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Dermatology Weekly

Medscape Professional Networkwww.mdedge.com
Official Podcast feed of MDedge Dermatology and Cutis Peer-to-Peer, part of the Medscape Professional Network. Weekly episodes include the latest in Dermatology News and peer-to-peer interviews with Doctor Vincent A. DeLeo, MD, and Dr. Candrice Heath, MD. Plus, resident discussions geared toward physicians-in-training. The information in this podcast is provided for informational and educational purposes only.
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Episodes

Residency match during the COVID-19 pandemic

The COVID-19 pandemic has presented unique challenges for medical students applying to residency programs. In this episode, Candrice R. Heath, MD (@DrCandriceHeath), talks to Virginia Alvarado Jones, MD, MS (@GinaAlvaJones), and medical student Victoria Humphrey (@VictoriaSHumphrey) about their experience navigating the dermatology residency Match process during this application cycle. They provide tips and takeaways for the next group of applicants, including how to adapt to the virtual intervi...

May 06, 202154 min

Equitable access to dermatologic care

Ethnic minorities and patients living in socioeconomically disadvantaged areas are disproportionately impacted by a growing national shortage of dermatologists. In this resident takeover, Sophie A. Greenberg, MD (Twitter: @sophiegreenberg; Instagram: @sophiegreenbergmd), talks to Soraya Azzawi, MD, about how dermatology residency can serve as an opportunity to address barriers to equitable care in these populations and enact change within the specialty: “There is a stark regional misdistribution...

Apr 29, 202115 min

Highlights from the 2021 American Contact Dermatitis Society Meeting

This week, Amber Atwater, MD, the immediate past president of the American Contact Dermatitis Society, reviews some highlights from the meeting, which was held in March. Dr. Atwater, associate professor of dermatology at Duke University, Durham, N.C., discusses the 2021 “Contact Allergen of the Year,” a chemical that has been linked to reactions associated with shin pads and is an emerging allergen that was the topic of a recent report in Dermatitis. Joining Dr. Atwater, Raina Bembry, MD, a derm...

Apr 22, 202120 min

Educational photographs need to better represent the entire patient population

Recent studies have highlighted poor representation of darker skin types in dermatology textbooks and online resources. Vincent A. DeLeo, MD, talks to Jules B. Lipoff, MD (@juleslipoff), about the general paucity of images of skin of color in learning resources as well as an overrepresentation of darker skin types in material about sexually transmitted infections. “We should be teaching our students and our residents. It shouldn’t be just a skin of color lecture. Skin of color should be through ...

Apr 15, 202116 min

Coding and reimbursement changes for skin biopsies

In 2019, the two CPT codes for skin biopsies were replaced with six new codes that specify biopsy technique and associated procedural complexity. Vincent A. DeLeo, MD, talks to medical student Sheena Desai and Rebecca I. Hartman, MD, MPH, about this CPT change and its effect on the frequency of shave versus punch biopsies in both private and academic practices. “The average dermatologist needs to be cognizant of the fact that changing reimbursements may hypothetically influence [the] provider’s ...

Apr 08, 202110 min

Cutaneous clinical signs of COVID-19

COVID-19 affects multiple organ systems, and skin manifestations are prevalent. Dr. Vincent DeLeo talks to medical student Lauren Schwartzberg and Ann Lin, DO, about both common and rare cutaneous presentations of COVID-19. “I think it’s important to look at the unexplained rashes a little differently now than ever before the COVID era ... a thorough history of COVID-19 exposures and perhaps even COVID-19 testing should be considered,” Ms. Schwartzberg notes. They also discuss differences in pre...

Apr 01, 202110 minEp. 108

Don’t overlook the genitals during a total-body skin examination

Recent surveys show that dermatologic examinations tend to neglect the genital area. In this resident takeover, Sophie A. Greenberg, MD (@sophiegreenberg), talks to Margaret Maria Cocks, MD, PhD (@Margaret_Cocks), about the lack of focus on the genital area in the total-body skin examination (TBSE), especially in female patients, and the paucity of training on genital examinations in residency. “While [melanoma] is rare, a lot of the time when genital melanomas are identified, they’re often foun...

Mar 25, 202123 minEp. 107

Injectable fillers: Treating and preventing adverse events with Dr. Murad Alam

Dr. Murad Alam, professor of dermatology and chief of cutaneous and aesthetic surgery in the department of dermatology at Northwestern University, Chicago, discusses recently released evidence-based recommendations on preventing and treating adverse events from injectable fillers. A recent paper outlines recommendations from an American Society for Dermatologic Surgery (ASDS) multidisciplinary task force. The paper was published in the February issue of Dermatologic Surgery ( Dermatol Surg. 2021...

