Albert E. Zhou MD, PhD , Elaine Flynn BA , Timothy Klufas BA , Shannon Hanggodo BS , Neelesh P. Jain MD , Jane M. Grant-Kels MD
{"title":"Ethics of residency candidates using application consulting services","authors":"Albert E. Zhou MD, PhD , Elaine Flynn BA , Timothy Klufas BA , Shannon Hanggodo BS , Neelesh P. Jain MD , Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2024.08.011","DOIUrl":"10.1016/j.clindermatol.2024.08.011","url":null,"abstract":"<div><div>Although the prevalence is still being determined, more medical students are using application consulting companies when applying to competitive residencies such as dermatology. We outline the structure of these companies, the scope of services provided, and the associated costs. We also discuss the ethical implications of using such firms in the residency application process and the impact of these practices on the candidate selection process. Finally, we offer possible solutions and measures that mitigate the impact of the use of consulting firms in residency applications.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 105-107"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the skin—International art and science project","authors":"Yehudah Roth MD , Guenter Burg MD , Uwe Wollina MD","doi":"10.1016/j.clindermatol.2024.10.001","DOIUrl":"10.1016/j.clindermatol.2024.10.001","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 81-82"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathyana P. Santiago Mangual BA , Eryn Patin BS , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH
{"title":"Part III: Navigating an encounter with a trafficked person in the dermatology clinic","authors":"Kathyana P. Santiago Mangual BA , Eryn Patin BS , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH","doi":"10.1016/j.clindermatol.2024.09.026","DOIUrl":"10.1016/j.clindermatol.2024.09.026","url":null,"abstract":"<div><div>Patients experiencing or having experienced trafficking frequently interact with the health care system, highlighting the need for health care providers to be equipped with the appropriate tools to serve these patients effectively. The third part of this series focuses on navigating encounters with trafficked persons within the dermatology clinic, emphasizing the importance of trauma-informed, patient-centered care. We reviewed the barriers trafficked patients face and mechanisms to overcome them, the importance of comprehensive needs assessments, and the implementation of effective health care protocols. We additionally review the role of dermatologists in mandatory reporting and the use of appropriate International Classification of Diseases, Tenth Revision codes for documenting a potential trafficking victim encounter in the electronic medical record. We conclude with recommendations for specialized training, emphasizing the critical role dermatologists play in identifying and supporting trafficked patients within the health care system.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 127-133"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jahleel Perrin BS , Jessica Norman BS , Francisco Padron MD , Sheryl Hoyer MD
{"title":"Skin Cancer Rates and Patterns of Sunscreen Use in Black and Latino Communities in the U.S: A Review","authors":"Jahleel Perrin BS , Jessica Norman BS , Francisco Padron MD , Sheryl Hoyer MD","doi":"10.1016/j.clindermatol.2024.12.001","DOIUrl":"10.1016/j.clindermatol.2024.12.001","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 89-91"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathyana P. Santiago Mangual BA , Eryn Patin BS , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH
{"title":"Part I: Health issues of those experiencing trafficking: Background and context for dermatologists","authors":"Kathyana P. Santiago Mangual BA , Eryn Patin BS , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH","doi":"10.1016/j.clindermatol.2024.09.024","DOIUrl":"10.1016/j.clindermatol.2024.09.024","url":null,"abstract":"<div><div>Human trafficking is a global human rights violation affecting millions of individuals across diverse demographic characteristics with severe health consequences. Despite the frequent interactions that exploited individuals have with health care systems, many remain unrecognized, positioning health care providers, including dermatologists, as critical first responders. In the first part of this three-paper series, we discuss the current landscape of human trafficking from a health care perspective, emphasizing the role of dermatologists in recognizing and responding to this issue. This paper reviews the current understanding of trafficking, outlines the epidemiology and legal framework surrounding it, and discusses gaps in training for health care providers and policy that may hinder effective identification and intervention. It also explores state and national efforts to incorporate human trafficking education into health care training, emphasizing the need for standardized, trauma-informed approaches within dermatology. By fostering awareness and advocacy within the dermatology community, this paper aims to contribute to the broader efforts to combat human trafficking and improve the care and support provided to this patient population.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 111-118"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eryn Patin BS , Kathyana P. Santiago Mangual BA , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH
{"title":"Part II: Skin signs of human trafficking and intervention by dermatologists","authors":"Eryn Patin BS , Kathyana P. Santiago Mangual BA , McKamie Chandler JD , Jane M. Grant-Kels MD , Laura J. Lederer JD , Arianne Shadi Kourosh MD, MPH","doi":"10.1016/j.clindermatol.2024.09.025","DOIUrl":"10.1016/j.clindermatol.2024.09.025","url":null,"abstract":"<div><div>Human trafficking is a pervasive global health and human rights issue. The skin often bears the early and most visible signs of abuse and exploitation. Despite the visible nature of their trauma, affected patients frequently go unrecognized within health care settings due to a lack of standardized guidelines for identifying the dermatologic manifestations of trafficking. Herein, we address these challenges by equipping dermatologists and health care teams with the necessary tools to recognize, treat, and report the skin signs of human trafficking. In doing so, we hope to emphasize the importance of early identification and intervention, as well as bring awareness to critical signs, including dermatologic evidence of abuse, infectious diseases, sexually transmitted infections, substance use, and branding. In understanding this, we can bring awareness to dermatologists’ critical role in caring for this patient population and their associated cutaneous manifestations. By advancing knowledge in this area, we hope to enhance the capacity of dermatologists to support trafficked individuals.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 119-126"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Philip R. Cohen MD , Barbara Joyce Cohen BA , Lawrence Charles Parish MD, MD (Hon), FRCP (Edin) , Leonard J. Hoenig MD
