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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

Beta-blockers for rosacea; conservative approach key for cosmetic laser results in skin of color; regulation of apps frequently used by residents

Dermatology News: Review finds evidence for beta-blockers for some rosacea symptoms ( https://bit.ly/3kX91rB ) Source: https://bit.ly/2HKWJUX 2019 review: https://bit.ly/36jWvOL Conservative parameters key to maximizing cosmetic laser results in skin of color ( https://bit.ly/33dIhNn ) Source: https://bit.ly/3jiLcd8 J&J’s one-shot COVID-19 vaccine advances to phase 3 testing ( https://bit.ly/33e07Qs ) * * * Dermatology residents are utilizing apps for up-to-date and accurate information. Vin...

Oct 01, 202028 minEp. 83

How to study in dermatology residency; Plus, biologics for psoriasis may reduce coronary plaque; relieving vulvar itch

Episode 82 Dermatology News: Biologics for psoriasis may also reduce coronary plaque ( https://bit.ly/3ckjVEK ) Journal article: https://bit.ly/3mRW2JE Three-step approach may help relieve one of the itchiest vulvar conditions ( https://bit.ly/33TeGI3 ) Many Americans still concerned about access to health care ( https://bit.ly/33TeGI3 ) Survey: https://bit.ly/3kO0DdF * * * Dermatology residents identify studying as one of the main culprits leading to burnout during residency. In this resident t...

Sep 24, 202040 minEp. 82

Cosmetic procedures are back, plus COVID-19 expenses get billing codes and burnout is up and income is down

As lockdown restrictions are lifted, many dermatologists are resuming elective cosmetic procedures. Candrice Heath, MD, (@DrCandriceHeath) talks to Anthony M. Rossi, MD, (@DrAnthonyRossi) about the procedures patients are seeking while they have downtime as well as how physicians can safely treat these patients and conduct follow-up. They also discuss the prevalence of mask acne, known as “maskne,” during the pandemic. “We’re starting to put people on these acne regimens again. ... People who ha...

Sep 17, 202021 minEp. 81

Preparing for virtual residency interviews and a novel smart needle may reduce the risk of filler complications

Dermatology Weekly News: Fatal pediatric melanomas diverse in presentation Novel smart needle system designed to reduce the risk of filler complications COVID Update: First randomized trial reassures on ace inhibitors and ARBs for COVID patients * * * The National Resident Matching Program reported that U.S .medical school seniors who matched into dermatology applied to a median of 90 programs and attended nine interviews last year, which is disadvantageous for applicants of lower socioeconomic ...

Sep 10, 202021 minEp. 80

Top dermatology resident takeovers of 2020

Episode 79, the top resident takeovers of 2020 (so far). We count down the top downloaded resident interviews of Dermatology Weekly in 2020. So far this year, a variety of topics affecting residents have been covered—from the impact of training during COVID-19 to the use of low-dose naltrexone to over-the-counter (OTC) topicals in dermatology and Muir-Torre syndrome. Dermatology residency during a pandemic, Episode 73: Dr. Candrice Heath talked to three dermatology residents—Dr. Brittany Oliver ...

Sep 03, 202026 minEp. 79

Erythropoietic protoporphyria drug improves sun tolerance, no link between TCI & skin cancer in AD patients, and derm resident wellness

Dermatology is an academically rigorous specialty, which is a major source of stress for many residents. Daniel Mazori, MD, talks to Nadine Shabeeb, MD, MPH about dermatology resident wellness and burnout. They discuss stressors for burnout in dermatology residents. “I do think that on a day-to-day basis the major stressor for me in residency is probably related to the amount of studying that we need to do,” Dr. Shabeeb reports. They also provide strategies for improving resident wellness by add...

Aug 27, 202032 minEp. 78

Saliva COVID test, minoxidil works after radiation, and a conversation on antibiotic resistance in acne

This week in Dermatology News: Persistent hair loss after radiation improved with minoxidil: https://bit.ly/2FFY1zx Telemedicine checklist may smooth visits with older patients: https://bit.ly/3aLVsav FDA authorizes COVID-19 saliva test: https://bit.ly/34g7pUw Dermatologists write more antibiotic prescriptions per individual clinician than other physicians, mostly to treat acne and rosacea. Dr. Vincent DeLeo talks to Dr. James Del Rosso about antibiotic use in dermatology. “Antibiotics are part ...

