Learn From the Derm Experts

At the 2022 Fall Clinical Dermatology Conference, 5 practitioners share their best tips for treating their patients

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.