Mar 18, 202120 minEp. 106

Timing matters: Planning cosmetic procedures around COVID-19 vaccination

Medical professionals play an important role in educating the public about COVID-19 vaccination. In this episode, Dr. Candrice Heath (@DrCandriceHeath) talks to A. Shadi Kourosh, MD, MPH (@AskDermMD), and Maritza I. Perez, MD, about the impact of the COVID-19 vaccine on dermatology practices. Dr. Kourosh explains how dermatologists can counsel patients on timing of cosmetic procedures such as fillers in relationship to vaccination. They also discuss skin reactions. “I think a take-home message i...

Mar 11, 202129 minEp. 105

Teledermatology beyond the COVID-19 pandemic

Before the COVID-19 pandemic, telemedicine largely was underutilized in dermatology. Vincent A. DeLeo, MD, talks to George Han, MD, PhD, about the progression of the reimbursement process and the roadblocks encountered with the expansion of telemedicine. “To me, telemedicine really represents the opportunity to make a dent in access to care ... expanding our access to care, especially in underserved areas in places where a lot of people have barriers, people of lower socioeconomic status, skin o...

Mar 04, 202119 minEp. 104

Applying for dermatology residency as a student of color

To truly increase diversity in dermatology, students of color need to be encouraged that dermatology is achievable. In this resident takeover, Sophie A. Greenberg, MD (@sophiegreenberg), talks to Nicole A. Negbenebor, MD (Instagram: @naijalatte), about her personal experience navigating dermatology residency as an applicant of color. “Dermatology is such a wonderful field and I feel that it has had the ability to impact so many different people, different socioeconomic statuses, different backgr...

Feb 25, 202113 minEp. 103

Psychcast/Dermatology Weekly crossover episode: Delusions of infestation

Lorenzo Norris, MD, host of MDedge Psychcast , talks with Scott A. Norton, MD, MPH, MSc, and John Koo, MD, about delusions of infestation, weighing in on the diagnosis and management of patients with this challenging disorder, and more. Dr. Norton is a dermatologist and preventive medicine specialist at the Uniformed Services University of the Health Sciences in Bethesda, Md. Dr. Koo is professor of dermatology at the University of California, San Francisco, and is a dermatologist and board-cert...

Feb 18, 202158 minEp. 102

Top apps for dermatology education

Mobile applications are useful to educate medical students and trainees; however, there is no objective method to assess their quality. Vincent A. DeLeo, MD, talks to Babar Rao, MD, about determining the usefulness and credibility of dermatology educational apps including factors such as affordability, accuracy, and ease of use. “I think we will be dependent on digital learning, so the only way to really move forward is to get involved. ... I think we have to get involved and make sure that what...

Feb 11, 202115 minEp. 101

Rural dermatology training and expanding access to care

Transcript of this episode is avaiable at: https://www.medscape.com/viewarticle/946600?src= Access to dermatologic care in rural areas is a growing problem. Dr. Vincent DeLeo talks to Robert T. Brodell, MD; Cindy Firkins Smith, MD; and medical student Alexandra Streifel about the influence of rural clinical experiences during residency, which may increase the likelihood of trainees establishing a practice in these isolated areas. “Rural areas are tremendously underserved. [Patients] are waiting ...

Feb 04, 202118 minEp. 100

Counseling patients on diet and common skin conditions; plus, acne guidelines

In the news: Dermatologist survey spotlights psoriasis care deficiencies in reproductive-age women Expert panel addresses gaps in acne guidelines * * * There is strong evidence for a relationship between diet and various skin conditions. In this resident takeover, Daniel R. Mazori, MD, talks to Sophie A. Greenberg, MD (@sophiegreenberg), about the role of diet in acne, psoriasis, and atopic dermatitis. Because patients and parents of pediatric patients often inquire about diet in relationship to...

Jan 28, 202116 minEp. 99

Biologics for pediatric psoriasis and atopic dermatitis

In the news: Pityriasis rosea carries few risks for pregnant women Adjuvant nivolumab plus ipilimumab shows strong results in resected stage IV melanoma * * * Because psoriasis and atopic dermatitis (AD) can greatly affect quality of life in pediatric patients, the development of treatments with low-side effect profiles and less laboratory monitoring is essential. Vincent A. DeLeo, MD, talks to Amy S. Paller, MD, and Jennifer B. Scott, MD, about biologics approved for psoriasis and AD in the ped...

