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and joined the MJH Life Sciences team in February 2023. She attended Kent State University and earned a Bachelor of Science degree in journalism with minors in public relations and creative writing. She enjoys making and listening to music, reading, and spending time with her cats, Astrid and Marceline.

Articles

Keep up with the latest headlines in dermatology from the past week, including new research into artificial intelligence skin tone bias, dermatologic care of the unhoused patient population, and more.

Derm In The News: September 24-30

The hair guru explains how he opened up the first dermatology practice dedicated to hair, pearls from his session, innovative therapies, and research he has recently submitted. 

A Hairy Q&A With Jerry Shapiro, MD

Colleen Cotton, MD, does a deep dive on pediatric atopic dermatitis and explains the importance of timing and conversations with patients about different treatments.

The Importance of Timing With Live Vaccinations in Pediatric Atopic Dermatitis

Trifarotene emerges as an effective and well-tolerated solution for acne across diverse populations.

Evaluating Efficacy of Trifarotene in Latin American Patients With Acne

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Clinical

In this episode, Gary Salman, CEO of Black Talon Security, details how to best protect your practice from data breaches and cybercriminals, as well as the risks of not implementing cybersecurity measures into your practice and what to do if a data or email breach occurs. 

The Cutaneous Connection: Episode 18-Cybersecurity Within the Dermatology Practice

Mature minor statutes exist in most jurisdictions, but courts struggle with balancing the wishes of the adolescent with the need to show they fit into one of the exceptions to the general rule.

She Was Not 18. Could She Give Informed Consent?

Experts explain tactics that should be employed during the “retirement red zone” to allow for a financially successful retirement.

The Retirement “Red Zone”: What You Need to Know to Score Financially

There are simple tools that can help us achieve the best employment contract.

5 Ways to Negotiate the Best Physician Employment Contract

David Mandell, JD, MBA, is here to help ensure new and novice clinicians understand the impact of taxes, lifestyle creep, investment plans, and more.

5 Money Mistakes Dermatologists Make and How to Avoid Them

In this month's Legal Eagle, learn what clinicians are required to disclose about their personal health ahead of performing procedures.

Disclosing Physician Health: What Is Required?

To kick off the 2nd day of informative sessions at the American Society for Dermatologic Surgery (ASDS) Meeting, Mona Gohara, MD, associate clinical professor of dermatology at the Yale School of Medicine in New Haven, Connecticut, and chair of the Media Relations Work Group of ASDS, presented best practices for young dermatologists to develop their brand and market themselves.

 She stressed that relationships and engagement with communities are crucial while building or designing a dermatologic practice.

Hi, my name is Mona Gohara. I'm a board-certified dermatologist in New Haven. I'm in private practice and an associate clinical professor of dermatology at Yale School of Medicine. So, this session really was targeted towards younger dermatologists trying to find their way in our big dermatologic worlds, and giving them tips and tricks on social media, how to establish themselves as key opinion leaders, how to work with industry, how to manage your reputation; all of these things that are very important in terms of starting in the derm worlds can be overwhelming. We really just tried to distill it into nice little bullet points and snippets to make things a little bit easier.

One of the highlights that I think was really important was understanding your passion in dermatology, what do you really want to do? And you can focus your entire development, career development professionally and personally, around that. Mine, for example, is diversity, equity, and inclusion in dermatology. Know thyself, as some famous philosopher said that. But I'm paraphrasing. That's one of the most important things.

The second thing is to really understand that in this day and age, building a practice isn't just about hiring people. And knowing dermatology, sometimes it's about having a presence outside the office, like on social media. So, this can be overwhelming. You can do it yourself or hire somebody to do it. But our session really focused on the fact that this is indeed an important part of dermatology.

The third thing I would say is that yes, all of these things can kind of seem like they're a lot, but there's always somebody to help. So, when you don't really know what direction to go in, or you don't really know how you can proceed, find yourself a mentor. The mentors are abundant, particularly in every single organization. There are opportunities to find mentorship, and if they don't know the answer, they know somebody who does.

Gohara M. How to Build and Design a Dermatologic Practice. Presented at: 2022 American Society of Dermatologic Surgery Annual Meeting, Denver Colorado, October 7-10, 2022.