{"title":"Send in the clowns: A special tribute to medical clowning and clown eponyms in dermatology","authors":"Philip R. Cohen MD , Barbara Joyce Cohen BA , Lawrence Charles Parish MD, MD (Hon), FRCP (Edin) , Leonard J. Hoenig MD","doi":"10.1016/j.clindermatol.2024.09.027","DOIUrl":"10.1016/j.clindermatol.2024.09.027","url":null,"abstract":"<div><div>Clowns have long delighted circus crowds and are celebrated not only in popular culture but also in the dermatology literature as medical eponyms. This contribution discusses four such eponyms: (1) clown nose–like lesion, (2) clown eczema (perioral dermatitis), (3) clown alopecia pattern in frontal fibrosing alopecia, and (4) clown's face of Brachman de Lange syndrome (Cornelia de Lange syndrome). This contribution also highlights the role of medical clowning in patient care by paying tribute to Cobo the Clown, also known as Barbara Joyce Cohen, who has served as a dedicated caring clown for more than 30 years.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 100-104"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodolfo Valentini BS , Julia Quinn BS , Michael J. Murphy MD
{"title":"Nevoid melanoma","authors":"Rodolfo Valentini BS , Julia Quinn BS , Michael J. Murphy MD","doi":"10.1016/j.clindermatol.2025.01.012","DOIUrl":"10.1016/j.clindermatol.2025.01.012","url":null,"abstract":"<div><div>Nevoid melanoma is a rare subtype of melanoma that is regarded as one of the most difficult to diagnose. It clinically and histopathologically resembles a benign nevus, often resulting in misdiagnosis and allowing the skin cancer to progress further before it is identified. It presents clinically as an elevated brown papillomatous polypoid lesion on the trunk, arms, or legs; microscopically, it is defined by its relative symmetry, deep mitoses, and nevus-like melanocytes. In recent decades, studies have been carried out to understand nevoid melanoma and how it develops, progresses, and can be better identified. Technologic advancements in dermatoscopy, microscopy, and immunohistochemistry have allowed dermatologists and pathologists to have a better understanding of this variant of melanoma to permit an earlier diagnosis. Although nevoid melanoma is not any less aggressive or harmful than other subtypes of melanoma, delayed diagnosis of this skin cancer can be associated with adverse patient outcomes.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 29-35"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louis J. Born MD, PhD , Yazmeen Tembunde BS , Marcia S. Driscoll MD, PharmD , Jane M. Grant-Kels MD
{"title":"Melanoma and melanocytic nevi in pregnancy","authors":"Louis J. Born MD, PhD , Yazmeen Tembunde BS , Marcia S. Driscoll MD, PharmD , Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2025.01.017","DOIUrl":"10.1016/j.clindermatol.2025.01.017","url":null,"abstract":"<div><div>A changing melanocytic nevus during pregnancy should be biopsied promptly. For women with the dysplastic nevus syndrome, there may be more changes in nevi during pregnancy, requiring close monitoring. Melanoma is one of the most common malignancies that occurs during pregnancy. Those diagnosed with a localized melanoma before, during, or after pregnancy do not have an altered prognosis; however, a few studies have noted thicker melanomas and poorer prognosis when melanoma is diagnosed in the first year postpartum, possibly due to a delay in diagnosis. Although local excision of melanomas can be performed safely during pregnancy, sentinel lymph node biopsy during pregnancy is controversial for the timing and method. There are safe methods of imaging with some special precautions for staging in pregnant women. Systemic therapy requires an interdisciplinary team to assist in patient decision-making because some of these agents are teratogenic. There is no reason to withhold combined estrogen-progestin oral contraceptives or menopausal hormone therapy in those with a previous diagnosis of melanoma, nor should future pregnancies be delayed in those diagnosed with localized melanoma. Only limited data are available concerning prognosis for women with a melanoma diagnosis after <em>in vitro</em> fertilization.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 71-77"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood and adolescent melanoma: An update","authors":"Patrick McMullan PhD , Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2025.01.010","DOIUrl":"10.1016/j.clindermatol.2025.01.010","url":null,"abstract":"<div><div>Pediatric melanoma is a rare but clinically significant public health concern, as it accounts for 7% of all malignancies in adolescents aged 15 to 19. Given the overall rarity of pediatric melanoma, especially in preadolescents, patients can go undetected, leading to a delay in treatment. We divide pediatric melanoma subtypes into three distinct age ranges—infantile, preadolescent, and adolescent—and distinguish the clinical features, prognosis, and associated risk factors of each age range. We next summarize the three predominant melanoma subtypes—Spitzoid melanoma, congenital melanocytic nevus-associated melanoma, and conventional (adult-type) melanoma—and provide distinguishing clinical, histologic, and genetic features from their difficult-to-differentiate benign counterparts. We conclude by reviewing consensus guidelines for pediatric melanoma staging and treatment, with a special emphasis on outlining barriers to adapting the advancements in targeted therapeutics into the standard care of pediatric melanoma.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 16-23"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}