Jan 21, 202120 minEp. 98

Biologics for psoriasis during the COVID-19 pandemic

In the news: Baseline body surface area may drive optimal baricitinib responses Avoiding atopic dermatitis triggers easier said than done * * * * * * * * * Psoriasis patients often have additional comorbidities that put them at higher risk for developing COVID-19. In this episode, Candrice R. Heath, MD (@DrCandriceHeath), talks to Mark G. Lebwohl, MD, about the benefits of continuing biologic therapies for psoriasis during the COVID-19 pandemic. They discuss findings from registry data in Italy ...

Jan 14, 202124 minEp. 97

Pigmentary changes resulting from cancer therapies in skin of color patients; fillers and COVID vaccines

Dermatology News: Swedish registry study finds atopic dermatitis significantly associated with autoimmune diseases Guidance issued on COVID vaccine use in patients with dermal fillers * * * Dermatologic adverse events can present differently in patients with skin of color (SOC) than in White patients. In this episode, Candrice R. Heath, MD (@DrCandriceHeath), talks to Sarah J. Noor, MD, and medical student Dulce Barrios about how skin toxicities from systemic cancer therapies and radiation treat...

Jan 07, 202131 minEp. 96

Top peer-to-peer interviews in 2020

This year's top peer-to-peer interviews focus on diversity in residency training, the response to COVID-19 in academic dermatology, and tips for preparing for virtual residency interviews. 1. Diversity in residency training 2. Academic dermatology's response to COVID-19 3. Preparing for virtual residency interviews Email Dermatology Weekly at podcasts@mdedge.com...

Dec 24, 20201 hr 4 minEp. 95

How to work up and treat vitiligo patients, plus reports from the MedscapeLive Pediatric and Women's Dermatology Seminar

Dermatology News: Beware a pair of dermatologic emergencies in children: https://bit.ly/37mGA2d Preadolescent acne: Management from birth requires increasing vigilance: https://bit.ly/34mCWn0 * * * Managing vitiligo can be difficult for both patients and physicians. In this episode, guest host Seemal R. Desai, MD, ( @SeemalRDesaiMD ) talks to Pearl E. Grimes, MD, about how to better classify vitiligo disease status and parameters that impact treatment choice. “There are some aspects of classific...

Dec 17, 202031 minEp. 94

Pediatric procedural dermatology plus, CDC shortens quarantine and ‘impressive’ results with neoadjuvant T-VEC in advanced melanoma

Dermatology News: International expert group agrees on redefining psoriasis severity https://bit.ly/3a6a7PJ ‘Impressive’ results with neoadjuvant T-VEC in advanced melanoma: https://bit.ly/39UEwA3 CDC shortens COVID-19 quarantine time to 10 or 7 days, with conditions: https://bit.ly/3qGIGSn * * * Procedural interventions in pediatric patients require special tools. Vincent A. DeLeo, MD, talks to Craig N. Burkhart, MD, MS, MPH, about dermatologic procedures in children, such as laser treatment of...

Dec 10, 202018 minEp. 93

Optical coherence tomography imaging in different skin types, plus new indication for apremilast

Dermatology News: Expanded indications likely for apremilast: https://bit.ly/3lx1zTZ Neoadjuvant immunotherapy combo produces high response rate in melanoma: https://bit.ly/33Dx0Wr Blood glucose on admission predicts COVID-19 severity in all: https://bit.ly/39yJjXS * * * Advances in noninvasive skin imaging present new opportunities for inclusion and equitable treatment of patients with skin of color. In this episode, Candrice R. Heath, MD ( @DrCandriceHeath ), talks to Josèe Smith and Steven Da...

Dec 03, 202032 minEp. 92

Derm Residents: Nail unit squamous cell carcinoma; and merino wool for atopic derm and tildrakizumab is durable

Dermatology News: Merino wool clothing improves atopic dermatitis, studies find: https://bit.ly/3fFHQQI Tildrakizumab for psoriasis shows durable efficacy over 5 years: https://bit.ly/3l1Z0c9 AMA takes on vaccine misinformation, physician vaccines, racism: https://bit.ly/33ee0O2 * * * Nail unit squamous cell carcinoma (SCC) is difficult to diagnose or suspect clinically because of its tendency to present as nonspecific nail plate changes. The tumors usually are painless and asymptomatic, leading...