Videos

Mona Gohara, MD, gives an overview and 3 highlights from her presentation, “How to Build and Design a Dermatologic Practice,” at the 2022 ASDS Annual Meeting. 

Conferences (Dont Use)

Best Tips for Building and Marketing a Dermatologic Practice  

To end an informative first day of sessions at the ASDS Annual Meeting, Patricia Farris, MD, shared key pearls on her presentation, “Business of Skin Care.” Farris and her fellow faculty member, Allison Sutton, MD, FRCPC, discussed how to successfully sell the best products in dermatology offices, and the cutting-edge sales models for web stores, retail stores, and in-office dispensing.

I'm Dr. Patty Farris. I'm a dermatologist and I'm from Metairie, Louisiana. My discussion today in the “Business of Skin Care” was around product selection. I'd like to start with a few pearls for the dispensing doctors, particularly those who may be new at dispensing. I know there's a lot of competition out there. There's a lot of websites, Amazon, Dermstore, all kinds of websites selling against us. And there's also some services that are actually trying to bring dermatologists to the internet and to the consumers directly. But those are really not your competition. Because when a patient comes into your office, they've selected you for your expertise. And you should have expertise in topical skincare. And you really do need to own that. I also think that there's such a great deal of trust and professionalism that occurs between the doctor-patient relationship, that it's important for us as dispensing doctors to remember that we're not treating consumers, we are treating our patients.

I like to very often quote my friend Ruth Tedaldi, who once said on the podium, actually at this meeting, in this very symposium, that any consultation in a dermatologist's office without the discussion of topical skincare is an incomplete consultation. Just like you wouldn't go to the dentist and they wouldn't talk to you about flossing and brushing, we need to do the same to give our patients good advice on everyday skincare.

As far as product selection goes, there are lots of dispensing companies. What I find is that each company seems to have their own niche. Some are great at antioxidants; others are better at unique anti-aging technologies. Some make great sunscreens. So, I think it's important when you're starting to stock your dispensing cabinet that you pick products from the best companies and those products that you really believe in and that you really like yourself. It'll be much easier for you to recommend those products if you're familiar with them and if you have a high level of competence in the science behind them.

To make it simple for a novice dispenser, I say you really need 3 simple skincare regimens that are created by 3 unique products. Each of these regimens contains 2 things that are in common: sunscreen and an antioxidant. These are important in all of the regiments because we need to protect the skin of course, from ultraviolet light and the damage of pollution and the damage that's caused by free radicals. The first regimen is the core regimen, the basic anti-aging regimen, and I call this the protect and repair regimen. This can be used not only in cosmetic patients, but it's also applicable to our patients with skin cancer and other types of concerns. In this particular regimen, there's an antioxidant and a sunscreen. For those patients who have skin cancer, I'd like to recommend sunscreens that contain DNA repair enzymes. These are unique sunscreens that can help patients who have lots of actinic keratosis and skin cancers. Then, I like to use in the night a retinol. I'm a believer in retinols. I know everybody likes to prescribe retinoic acid, but retinol is a much gentler molecule and a much easier molecule to use, and to access for our patients. You can sell reasonably priced retinols and as you all know, retinol gets converted to retinoic acid, and ultimately does the same thing in the intracellular level that retinoic acid does, again with much better tolerability.

The second regimen you need of course is one to treat hyperpigmentation. Again, sunscreen and antioxidants are essential in this regimen. The sunscreen should be one that contains iron oxide. So, these mineral-tinted sunscreens are great because we know that visible light up regulates pigmentation. When you're going to select your antioxidants, try to find those that are tyrosine kinase inhibitors: vitamin C, resveratrol, and phloretin. These are all known to be tyrosine kinase inhibitors.

Finally, you need a treatment product that contains one of the cosmeceutical ingredients to lighten the skin or many of them. And there are things like tranexamic acid, alpha arbutin, and kojic acid. Retinol, of course, is a great skin lightener. Sustamine is a newcomer in the marketplace. So, these are great options that you can sell in your office in the over-the-counter skin-lightening regimen.

