CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1437
Wasiq Nadeem, Ammar Ahmed, Vinod E Nambudiri, Timmie R Mishra, Adena E Rosenblatt, Scott Worswick
{"title":"Program Leadership Perspectives on Tiered Signaling in Dermatology Residency Applications.","authors":"Wasiq Nadeem, Ammar Ahmed, Vinod E Nambudiri, Timmie R Mishra, Adena E Rosenblatt, Scott Worswick","doi":"10.12788/cutis.1437","DOIUrl":"https://doi.org/10.12788/cutis.1437","url":null,"abstract":"<p><p>Preference signaling is an increasingly important component of the dermatology residency application process, yet perspectives on the current tiered signaling model remain incompletely understood. We surveyed US dermatology residency leadership and faculty to evaluate experiences with and opinions of the existing system. Overall, respondents expressed broad support for tiered preference signaling while identifying opportunities to improve consistency, equity, and transparency. Areas for potential refinement included guidance for special applicant groups, interpretation of signals, and the role of geographic preference. Ongoing evaluation of the signaling process may help optimize residency selection for both applicants and programs.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"52-55"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180071","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":"Board-Certified Dermatologists as \"Skinfluencers\": What Makes Them Famous and Keeps Them Trending?","authors":"Ahsan Raza Raja, Zoha Zahid Fazal, Tayyab Ihsan, Aisha Sethi","doi":"10.12788/cutis.1433","DOIUrl":"https://doi.org/10.12788/cutis.1433","url":null,"abstract":"<p><p>Although dermatologists increasingly act as social media (SM) influencers who create skin care and dermatology content, platform-specific drivers of their popularity remain unclear. In this study, we aimed to identify factors associated with a higher follower count among American Board of Dermatology-certified dermatologists on Instagram and TikTok. We also summarized high-engagement content themes. Using platform analytics, we short-listed board-certified dermatologist (BCD) accounts with 100,000 followers or more and abstracted activity metrics. Fame was defined as 100,000 followers or more on both platforms. Group differences were assessed using independent-sample t tests, Mann-Whitney U tests, and χ<sup>2</sup> tests, as appropriate; correlations were assessed using Spearman rank correlation (P<.05). Sixty-five BCDs met the inclusion criteria, contributing 129 accounts (65 Instagram; 64 TikTok); 37 (56.9%) met the definition of fame described above. On Instagram, famous BCDs had more total posts (1900 vs 1100; P=.010), more YouTube subscribers (680,000 vs 48,000; P<.001), and larger TikTok followings (1,600,000 vs 110,000; P<.001). On TikTok, famous BCDs had more total posts (1300 vs 324; P<.001), greater research output (1.4 vs 0.8 articles/y; P=.045), larger Instagram followings (690,000 vs 140,000; P<.001), and more YouTube subscribers (680,000 vs 48,000; P<.001). TikTok followers correlated with total TikTok posts (r=0.807; P<.001), and Instagram followers (r=0.471; P<.001) were inversely correlated with age and years in practice. High-engagement themes centered on diagnoses/skin care and procedures, often via treatment tips and duet/reaction formats. Cross-platform presence and higher posting volume were associated with higher follower counts; on TikTok, higher research output also aligned with fame.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"66-70"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180048","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1434
Alina G Bridges, Kelly Frasier
{"title":"The Relative Value Scale Update Committee: Understanding How Dermatologists' Work Is Valued.","authors":"Alina G Bridges, Kelly Frasier","doi":"10.12788/cutis.1434","DOIUrl":"https://doi.org/10.12788/cutis.1434","url":null,"abstract":"<p><p>Most dermatologists work daily with Current Procedural Terminology (CPT) codes and relative value units but have limited insight into how those values are set. This column reviews the American Medical Association (AMA)/Specialty Society Relative Value Scale Update Committee (RUC), the expert panel that recommends physician work and practice-expense values to the Centers for Medicare & Medicaid Services (CMS). We describe the RUC's composition, dermatology's representation through the American Academy of Dermatology (AAD), and the pathway by which a code is valued or revalued. Central to that pathway is the RUC survey, through which practicing physicians supply the time and intensity estimates that anchor each recommendation; we outline what the survey asks and offer practical guidance for completing one. Because the dollar value of an relative value unit (RVU) is set by the congressionally controlled Medicare conversion factor, we also summarize current payment-reform legislation and avenues for dermatologist advocacy.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"46-49"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180107","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1429
