Learn From the Derm Experts

In this entertaining and practical session, Brett M. Coldiron, MD, clinical associate professor of Dermatology, University of Cincinnati in Ohio, panel chairperson; Aaron S. Farberg, MD, medical director, Derm Texas and Dermatology Research Institute, and assistant professor of Dermatology, Baylor Scott & White Health System Dermatology, Dallas Texas; Mark Lebwohl,MD, dean for Clinical Therapies, chairman emeritus, Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York; David M. Pariser, MD, professor of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia; Daniel M. Siegel, MD, MS, clinical professor of Dermatology, State University of New York at Downstate, Brooklyn, New York; and Susan H. Weinkle, MD, affiliate clinical professor of Dermatology, University of South Florida in Tampa, all shared their expert tips in practicing dermatology. Here are some of their pearls:

Farberg
--For wound care, order what you need on the day of procedure and make sure wound supplies are delivered: this will keep you and your patient happy.

--Use the palmar creases pigmentation scale for predicting postinflammatory pigmentation

--For actinic keratosis (AK), pretreat with topical treatment such as tirbanibulin

Lebwohl
--Use apremilast for treatment for morphea

--The XTRAC excimer laser treatment is effective for psoriasis

--Try ruxolitinib cream for patients with vitiligo

Pariser
--Do not use veterinary lidocaine

--Photodynamic therapy has the best clearance rate of all AK field treatments

--Use glycopyrronium cloth for palmar hyperhidrosis

Siegel
--Diamond files are not medical devices, but they can buff down calluses

--A call out to his residents, the beauty bar 24 golden pulse facial massager, electric sign face massage tools for sensitive skin face pull tight firming lift

--A second call out to residents, the personal vibrating ice pack for sharp pain relief, noninvasive pro cold pad device

Weinkle
--Injectable poly-l-lactic acid (“the only needle I have never had a clog”)

--Use a non-sterile gloves for excision tray-what is important is sterile technique more than expensive sterile gloves

--For botox syringes, TB syringe has the lowest dead space, which equals lowest waste.

Coldiron
Use special taxonomy codes to get new NPI and new patient reimbursement referred within group:

Dermatology: 207N00000X

Mohs surgery: 207ND0101X

Clinical and lab derm immuno: 207Nl0002X

Pediatric derm: 207NP0225X

Procedural Derm: 207NSO135X

Dermatopathology: 207ND0900X

Reference

Coldiron B, Farberg AS, Lebwohl M, Pariser DM, Siegel DM, Weinkle SH. Learn from the experts. 2022 Fall Clinical Dermatology Conference. October 23, 2022. Las Vegas, Nevada.