13/99 VPC/Ultrapulse Lecture at the University of MI, Ann Arbor 82. 05/14/99 Preceptorship at CSC, Dr. Alan Fujimoto, San Lorenzo, CA 83. 05/27/99 Preceptorships at CSC, Dr. Reginald Ishman, Warsaw, NY; Dr. Timothy Cannis and Gerson Lange, RN, Woodland Hills, CA 84. 05/28/99 Preceptorship at CSC, Dr. Paul Strange, Indianapolis, IN 85. 06/2-3/99 Workshop, Obagi Dermatology and Cosmetic Center, Abu Dhabi, United Arab Emirates 86. 06/04/99 Lectures, Milan, Italy 87. 06/09/99 Lectures/discussion at CSC to physicians from Johns Hopkins University Medical Center, Baltimore, MD 88. 06/19/99 Workshop, Troy, MI 89. 06/26/99 Workshop at Cary Skin Center 90. 08/05/99 Preceptorships at CSC, Dr. Tim Ioannides and Karen Leone, MA 91. 08/14/99 Workshop at Cary Skin Center 92. 08/19/99 Preceptorships at CSC, Dr. Stuart Melnick and staff - California 93. 08/21/99 Workshop, Denver, CO 94. 08/28/99 Workshop, Marina Del Ray, CA 95. 09/18/99 Workshop, Newport Beach, CA 96. 09/23/99 Preceptorship at CSC, Dr. Rita George, MD, Langley Airforce Base, VA 97. 10/08/99 Preceptorship at CSC, Dr. David Bersinger, Newport News, VA 98. 10/22/99 Preceptorship at CSC, Dr. Rube Pardo, Coral Gables, FL 99. 10/28/99 Preceptorship at CSC, Dr. Ronald Morton and Ingrid Morton, RN, Bakersfield, CA 100. 11/05/99 Preceptorship at CSC, Wendy Frazier, CMA, Greenville, NC; Martha Welch RN and Tina Cardwell, Newport News, VA 101. 11/06/99 Workshop at the University of North Carolina Medical Center, Chapel Hill, NC 102. 11/14/99 Lectures, 77th Congress of the Japan Society of Aesthetic Surgery, Tokyo, Japan 103. 11/19/99 Preceptorship at CSC, Dr. Ava Shamban – Santa Monica, CA; Dr. Ty Erickson – Idaho Falls, ID 104. 11/20/99 Workshop at Cary Skin Center 105. 12/02/99 Preceptorship at CSC, Maria Minton, Miami, FL

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106. 12/10/99 Preceptorship at CSC, Andrea Colton, MD, Boca Raton, FL 107. 12/11/99 Workshop in Indianapolis, IN 108. 12/15/99 Workshop in Greensboro, NC 109. 02/04/00 Preceptorship at CSC, Karen Popovich, M.D., Raleigh, NC 110. 02/19/00 Workshop at Cary Skin Center 111. 02/26/00 Workshop, Dallas, TX 112. 03/09/00 Preceptorship at CSC, Manish Kumar, M.D., Elkhart, IN 113. 03/22/00 Workshop, Greensboro, NC 114. 04/15/00 Workshop, Indianapolis, IN 115. 04/26/00 Workshop at Cary Skin Center 116. 05/11/00 Preceptorship at CSC, Nabil Mitry, M.D., United Arab Emirates 117. 06/03/00 Workshop, Dallas, TX 118. 06/22/00 Preceptorship at CSC, Dannise Beckley, M.D. and Jeffrey Bohn, M.D., Tyler, TX 119. 07/13/00 Preceptorship at CSC, Kathryn Wood, M.D.; Mary Jones; Kathleen Caburn, Plano, TX 120. 07/22/00 Workshop, St. Louis, MO 121. 07/28/00 Preceptorship at CSC, Christopher McEwen, M.D.; Cindy Scanlon, CST, Baton Rouge, LA 122. 08/16/00 Workshop at Cary Skin Center 123. 09/09/00 Workshop, Santa Clara, CA 124. 09/23/00 Workshop, Denver, CO 125. 09/27/00 Workshop at Cary Skin Center 126. 10/12/00 Preceptorship at CSC, David Kowalski, M.D., Burlington, NC 127. 10/13/00 Preceptorship at CSC, Janet Rice, Greenville, NC 128. 11/11/00 Workshop, Charlotte, NC 129. 12/09/00 Workshop, Charlotte, NC 130. 01/18/01 Preceptorship at CSC, Jose Mendez-Coll, M.D., Hato Rey, Puerto Rico 131. 02/07/01 Workshop at Cary Skin Center 132. 02/24/01 Workshop, Atlanta, GA 133. 03/15/01 Preceptorship at CSC, John Cheesborough, M.D., Kathy Stivey, CMA, Lucy Paschal, RN, Beth Pesavento, PA, Sanford, NC 134. 03/16/01 Preceptorship at CSC, Laura Connelly, M.D., Cookesville, IN 135. 03/24/01 Preceptorship at CSC, Carrie Alspaugh, M.D., Lisa Abernethy, M.D., Pamela Guest, M.D., and Rebekah Oyler, M.D., Cary, NC 136. 04/06/01 Preceptorship at CSC, Ann Gerald, M.D., Birmingham, AL 137. 05/10/01 Preceptorship at CSC, Darryl Hodson, M.D. and Jeff Hall, M.D., Fort Sill, OK 138. 06/21/01 Preceptorship at CSC, Sorahi Toloyan-Rahini, M.D. Savannah, GA 139. 08/02/01 Preceptorship at CSC, Willis Martin, M.D., Rocky Mount, NC 140. 08/16/01 Preceptorship at CSC, Amanda Rose, Nurse Practitioner, Wichita, KS 141. 09/06/01 Preceptorship at CSC, John Ratz, M.D. and Chris Peterson, M.D., Augusta, Georgia 142. 09/26/01 Workshop at Cary Skin Center 143. 11/14/01 Workshop at Cary Skin Center 144. 04/25/02 Preceptorship at CSC, Gregg Gayre, M.D., Cary, NC

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145. 01/02/03 Encore CO2 Laser Preceptorship at CSC, John Binhlam, M.D. and Sandy Hancock, RN, Brentwood, TN Updated January 2013