Nov 26, 202022 minEp. 91

Health disparities brought to light by COVID-19, plus a hospital at home for COVID patients

Dermatology News: Low threshold to biopsy atypical lesions may ID vulvar melanoma early, experts say https://www.mdedge.com/dermatology/article/231855/gynecologic-cancer/low-threshold-biopsy-atypical-lesions-may-id-vulvar Chronic inflammatory diseases vary widely in CHD risk https://www.mdedge.com/dermatology/article/231815/cad-atherosclerosis/chronic-inflammatory-diseases-vary-widely-chd-risk ‘Hospital at home’ increases COVID capacity in large study https://www.mdedge.com/dermatology/article/2...

Nov 19, 202043 minEp. 90

Pediatric atopic dermatitis - What's new? Plus, depression risk with isotretinoin; topical tapinarof is effective

Dermatology News: Who’s at risk for depression on isotretinoin?: https://bit.ly/32AioXp Topical tapinarof effective in pivotal psoriasis trials: https://bit.ly/3pma0o0 Methotrexate users need tuberculosis tests in high-TB areas: https://bit.ly/3f0DcMV * * * Keeping up with the literature on atopic dermatitis (AD) is a challenge, with eight new articles posted on PubMed a day in 2020. Vincent A. DeLeo, MD, talks to Lawrence F. Eichenfield, MD, about quality of life in pediatric AD patients and ho...

Nov 12, 202027 minEp. 89

Systemic bias in the dermatology residency selection process, plus a derivative of birch bark effective for epidermolysis bullosa

Dermatology News: No lab monitoring needed in adolescents on dupilumab: https://bit.ly/34YAqV0 Birch bark derivative gel found effective for EB, in phase 3 study: https://bit.ly/385LFge Skin symptoms common in COVID-19 ‘long-haulers: https://bit.ly/385LFge * * * Peer-to-peer Underrepresented minority (URM) students often lack the resources needed to successfully navigate careers in medicine. In this episode, Candrice Heath, MD, ( @DrCandriceHeath ) talks to Alfredo Siller, MD, and Amit Pandya, M...

Nov 05, 202034 minEp. 88

Improving diversity in dermatology education resources; plus risks of COVID in psoriasis patients and red hair linked with CRP?

Dermatology news: Data on potential risks of COVID-19 in psoriasis patients limited, but reassuring: https://bit.ly/3jwNc0Q Red hair in women linked to elevated CRP levels in Nurses’ Health Study: https://bit.ly/2HyJRSb Rinse and repeat? Mouthwash might mitigate COVID-19 spread: https://bit.ly/2HKjF6w * * * Dermatologists must feel comfortable and confident in diagnosing skin conditions in patients with skin of color, which begins during residency. In this resident takeover, Daniel R. Mazori, MD...

Oct 29, 202036 minEp. 87

Guidelines for using phototherapy in psoriasis patients; plus, women in pediatric dermatology

Dermatology News: Non-Whites remain sorely underrepresented in phase 3 psoriasis trials ( https://bit.ly/3jmv2ia ) Women make progress in pediatric dermatology leadership ( https://bit.ly/35nNdir ) Survey: Doctors lonely, burned out in COVID-19 ( https://bit.ly/3dKwhXg ) * * * Psoriasis patients who are pregnant or those seeking a medication-free treatment may benefit from phototherapy. Vincent A. DeLeo, MD, talks to George Han, MD, PhD, and Jashin J. Wu, MD, about the joint guidelines from the ...

Oct 22, 202027 minEp. 86

Looking back on retinoid discovery and development with Dr. James Leyden

In this week’s podcast, Dermatology News columnist Leslie S. Baumann, MD, interviews James J. Leyden, MD, emeritus professor of dermatology at the University of Pennsylvania, Philadelphia, about his significant ​research contributions in the field of dermatology, including finding the cure for diaper rash and the development of retinoids for acne and photoaging. Dr. Leyden also recounts his experience working with Albert Kligman, MD, at the University of Pennsylvania and how they changed the way...

Oct 15, 202048 minEp. 85

Shingrix vaccine effective in older adults with immune-mediated disorders and opening a dermatology practice during the COVID-19 pandemic

Dermatology News: Shingrix effective in older adults with preexisting immune-mediated disorders ( https://bit.ly/2GrMy7z ) New treatment options show promise for centrifugal cicatricial alopecia ( https://bit.ly/36Dq2TL ) Children's share of new COVID-19 cases is on the rise ( https://bit.ly/34CNEoM ) * * * Managing a private medical practice has changed drastically in 2020. In this episode, Candrice Heath, MD (@DrCandriceHeath), talks to Caroline Robinson, MD (on Instagram @crobinsonmd; on Twit...

Oct 08, 202036 minEp. 84
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