Being on-call as a dermatology resident, plus NSAIDs to prevent skin cancer, and augmented intelligence

Thursday, May 30, 2019

In this episode, three dermatology residents — Dr. Daniel Mazori, Dr. Julie Croley, and Dr. Elisabeth Tracey — discuss items they keep in their on-call bags in this special resident takeover of the podcast. Beginning at 14:50, they talk about premade biopsy kits, tricks for achieving hemostasis in the hospital, portable electronic gadgets, and creative alternatives for basic items. They also discuss bedside diagnostics and unique cases while being on-call. “After rotating through the consult service, you really do grow as a dermatologist,” reports Dr. Croley. “You see rare things; you see severe disease processes. You learn to be efficient and self-sufficient.”

We also bring you the latest in dermatology news and research:

1. Study finds inconsistent links with aspirin, nonaspirin NSAIDs, and reduced skin cancer risk.

2. Justin M. Ko, MD, MBA, of Stanford (Calif.) University discusses the American Academy of Dermatology's position statement on augmented intelligence. Dr. Ko is director and chief of medical dermatology for Stanford Health Care at Stanford Medicine, Redwood City, Calif. He is the chair of the AAD's Ad Hoc Taskforce on Augmented Intelligence, which wrote the position statement.

3. Prior authorizations for dermatology care nearly doubled in the last 2 years at one center.

Things you will learn in this episode:

  • Recommendations on what type of bag to use for your on-call bag.
  • Premade biopsy kits are key for your on-call bag so that you can perform shave or punch biopsies.
  • Tricks for obtaining hemostasis in the hospital.
  • The utility of dermatoscopes has been expanding in recent years, and it can be a helpful bedside electronic device.
  • Purple surgical markers can be used as a topical antimicrobial.
  • Normal saline or honey can be used if you run out of Michel solution.
  • Nonmedical items to keep in your on-call bag may include a handheld guide for drug eruptions and consult templates.
  • Examples of unique cases of misdiagnosed Stevens-Johnson syndrome, highlighting the expertise of dermatologists: “In our field, especially as a consultant, our expertise can be so crucial in the care of complex patients.”
  • Be comfortable with bedside diagnostics such as Tzanck smear to diagnose viral infections and a positive Nikolsky sign for staphylococcal scalded skin syndrome.

Hosts: Elizabeth Mechcatie, Terry Rudd

Guests: Daniel R. Mazori, MD (State University of New York, Brooklyn); Julie Ann Amthor Croley, MD (the University of Texas Medical Branch at Galveston); and Elisabeth (Libby) Tracey, MD (Cleveland Clinic Foundation).

Show notes by Melissa Sears, Alicia Sonners, and Elizabeth Mechcatie.

Contact us: [email protected]

Twitter: @MDedgeDerm

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Podcast Participants

Vincent A. DeLeo, MD
Vincent A. DeLeo, MD, is from the Keck School of Medicine of the University of Southern California, Los Angeles, and the Icahn School of Medicine at Mount Sinai, New York, New York. He also is the editor in chief of Cutis and the author of more than 200 publications. He is a leading expert on contact dermatitis, sunscreens, and photosensitivity. Dr. DeLeo is a consultant for Estée Lauder.