Then the last regimen I kind of call the advanced anti-aging regimen. We all know there are those patients who cannot tolerate retinol, cannot tolerate any prescription retinoids. So, for these patients, you may want to add an alternative anti-aging technology, something like a growth factor or a peptide-containing product. There are many options that you can choose from in the sort of alternative anti-aging category. And again, each manufacturer has their own hero ingredient that you can choose from. This makes it super easy for you to have just 3 regimens. And to have 3 products in each core regimen, you may want to also carry some specialty products, things like neck and decolletage creams, and eye creams, of course, are very popular. And I always say if you want to add a fourth regimen, a very simple 3-piece anti-acne regimen is a great idea. Because it's really hard to get prescriptions covered especially for topicals. In the acne arena, adult patients need gentler products than many of our prescription products are too irritating for them. So that might be another fourth regimen that you can add.

My final bit of advice is to consider things that really let the patient understand that you are individualizing their skincare regimen. You're doing that already by selecting products based on their skin type and their skin condition. But you can also take it up a little bit further. If you use something that actually allows you to make an individual skincare product. We've utilized the custom dose in our practice for several years now. Patients love it, it allows you to select ingredients and to create an individualized, formulated serum that the patient goes home with. It's labeled with their name. And again, it's created based on their skincare concerns. So, there are lots of options for the dispensing doctor. Don't be intimidated by the competition. You're the expert. You need to own it. Enjoy.

Farris P. Business of Skin Care. Presented at: 2022 American Society for Dermatologic Surgery Annual Meeting, October 7-10, Denver Colorado.

Patricia Farris, MD, dermatologist from Metairie, Louisiana, discusses key pearls from her presentation at the American Society for Dermatologic Surgery (ASDS) Meeting. 

News 

The Business of Skin Care 

In this video interview, Peter A. Lio, MD, FAAD , discusses his presentation about pain-free dermatology at the 2022 American Academy of Dermatology annual meeting. We talk strategies, benefits, and more.

Pain-Free Dermatology: Minimizing Discomfort

In this video the OJM group talks about volatile markets and how to navigate investing in uncertain times.

How to Navigate Volatile Markets

David Mandell, JD, MB, who is an attorney and founder of the wealth management firm OJM Group in Cincinnati, Ohio and Carole Foos, CPA, a tax expert at OJM Group, talk to 

To learn more about OJM group, please visit their website 

We sit down with the experts to determine what legal and tax factors come into play when deciding on the best corporate structure for a dermatology practice. 

Legal

An In-depth Guide to a Medical Practice's Legal and Tax Options

David Mandell, JD, MB, who is an attorney and founder of the wealth management firm OJM Group in Cincinnati, Ohio and Adam Braunscheidel, who is a wealth adviser at OJM Group, talk to 

 about qualified retirement plans (QRPs).

They tackle questions about important roles needed for a medical practice's QRP, how to know if a physician is paying too high of fees for their QRP, and more.  

In this video interview, David Mandell, JD, MB, and Adam Braunscheidel, discuss why physician practices often have difficulties with retirement planning

Experts Discuss How to Know if Your Practice’s Retirement Plan at Risk

In this video, Jason O'Dell, MS, CWM explains cash balance plans. Diving into how they work, how they can save physician offices money, and why they are considered the modern retirement plan. 

In this month's OJM Group video series, Jason O'Dell, MS, CWM explains cash balance plans. 

Navigating the Savings Potential of Cash Balance Plans

Suneel Chilukuri, MD, FAAD, FACMAS, is director of cosmetic surgery and chief of dermatology & dermatologic surgery at Refresh Dermatology in Houston, Texas.

Chilukuri takes us inside his practice and reveals his top tips on how to get your practice to stand out from the rest; from offering ground-breaking procedures like QWO for cellulite to implementing strategies to stay ahead of the game. 

Suneel Chilukuri, MD, FAAD, FACMAS, takes Dermatology Times inside his practice, Refresh Dermatology located in Houston, Texas, to demonstrate how they separate themselves from competitors. 

How to Make Your Practice Stand Out

In this video interview, Klint Peebles, MD, FAAD, co-chair of the AAD LGBTQ/GSM Expert Resource Group, dives into the impacts health care policies such as the Affordable Care Act and Medicaid expansion have on gender and sexual minority patients.

Health Care Impacts on Gender and Sexual Minority Patients

Klint Peebles, MD, FAAD, co-chair of the AAD LGBTQ/GSM Expert Resource Group, discusses how to provide the best care for your gender and sexual minority patients.

Practice Management

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