Aug 20, 202044 minEp. 77

Cutaneous coagulation clues for COVID-19, botulinum toxin's antidepressant effect, tape strips over biopsy, and a conversation on academic derm in a pandemic

COVID-19 has had profound effects on the financial stability of academic institutions, resident training, and patient care. Candrice Heath, MD (@DrCandriceHeath) talks to Erin Boh, MD, and Dirk Elston, MD, about emergency response plans in the academic setting as well as how institutions have been using teledermatology and managing resident education. “Our institution is doing quite well because we’ve actually jumped headlong and feetfirst into COVID research. . . . Our research dollars have inc...

Aug 13, 202043 minEp. 76

Acne treatment lessons learned from the military, plus new psoriasis guidelines and biologics delaying psoriatic arthritis

Military dermatologists play a unique role in managing acne because they need to consider the medical readiness of servicemembers during treatment. Dr. Justin Bandino, president of the Association of Military Dermatologists, talks to Dr. Catherine Brahe and Dr. Kristopher Peters about avoiding antibiotics or systemic drugs that can limit a servicemember’s operational duty status, which can be applied to civilian health care to help slow the spread of antibiotic resistance. They highlight uses of...

Aug 06, 202024 minEp. 75

Immunotherapy for Paget disease: A conversation - Plus, more sunburns for Americans, and a new dermatologic clue for COVID-19

Unlike most other cutaneous neoplasms, extramammary Paget disease (EMPD) manifests as a chronic erythematous patch. In this resident takeover, Dr. Daniel Mazori talks to Dr. Mohammed Dany about the diagnosis of primary vs secondary EMPD and the importance of screening patients for metastasis or other underlying malignancies . They also discuss the pathogenesis of EMPD and highlight future treatment targets. “The best studies that show potential are the studies focusing on PD-1 [programmed cell d...

Jul 30, 202028 minEp. 74

Dermatology residency during a pandemic, plus the past, future, and current state of ID Dermatology

To celebrate the 50th anniversary of Dermatology News, we are looking back at how the field has changed since that first issue in January 1970 . The focus in episode 73 is infectious disease. There’s a lot to be grateful for but there are also challenges like antibiotic resistance that weren’t on the radar of dermatologists decades ago. In this episode, Nick Andrews welcomes Theodore Rosen, MD, to discuss the past, future, and current state of ID Dermatology. You can read more about the past 50 ...

Jul 23, 202054 minEp. 73

Nemolizumab for atopic dermatitis, 1/3 of older Americans get shingles vaccine, and racial diversity in dermatology training ency

Dermatology residents must be knowledgeable about dermatologic conditions presenting in patients of various ethnic backgrounds. Dr. Vincent DeLeo talks to Drs. Abigail Cline, Susan Taylor, and Amy McMichael about improving and expanding multiethnic training in dermatology residency . “Now that I’m in residency, it has become very clear how different presentations in skin of color can be, and I can really see the importance of proper training in a racially diverse population,” says Dr. Cline. The...

Jul 16, 202027 minEp. 72

Nutrient deficiencies & skin disease, plus Republicans and Democrats agree on masks, and adding dermatology to oncology clinics pays off

Nutrient deficiencies present clinically in the skin, hair, and nails. Dr. Vincent DeLeo talks to Dr. Bridget Shields about the dermatologist’s role in managing nutritional dermatoses in hospitalized patients . “As dermatologists, we’re trained to recognize subtle detail, and we may be the first or really the only physicians to pick up on the seemingly minor cutaneous manifestations of underlying nutritional disease,” Dr. Shields explains. She highlights key nutrient deficiencies and risk factor...

Jul 09, 202024 minEp. 71

COVID skin patterns vary, classification criteria for discoid lupus, and phase 3 COVID vaccine trials coming, plus top peer-to-peer interviews of 2020

This week in Dermatology News: Skin patterns of COVID-19 vary widely First validated classification criteria for discord lupus erythematosus unveiled Phase 3 COVID-19 vaccine trials launching in July Dr. Vincent DeLeo counts down the top downloaded peer-to-peer interviews of Dermatology Weekly in 2020. So far this year, Dr. DeLeo and his colleagues have covered a diverse group of topics impacting the way dermatologists practice medicine, particularly during the COVID-19 pandemic—from the continu...

