The Future of Dermatology
Join Dr. Faranak Kamangar, MD, every week as she chats with various guests about the future of dermatology. Each week, Dr. Kamangar and her guests cover topics from psoriasis, to eczema, to skin care, to AI, and more. Whether you’re a doctor or a patient, these episodes provide valuable information about your skin and how to navigate the world of dermatology.
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Episodes
Tuesday Oct 22, 2024
Tuesday Oct 22, 2024
Summary
From the 2024 Annual SF Dermatology Society sessions, Dr. Iltefat Hamzavi shares insights on vitiligo, its psychosocial impacts, and the pathophysiology behind the condition. The session emphasizes the need for effective treatment strategies and the importance of patient well-being in managing skin conditions.
Takeaways
Dermatology is a community-focused specialty.
The VASI score is crucial for assessing vitiligo severity.
Vitiligo has a significant psychosocial impact on patients.
Younger patients with vitiligo show higher rates of depression.
Effective treatment of vitiligo requires time and patience.
Counseling patients is essential for successful treatment outcomes.
The face is the most responsive area for vitiligo treatment.
Oxidative stress plays a key role in vitiligo pathophysiology.
A multi-faceted approach is necessary for treating vitiligo.
Future dermatology meetings will continue to address these important topics.
Chapters
00:00 - Introduction to the Dermatology Podcast
01:58 - The Importance of Community in Dermatology
03:25 - Understanding the Impact of Vitiligo
06:45 - Pathophysiology and Treatment of Vitiligo
10:09 - Conclusion and Future Directions in Dermatology
Tuesday Oct 15, 2024
Tuesday Oct 15, 2024
Summary
This The Future of Dermatology Podcast focuses on recent advancements in the treatment of vitiligo, particularly highlighting the role of Afamelanotide in clinical trials. Dr. Kamangar includes insights from the SF Derm 2024 Annual Meeting, the mechanisms of vitiligo, and the potential of Afamelanotide to aid in repigmentation without affecting the immune system. Clinical trial results and patient outcomes are also discussed, emphasizing the importance of this treatment for patients with darker skin types.
Takeaways
Vitiligo treatments have traditionally focused on the immune system.
Afamelanotide aims to boost repigmentation without immune suppression.
The study is a phase three trial comparing Afamelanotide with narrowband UVB.
Initial results show promise for Fitzpatrick skin types four to six.
The treatment is suitable for adolescents and adults aged 12 and up.
Photos from trials indicate significant repigmentation in patients. - Afamelanotide has a good safety profile based on previous treatments.
The drug is being studied for its broader dermatological applications. - There are concerns about unregulated versions of Afamelanotide in the market.
Awareness of Afamelanotide is crucial for dermatologists.
Chapters
00:00 - Introduction to the Future of Dermatology Podcast
01:20 - Exploring Vitiligo Treatments and Research
03:10 - Afamelanotide: A New Hope for Repigmentation
05:37 - Clinical Results and Implications of Afamelanotide
Tuesday Oct 08, 2024
Tuesday Oct 08, 2024
Summary
From the 2024 Annual SF Dermatology Society sessions, Dr. Amit Pandya discusses the complexities of vitiligo, a common skin disorder affecting millions worldwide. He explores the importance of understanding patient perspectives, the pathogenesis of vitiligo, and the latest treatment approaches. This talk emphasizes the need for personalized patient care and the significance of early intervention for better outcomes. The session concludes with a call for increased awareness and education in dermatology.
Takeaways
Vitiligo affects about 1% of Americans and 70 million people worldwide.
Patients with vitiligo often feel abandoned due to a lack of specialized care.
The peak age of onset for vitiligo is during young adulthood, which can be particularly stressful.
Understanding the pathogenesis of vitiligo is crucial for effective treatment.
The treatment of vitiligo requires patience and realistic expectations from patients.
Photographs are essential for monitoring treatment progress in vitiligo patients.
Public education is needed to encourage early treatment for vitiligo.
Dermascopy can help assess the prognosis of vitiligo patients.
Shared decision-making is vital in managing treatment options for patients.
