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Garth R. Fraga, MD, MSc

Garth Fraga portrait
Professor, Pathology and Laboratory Medicine
gfraga@kumc.edu

Professional Background

I first came to KU med in 1994 as a first year resident in
pathology. I finished my training in 2000 with a dermatopathology fellowship at
the University of Virginia. After nine years in a community pathology practice
I rejoined the KU Pathology faculty in 2009. I have a secondary appointment in
dermatology and my teaching time is split between pathology and dermatology. As
a teacher, I try to emulate my mentors Drs. James Patterson and Ivan Damjanov.
I use the flipped classroom method to promote participation without
humiliation. I am proud to have been awarded a mighty punch award by the KU
medical students.

My clinical practice is devoted to dermatopathology. I am fortunate to work with an excellent group of dermatologists, skin cancer surgeons, and skin cancer oncologists. I particularly enjoy correlating clinical and laboratory data in making histopathologic diagnoses. I firmly believe that the most precise diagnosis depends upon a complete understanding of the clinical context. The integrated medical record at KU affords me opportunities for clinical-pathologic correlation that would be the envy of many of my old colleagues in community practice.

My research interests include skin cancer, technical methods for optimizing practice, bibliometrics, and evidence based medicine. I recently obtained a Master’s degree in clinical research. Past projects include FISH and immunohistochemical tests for keratoacanthoma, h-index values for academic dermatologists and dermatopathologists, a smart phone application for anatomic site identification, and adherence to reporting guidelines for pathology diagnostic accuracy studies. My current research includes a large case series on undifferentiated basaloid carcinoma of the skin and a survival analysis of subjects with minimal detectable nodal disease in sentinel node biopsy for melanoma.


Education and Training
  • BA, Swarthmore Col.
  • MD, Univ. of Chicago
Licensure, Accreditations & Certifications
  • Anatomic Pathology & Clinical Pathology , American Board of Pathology
Professional Affiliations
  • National Society for Histotechnology, Not applicable , 2007 - Present
  • American Society of Dermatopathology, American Society of Dermatopathology, N/A, 2000 - Present
  • Kansas City Dermatology Society, Not applicable , 2000 - Present
  • Kansas City Society of Pathologists , Kansas City Society of Pathologists , President, 1994 - Present

Research

Overview

I am focused on advancing an evidence-based approach to
research in pathology. My interests include techniques for improving adherence
to EQUATOR reporting guidelines, meta-analysis of diagnostic accuracy studies,
bibliometrics, effect of sentinel node tumor burden on melanoma survival,
undifferentiated keratinocyte carcinomas, and keratoacanthoma.

Publications
  • Fraga, Garth, DaCunha, M, Habashi-Daniel , C, Nichols, E. 2016. A smartphone application to improve the precision of biopsy site identification: A proof-of-concept study . Health Informatics
  • Fraga, Garth, Mettman, D. 2018. Adipocytes in fibroepithelial polyps are not related to diabetes mellitus or obesity
  • Fraga, Garth, Nedved, D, Tonkovic-Capin , V, Hunt, E. 2014. Diagnostic concordance rates in the subtyping of basal cell carcinoma by different dermatopathologists
  • Fraga, Garth. 2013. EGFR and MYC gene copy number aberrations are more common in squamous cell carcinoma than keratoacanthoma: a FISH study.
  • Fraga, Garth , Jacobs, MS, Persons, DL. 2013. EGFR and MYC gene copy number aberrations are more common in squamous cell carcinoma than keratoacanthoma: a FISH study.
  • Fraga, Garth, Amin, K. 2012. Ex vivo dermoscopy of cutaneous biopsies for melanocytic neoplasms: a retrospective review of 517 cases with histopathologic correlation
  • Fraga, Garth. 2014. Large cell acanthoma: a variant of solar lentigo with cellular hypertrophy.
  • Fraga, Garth . 2018. Measuring Scholastic Production by Dermatopathologists Using the H-Index: A Cross-Sectional Study
  • Fraga, Garth , Winters, C, Machan, M, Liu, D. 2013. Multinucleated giant cells in factitial dermatitis
  • Fraga, Garth , Gadzia, JE, Abraham, JL, Machan, M. 2013. Necrotizing infundibular crystalline folliculitis manifesting as a perforating mucinosis: a case report. . Am J Dermatopathol