Jul 02, 202032 minEp. 70

Urban African Americans have varied dermatologist access, more vulvar melanoma for women, and Derm residents talk compounding medications

Compounding medications allows physicians to customize formulations for individual patients. In this resident takeover, Daniel R. Mazori, MD, talks to Nadine Shabeeb, MD, MPH, about compounding topicals in dermatology . They discuss clinical scenarios in which these treatments may be warranted as well as potential drug combinations. “What’s cool about compounding for [conditions such as acne, rosacea, and hyperpigmentation] is that there are oftentimes multiple etiologies that lead to patients d...

Jun 25, 202019 minEp. 69

High-fat, high-sugar diet may promote adult acne; and actinic keratosis clearance: A conversation on photodynamic therapy combo

Photodynamic therapy (PDT) has become a preferred treatment of field cancerization. Dr. Vincent DeLeo talks to Dr. Martin Miller about results from a split-sided study evaluating the efficacy of CO2 laser ablative fractional resurfacing pretreatment followed by conventional PDT for treatment of actinic keratoses (AKs). They discuss the clinical benefits of PDT for treatment of AKs as well as future directions for this combination therapy for nonmelanoma skin cancers. * * * We also bring you the ...

Jun 18, 202018 minEp. 68

Should docs wear masks at home? Plus biologics and melanoma risk, full-body exam anxiety, and atopic dermatitis linked with neuropsych

Full-body skin examinations (FBSEs) are routine in dermatology practice but can create anxiety for some patients. Dr. Vincent DeLeo talks to Dr. Atieh Jibbe about reducing patient anxiety caused by FBSEs based on results from a patient questionnaire. They discuss factors that may contribute to patient anxiety and common body areas that patients prefer to exclude from FBSEs. They also provide tips for residents in training. “If you walk a patient through the exam as you’re doing it, it makes them...

Jun 11, 202019 minEp. 67

Picosecond laser predictions; wildfires and atopic dermatitis; and protecting your mental health: Psychiatry-Dermatology crossover

Physicians face unique challenges with regard to mental health but often are resistant to seeking professional treatment. In this special crossover episode, Guest Host Dr. Candrice Heath ( @drcandriceheath ) talks with Dr. Lorenzo Norris from the MDedge podcast Psychcast and psychiatrist Dr. Nicole Washington ( @drnicolepsych ) about common stressors and mental health conditions they encounter when treating the physician population. They discuss how dermatologists can evaluate and protect their ...

Jun 04, 202035 minEp. 66

New rosacea guidelines, dermatology compensation report, and are your patients choosing the right OTC topicals?

Patients may be relying more on over-the-counter (OTC) skin care products during the current health crisis due to limited access to dermatologists. In this resident takeover, Dr. Daniel Mazori talks to Dr. Sophie Greenberg about selection of OTC topicals to avoid potential adverse effects. “I started looking into regulation and safety data and realized there’s a gap in formal treating on this topic, so I wanted to provide a guide to residents so they can be adequately informed,” Dr. Greenberg ex...

May 28, 202023 minEp. 65

Grand Rounds from the patient’s perspective

In the news portion of episode 64, Nick Andrews welcome Dr. Amy Paller, MD , to discuss the different dermatologic manifestations of COVID-19 especially as it pertains to pediatric patients. * * * Grand Rounds are not only a teaching opportunity but also a vital patient care activity. Dr. Vincent DeLeo talks to Dr. William Huang about results of a study that surveyed how patients perceive clinical case-viewing sessions in dermatology . “I think we can easily lose track of [the patient’s experien...

May 21, 202017 minEp. 64

Teledermatology during the COVID-19 pandemic and beyond

How is dermatology handling this change in practice toward telehealth? Guest host Dr. Candrice Heath talks with Dr. George Han about how dermatologists can adapt their clinical practice to conduct quality teledermatology visits with their patients . “Last year ... I think overall in the health system we probably had about 2,000-3,000 telehealth visits ... by the end of March [this year], I think the numbers I saw [were] around 30,000, so it’s absolutely just kind of been a huge change in the way...

May 14, 202036 minEp. 63

How accurate are dermatologists' COI disclosures? Plus, private equity in dermatology

Transparency about industry-supported interactions among physicians was the goal of the online Open Payments database created by the Centers for Medicare & Medicaid Services. Dr. Vincent DeLeo talks to Dr. Allen F. Shih about a retrospective review of how accurately dermatologists presenting at a major medical meeting disclosed industry conflicts of interest, compared with the OP database. They discuss possible reasons for data discrepancies and provide tips for dermatologists to ensure thei...