Every patient's experience with vitiligo is unique and should be approached individually.
Chapters
00:00 - Introduction to the Future of Dermatology Podcast
00:58 - The Importance of Vitiligo Awareness
02:53 - Understanding Vitiligo: Patient Perspectives
06:07 - Pathogenesis of Vitiligo
08:55 - Treatment Approaches for Vitiligo
11:50 - Prognosis and Patient Management
15:10 - Conclusion and Future Directions
Tuesday Oct 01, 2024
Tuesday Oct 01, 2024
Summary
In this episode, medical students Chandler Johnson and Payton Smith share their experiences navigating the residency application process in dermatology. They discuss the challenges of applying for away rotations, the importance of preparation and research, and strategies for making a positive impression during rotations. The conversation emphasizes the significance of building relationships within the medical team, active participation in procedures, and the necessity of self-care and authenticity throughout the demanding journey of medical education.
Takeaways
The residency application process is highly competitive, especially in dermatology.
Away rotations are crucial for gaining exposure and making connections. - Researching programs and reaching out to past students can ease anxiety.
Preparation for rotations includes studying relevant material beforehand.
Building relationships with all team members is essential for success.
Active participation in procedures can help you stand out.
Self-care is vital to avoid burnout during medical training.
Authenticity is key; be yourself during rotations.
Networking is important; introduce yourself to everyone.
The timeline for interviews and applications can be overwhelming, focus on one step at a time.
Chapters
00:00 - Introduction to the Journey of Dermatology Residency
03:03 - Navigating the ERAS Application Process
05:52 - Choosing and Preparing for Away Rotations
09:05 - Tips for Success During Away Rotations
11:56 - Building Relationships and Networking
15:08 - Active Participation in Procedures
18:12 - The Future: Interviews and Match Day Preparation
21:09 - Self-Care and Maintaining Authenticity
Tuesday Sep 24, 2024
Tuesday Sep 24, 2024
Summary
Dr. Paradi Mirmirani shares insights on hair loss, particularly alopecia areata, and discusses the importance of miniaturization in hair disorders. This exclusive session from SF Derm 2024 delves into the role of environmental factors in scarring alopecia and offers practical tips for dermatologists to improve patient outcomes. Want to learn more? You'll have to join us for next year's SF Derm Society Conference in June of 2025!
Takeaways
Hair loss updates are crucial for effective patient care.
Miniaturization is a key factor in diagnosing hair loss.
Low dose oral minoxidil is effective for various hair disorders.
Environmental factors may contribute to scarring alopecia.
Avoiding fragrances can significantly improve scalp health.
Monitoring for side effects of minoxidil is essential.
Collaboration among experts can enhance treatment protocols.
Understanding patient history is vital for effective treatment.
Education on hair disorders is important for dermatology practitioners.
Chapters
00:00 - Introduction to the Future of Dermatology Podcast
01:54 - Hair Loss Updates and Practical Tips
04:36 - Understanding Miniaturization in Hair Loss
10:55 - Exploring Scarring Alopecia and Environmental Factors
Tuesday Sep 17, 2024
Tuesday Sep 17, 2024
Summary
In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar discusses the complexities of acne treatment, focusing on the psychological impact of acne on patients and the importance of effective topical therapies. The conversation covers the latest guidelines for acne treatment, the efficacy of various topical agents including benzoyl peroxide and retinoids, and explores advanced treatment options such as isotretinoin and laser therapy. The episode emphasizes the need for patient compliance and the role of alternative treatments in managing acne effectively.
Takeaways
Acne topicals are important for improving patients' quality of life.
The AED guidelines recommend benzoyl peroxide, topical retinoids, and topical antibiotics as preferred treatments.
Combining multiple topical therapies and limiting systemic antibiotic use are good practice statements.
Topical therapies are not highly effective, but their efficacy improves when combined.
Other treatments like Clascoterone cream and isotretinoin target sebum reduction and sebaceous gland apoptosis.
The 1726 nanometer laser shows promise as a treatment option.
Azelaic acid, salicylic acid, and other topicals are effective and popular among patients.
