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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Residency match during the COVID-19 pandemic
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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 …
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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 op…
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Highlights from the 2021 American Contact Dermatitis Society Meeting
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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 as…
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Educational photographs need to better represent the entire patient population
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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 transmi…
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Coding and reimbursement changes for skin biopsies
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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 academ…
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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 thorou…
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Don’t overlook the genitals during a total-body skin examination
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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…
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Injectable fillers: Treating and preventing adverse events with Dr. Murad Alam
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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…
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Timing matters: Planning cosmetic procedures around COVID-19 vaccination
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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 pati…
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Teledermatology beyond the COVID-19 pandemic
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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 ... exp…
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Applying for dermatology residency as a student of color
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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 i…
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Psychcast/Dermatology Weekly crossover episode: Delusions of infestation
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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 Healt…
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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…
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Rural dermatology training and expanding access to care
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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 i…
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Counseling patients on diet and common skin conditions; plus, acne guidelines
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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 …
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Biologics for pediatric psoriasis and atopic dermatitis
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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 monitori…
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Biologics for psoriasis during the COVID-19 pandemic
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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, …
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Pigmentary changes resulting from cancer therapies in skin of color patients; fillers and COVID vaccines
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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 (@DrCand…
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Top peer-to-peer interviews in 2020
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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 podca…
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How to work up and treat vitiligo patients, plus reports from the MedscapeLive Pediatric and Women's Dermatology Seminar
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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…
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Pediatric procedural dermatology plus, CDC shortens quarantine and ‘impressive’ results with neoadjuvant T-VEC in advanced melanoma
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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 requi…
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Optical coherence tomography imaging in different skin types, plus new indication for apremilast
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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 a…
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Derm Residents: Nail unit squamous cell carcinoma; and merino wool for atopic derm and tildrakizumab is durable
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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…
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Health disparities brought to light by COVID-19, plus a hospital at home for COVID patients
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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/chro…
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Pediatric atopic dermatitis - What's new? Plus, depression risk with isotretinoin; topical tapinarof is effective
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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 arti…
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Systemic bias in the dermatology residency selection process, plus a derivative of birch bark effective for epidermolysis bullosa
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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 t…
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Improving diversity in dermatology education resources; plus risks of COVID in psoriasis patients and red hair linked with CRP?
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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 …
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Guidelines for using phototherapy in psoriasis patients; plus, women in pediatric dermatology
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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 treatme…
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Looking back on retinoid discovery and development with Dr. James Leyden
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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 a…
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Shingrix vaccine effective in older adults with immune-mediated disorders and opening a dermatology practice during the COVID-19 pandemic
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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…
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Beta-blockers for rosacea; conservative approach key for cosmetic laser results in skin of color; regulation of apps frequently used by residents
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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 adva…
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How to study in dermatology residency; Plus, biologics for psoriasis may reduce coronary plaque; relieving vulvar itch
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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://…
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Cosmetic procedures are back, plus COVID-19 expenses get billing codes and burnout is up and income is down
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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 disc…
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Preparing for virtual residency interviews and a novel smart needle may reduce the risk of filler complications
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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 …
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Top dermatology resident takeovers of 2020
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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 M…
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Erythropoietic protoporphyria drug improves sun tolerance, no link between TCI & skin cancer in AD patients, and derm resident wellness
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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 pr…
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Saliva COVID test, minoxidil works after radiation, and a conversation on antibiotic resistance in acne
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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 ph…
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Cutaneous coagulation clues for COVID-19, botulinum toxin's antidepressant effect, tape strips over biopsy, and a conversation on academic derm in a pandemic
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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 educati…
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Acne treatment lessons learned from the military, plus new psoriasis guidelines and biologics delaying psoriatic arthritis
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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 servicem…
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Immunotherapy for Paget disease: A conversation - Plus, more sunburns for Americans, and a new dermatologic clue for COVID-19
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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 p…
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Dermatology residency during a pandemic, plus the past, future, and current state of ID Dermatology
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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 epis…
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Nemolizumab for atopic dermatitis, 1/3 of older Americans get shingles vaccine, and racial diversity in dermatology training ency
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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…
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Nutrient deficiencies & skin disease, plus Republicans and Democrats agree on masks, and adding dermatology to oncology clinics pays off
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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 seemin…
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COVID skin patterns vary, classification criteria for discoid lupus, and phase 3 COVID vaccine trials coming, plus top peer-to-peer interviews of 2020
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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…
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Urban African Americans have varied dermatologist access, more vulvar melanoma for women, and Derm residents talk compounding medications
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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 abo…
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High-fat, high-sugar diet may promote adult acne; and actinic keratosis clearance: A conversation on photodynamic therapy combo
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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 ben…
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Should docs wear masks at home? Plus biologics and melanoma risk, full-body exam anxiety, and atopic dermatitis linked with neuropsych
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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 pre…
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Picosecond laser predictions; wildfires and atopic dermatitis; and protecting your mental health: Psychiatry-Dermatology crossover
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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 a…
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New rosacea guidelines, dermatology compensation report, and are your patients choosing the right OTC topicals?
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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 real…
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Grand Rounds from the patient’s perspective
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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 s…
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