May 07, 202021 minEp. 62

Consider Muir-Torre syndrome with sebaceous tumors; plus the latest on COVID-19 in dermatology

Dermatologists play an important role in disease management for patients with Muir-Torre syndrome (MTS). In this resident takeover, Dr. Daniel Mazori talks to Dr. Mohammed Dany about the pathogenesis of MTS and its associated malignancies . “We are the ones who usually make the diagnosis, and we should know that these patients are at risk for developing several visceral malignancies and thus require screening,” Dr. Dany explained. They also review diagnostic clues and tools for dermatologists wh...

Apr 30, 202032 minEp. 61

Hair care products for African American women during COVID-19

Hosts of the dermatology podcast Dermasphere , Luke Johnson, MD, and Michelle Tarbox, MD, join MDedge host Nick Andrews to talk about COVID-19 and dermatology as well as how their podcast works. Dr. Johnson is assistant professor of dermatology at the University of Utah School of Medicine in Salt Lake City, and Dr. Tarbox is assistant professor of dermatology at Texas Tech University Health Science Center in Lubbock. You can find Dermasphere on Apple Podcasts , Google Podcasts , Spotify , and wh...

Apr 23, 202037 minEp. 60

COVID-19: What Now? And are nail biopsy videos on YouTube reliable?

Patients, medical students, residents, and even attendings often seek reliable information about nail biopsy procedures on the Internet. Dr. Vincent DeLeo talks with Dr. Shari Lipner about the quality and credibility of nail biopsy videos on YouTube . “There is a need for reliable information for dermatologists and students and residents to learn more about this, and I do think we have the resources to put together a good instructional video,” Dr. Lipner says. * * * We also bring you the latest ...

Apr 16, 202016 minEp. 59

Pandemic skin care plus body lice management

Body lice present an important public health concern due to the potential spread of infectious diseases. Dr. Vincent DeLeo talks with Dr. Dirk Elston about how to identify and manage human body lice infestations . * * * We also bring you the latest in dermatology news and research: 1. Skin manifestations are emerging in the coronavirus pandemic 2. NCCN panel: Defer nonurgent skin cancer care during pandemic 3. iPLEDGE allows at-home pregnancy tests during pandemic * * * Key takeaways from this e...

Apr 09, 202018 minEp. 58

Bonus: COVID-19 critical-care lessons from Seattle

As the nation’s health care system braces for COVID-19 cases, physicians who’ve faced the pandemic first have critical lessons for everyone. In this bonus episode of Dermatology Weekly, two Seattle-area critical care leaders explain how their medical centers are preparing for and responding to their region’s early outbreaks. And they share some creative approaches that are uniting Seattle’s critical care departments.

Apr 07, 202026 min

Should psoriasis patients continue biologics during the COVID-19 pandemic? Plus CMS implements changes to aid the COVID-19 response

Patients with severe psoriasis may be at higher risk for infection because of increased inflammation in the body. Dr. Lawrence Green discusses how to counsel patients who are taking biologics to control their psoriasis during the COVID-19 pandemic. “What I recommend [is to] stay on your biologic as long as you can unless you have exposure [or] you start to feel feverish,” Dr. Green advises. * * * We also bring you the latest in dermatology news and research: 1. CMS implements temporary regulator...

Apr 02, 202012 minEp. 57

AAD’s COVID-19 advice; how to start teledermatology; and handoff tips for dermatology residents

In residency, transitioning care to different providers can be a complicated process. Dr. Vincent DeLeo talks to Dr. Sophie Greenberg about strategies to improve patient handoffs among dermatology trainees . Dr. Greenberg identifies key issues that may hinder patient handoffs and poses evidence-based solutions that can help keep dermatology residents organized. * * * We also bring you the latest in dermatology news and research: 1. Coronavirus resources from AAD target safe office practices, new...

Mar 26, 202016 minEp. 56

COVID-19: What Dermatologists should know, plus how to use the Fitzpatrick skin type classification?

The Fitzpatrick skin type (FST) often is used as a proxy for constitutive skin color, which can lead to confusion. Dr. DeLeo speaks with Dr. Susan Taylor and her colleagues Olivia Ware and Jessica Dawson about the racial limitations of FST in clinical practice . They discuss other classification systems for assessment of skin type and highlight the challenges of creating one system to classify an infinite number of skin tones. * * * We also bring you the latest in dermatology news and research: ...

Mar 18, 202025 minEp. 55
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