Compliance is crucial in acne treatment.
Chapters
00:00 - Introduction to Acne and Its Impact
03:06 - Topical Therapies for Acne Treatment
06:07 - Understanding Benzoyl Peroxide and Its Efficacy
08:47 - Exploring Advanced Treatments and Mechanisms
12:01 - Alternative Topical Treatments and Patient Compliance
Tuesday Sep 10, 2024
Tuesday Sep 10, 2024
Summary
Dr. Mary Alice Mina, a Harvard-trained dermatologist, discusses her transition from clinical medicine to providing education on social media and hosting The Skin Real, a podcast on skin health. She emphasizes the importance of providing accurate and reliable information in the skincare industry, which is often filled with misinformation and gimmicks. Dr. Mina also highlights the shift towards a more holistic and proactive approach to skincare, focusing on preventative measures and overall health. She discusses the advancements in regenerative medicine, such as exosomes and stem cell therapy, and the potential they hold for the future of dermatology. Additionally, she emphasizes the importance of sun protection and the need to educate people about the different types of skin cancers and their potential risks.
Takeaways
Transitioning from clinical medicine to teaching on social media and hosting a podcast allows dermatologists to provide accurate and reliable information to a wider audience.
A holistic and proactive approach to skincare, focusing on preventative measures and overall health, is becoming more popular.
Advancements in regenerative medicine, such as exosomes and stem cell therapy, show promise for the future of dermatology.
Educating people about the importance of sun protection and the different types of skin cancers is crucial in preventing and treating these conditions.
Chapters00:00 - Introduction and Background of Dr. Mary Alice Mina
02:24 - Transitioning from Clinical Medicine to Teaching on Social Media
05:15 - Embracing a Pro-Aging and Holistic Approach to Skincare
15:45 - Exploring Emerging Technologies in Dermatology
19:28 - The Importance of Sun Protection in Preventing Skin Cancers
24:57 - Educating People about Different Types of Skin Cancers
31:47 - Advice for Residents and the Future of Dermatology
Tuesday Sep 03, 2024
Tuesday Sep 03, 2024
Summary
Shawn Thomas shares his journey as a psoriasis patient and co-founder of Solay. He describes his initial symptoms and the progression of his psoriasis, leading to his diagnosis in 2018. Shawn discusses the emotional impact of being diagnosed with an incurable disease and the challenges of managing psoriasis on a daily basis. He emphasizes the importance of sharing his diagnosis and finding support from others who also have psoriasis. Shawn explores various treatment options he tried, including topical corticosteroids and natural remedies, before discovering the Goeckerman therapy. He shares his experience of self-administering the therapy using over-the-counter coal tar and UVB light.
Learn more about Solay at: https://solayhealth.com/
Takeaways
Psoriasis is an incurable disease that can have a significant emotional impact on patients.
Sharing the diagnosis and finding support from others with psoriasis can help patients feel less alone.
Exploring different treatment options, including natural remedies and innovative therapies like Goeckerman therapy, can be beneficial.
Self-administering treatments like coal tar and UVB light may be an alternative for patients who cannot access specialized clinics. Goeckerman therapy can be an effective and safe treatment for psoriasis, but it is often inaccessible due to limited availability and barriers such as time and cost.
Soleil, a telemedicine platform co-founded by Shawn Thomas, aims to make Goeckerman therapy more accessible by providing patients with the necessary equipment and physician oversight.
Innovations in healthcare access and delivery, such as value-based care models and telehealth, are needed to ensure that effective treatments are affordable and available to all patients.
Building trust and strong patient-provider relationships are crucial in improving treatment adherence and outcomes.
The future of dermatology and healthcare should focus on both treatment innovations and innovations in access to care.
Chapters
00:00 - Introduction and Guest Introduction
02:19 - Diagnosis and Challenges of Psoriasis
12:18 - Discovering Goeckerman Therapy
19:06 - Personal Experience with Goeckerman Therapy
27:24 - Innovations in Access to Dermatological Care
35:03 -The Future of Dermatology and Healthcare
40:16 - Conclusion and Closing Remarks