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1.
Transplant Cell Ther ; 30(9S): S513-S533, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39370234

ABSTRACT

Cutaneous chronic graft-versus-host disease (cGVHD) is associated with morbidity, mortality, and impaired quality of life after hematopoietic stem cell transplantation. The clinical features of cutaneous cGVHD are heterogeneous but can be broadly classified into nonsclerotic or sclerotic presentations. This review provides an overview of clinical presentation, diagnosis and differential diagnosis, grading, and treatment of cutaneous cGVHD. Particular attention is given to cutaneous cGVHD in skin of color, which can have unique features and is generally underrepresented in the literature leading to delays in diagnosis. Finally, an overview of long-term skin care for patients with cutaneous cGVHD is provided in order to support patients from a dermatologic perspective as they recover from cGVHD. Multidisciplinary care with frequent communication between transplant specialists and dermatologists is critical to effectively managing cutaneous cGVHD.


Subject(s)
Graft vs Host Disease , Hematopoietic Stem Cell Transplantation , Skin Diseases , Graft vs Host Disease/diagnosis , Graft vs Host Disease/therapy , Graft vs Host Disease/etiology , Humans , Chronic Disease , Hematopoietic Stem Cell Transplantation/adverse effects , Skin Diseases/therapy , Skin Diseases/diagnosis , Skin Diseases/etiology , Quality of Life , Diagnosis, Differential
3.
Arch Dermatol Res ; 316(10): 719, 2024 Oct 26.
Article in English | MEDLINE | ID: mdl-39460793

ABSTRACT

BACKGROUND: Patient Safety and Quality Improvement (PSQI) are key components of graduate medical training, as detailed by the Accreditation Council for Graduate Medical Education (ACGME), with specific requirements that residents participate in experiential learning in PSQI during residency training. This study aimed to analyze the breadth of available and required PSQI educational experiences across dermatology residency programs in the United States. OBJECTIVES/METHODS: The objective of this study was to characterize the scope of PSQI educational experiences across dermatology residency programs. We electronically surveyed program directors of all ACGME-accredited dermatology residency programs from September 2023 to March 2024. Responses to the survey were anonymously collected with Research Electronic Data Capture (REDCap). RESULTS: Of the 145 dermatology programs surveyed, 37 program directors responded (25.5%). 89.2% of programs reported requiring residents to participate in PSQI educational experiences, with the most common being participation in a resident-led QI project (70.3%), which was also the most commonly available experience (91.2%). The least common required experience was observed simulated patient safety events and analyses. 83.8% of programs reported formal mechanisms to assess residents' competency in QI. CONCLUSIONS: This study highlights variation in PSQI experiences within dermatology residency programs across the United States. More than 10% of surveyed programs reported no required QI experiences during residency training despite ACGME program requirements. Additional gaps include variation in assessment of resident PSQI competencies. This study provides insight on the current landscape of PSQI education across dermatology residency programs and identifies opportunities to strengthen dermatology programs' PSQI educational offerings.


Subject(s)
Dermatology , Education, Medical, Graduate , Internship and Residency , Patient Safety , Quality Improvement , Humans , Dermatology/education , Dermatology/standards , United States , Patient Safety/standards , Surveys and Questionnaires/statistics & numerical data , Clinical Competence/statistics & numerical data , Accreditation , Curriculum
6.
Am J Hematol ; 99(6): 1170-1171, 2024 06.
Article in English | MEDLINE | ID: mdl-38152978

ABSTRACT

Persistent Sweet syndrome in a patient with history of myelofibrosis thought to be in remission post-hematopoietic stem cell transplantation leads to diagnosis of molecular relapse of myelofibrosis.


Subject(s)
Hematopoietic Stem Cell Transplantation , Primary Myelofibrosis , Recurrence , Sweet Syndrome , Humans , Primary Myelofibrosis/therapy , Primary Myelofibrosis/genetics , Sweet Syndrome/etiology , Sweet Syndrome/pathology , Male , Middle Aged
14.
Dermatol Online J ; 27(1)2021 Jan 15.
Article in English | MEDLINE | ID: mdl-33560785

ABSTRACT

There are significant disparities in access to dermatologists in rural areas relative to urban areas. We examined the associations between demographic and medical school characteristics and entry into dermatology practice in urban versus rural counties. All dermatologists who graduated from U.S. allopathic or osteopathic medical schools in the 2020 Centers for Medicare & Medicaid Services Physician Compare Database were assessed. Dermatology practice locations were coded as metropolitan or non-metropolitan according to the Rural-Urban Continuum Codes. Of 10,076 dermatologists, 543 (5.4%) practiced in non-metropolitan counties. Male gender (odds ratio [OR] 1.48, 95% CI 1.23-1.77), public medical school attendance (OR 1.94, 95% CI 1.61-2.34), DO degree (OR 1.84, 95% CI 1.32-2.51), medical school location in a non-metropolitan county (OR 5.41, 95% CI 3.66-7.84), and medical school rural track program (OR 1.57, 95% CI 1.07-2.26) were associated with higher odds of non-metropolitan dermatology practice. Our findings highlight that male gender, graduation from a non-metropolitan or public medical school, DO degree, and rural tracks are associated with higher likelihood of non-metropolitan dermatology practice. These results can inform efforts within the field of dermatology to strengthen the rural dermatologist workforce and suggest that rural educational experiences during medical school may increase recruitment of rural dermatologists.


Subject(s)
Career Choice , Dermatologists/supply & distribution , Health Services Accessibility , Rural Health Services/statistics & numerical data , Schools, Medical , Urban Health Services/statistics & numerical data , Cross-Sectional Studies , Dermatology/statistics & numerical data , Female , Health Workforce , Humans , Male , United States
17.
Int J Dermatol ; 57(10): 1233-1236, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30187923

ABSTRACT

Challenge: How can clinical teachers continually improve their teaching skills? In addition to student feedback, peer and expert opinion can also provide valuable formative and evaluative feedback to guide self-improvement efforts. Here, we discuss ways to structure peer observation of teaching in dermatological settings and offer tips on how to optimize the learning experience for both the educator and peer observer.


Subject(s)
Dermatology/education , Peer Group , Quality Improvement/organization & administration , Teaching/standards , Feedback , Humans , Observation
18.
Acad Med ; 93(10): 1421, 2018 10.
Article in English | MEDLINE | ID: mdl-30252735
20.
Int J Dermatol ; 57(4): 463-466, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29528121

ABSTRACT

Challenge: The "flipped classroom" is a pedagogical model in which instructional materials are delivered to learners outside of class, reserving class time for application of new principles with peers and instructors. Active learning has forever been an elusive ideal in medical education, but the flipped class model is relatively new to medical education. What is the evidence for the "flipped classroom," and how can these techniques be applied to the teaching of dermatology to trainees at all stages of their medical careers?


Subject(s)
Dermatology/education , Education, Medical/methods , Learning , Models, Educational , Teaching , Humans , Problem-Based Learning
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