Ela Gazal, Amor Khachemoune
{"title":"Anesthetic Blister Formation for Biopsy-Site Identification Prior to Mohs Micrographic Surgery.","authors":"Ela Gazal, Amor Khachemoune","doi":"10.12788/cutis.1429","DOIUrl":"https://doi.org/10.12788/cutis.1429","url":null,"abstract":"<p><p>Confirming biopsy sites before Mohs micrographic surgery can be difficult when wounds have healed clinically and documentation is limited, risking wrong-site surgery. We describe a simple intraoperative adjunctive technique: a focal blister that may form at a recent biopsy site during slow intradermal local anesthetic infiltration. This finding may reflect transient immaturity of anchoring fibrils during early wound remodeling and appears to occur most often within the first few weeks after biopsy. Although it requires no extra equipment and can help confirm a carefully chosen presumptive site, it should be used only as an adjunct to standard evaluation, not as proof or a reason to inject multiple sites. Prospective studies are needed to define its accuracy and optimal timing.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"63-70"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180037","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1430
Faranak Kamangar
{"title":"The Art of Asking: Prompting AI for Clinical Practice.","authors":"Faranak Kamangar","doi":"10.12788/cutis.1430","DOIUrl":"https://doi.org/10.12788/cutis.1430","url":null,"abstract":"<p><p>The quality of AI-generated output depends largely on how effectively the user constructs the prompt. This article provides a practical framework for developing effective prompts for dermatology applications by outlining 5 core components: persona, task, context, format, and constraints. It also describes strategies to optimize interactions with AI, including iterative prompting, meta-prompting, voice-to-text input, and requesting clarifying questions before AI generates a response. By applying these prompting principles, dermatologists can improve the relevance and utility of AI-assisted outputs for clinical documentation, patient education, and administrative tasks while maintaining appropriate clinical oversight.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"50-51"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180092","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1431
Priyansh Gupta, Priyanka Sangwan, Payal Chauhan
{"title":"Erythematous Infiltrated Papules and Plaques on the Forehead.","authors":"Priyansh Gupta, Priyanka Sangwan, Payal Chauhan","doi":"10.12788/cutis.1431","DOIUrl":"https://doi.org/10.12788/cutis.1431","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"34-65"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180023","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1435
George Han, Ann M Hoppel, Alicia Sonners
{"title":"Managing Secondary Loss of Response to IL-23 Biologics: Insights From George Han, MD, PhD.","authors":"George Han, Ann M Hoppel, Alicia Sonners","doi":"10.12788/cutis.1435","DOIUrl":"https://doi.org/10.12788/cutis.1435","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"71-72"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180097","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1436
Alondra Soto-González, Kerely Lorenzo-Méndez, Itzamar Pastrana-Echevarría, Sariemma Méndez-Rodríguez, Andrea Ortiz-Echevarría, Laura S Bermúdez-Martínez, Fabiana D García-Muñoz, Laura I Ortiz-López, Zelma C Chiesa Fuxench
{"title":"Cutaneous Toxicities of Cancer Therapy in Hispanic and Latino Adults.","authors":"Alondra Soto-González, Kerely Lorenzo-Méndez, Itzamar Pastrana-Echevarría, Sariemma Méndez-Rodríguez, Andrea Ortiz-Echevarría, Laura S Bermúdez-Martínez, Fabiana D García-Muñoz, Laura I Ortiz-López, Zelma C Chiesa Fuxench","doi":"10.12788/cutis.1436","DOIUrl":"https://doi.org/10.12788/cutis.1436","url":null,"abstract":"<p><p>Cutaneous toxicities are common during cancer therapy and can affect treatment adherence and quality of life but often are underrecognized. Hispanic and Latino patients, many with darker skin tones, may face unique challenges in the presentation, recognition, and long-term effects. In our literature review, reported toxicities included dermatitis, vitiligo, rash, maculopapular exanthema, panniculitis, nail toxicity, and other hypersensitivity reactions. Radiotherapy toxicities were most consistently reported, with rates of moderate to severe dermatitis similar to prior research, but patients with skin of color often experienced more persistent pigmentary changes and long-term symptoms. Immune checkpoint inhibitor toxicities were reported less consistently, and limited representation prevented meaningful assessment of differences by ethnicity. Overall, this review highlights the need for better reporting and more inclusive research on dermatologic toxicities in Hispanic and Latino patients undergoing cancer treatment.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"56-59"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180046","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}
CutisPub Date : 2026-08-01DOI: 10.12788/cutis.1426
Natalia V Chalupczak, Jose W Ricardo, Shari R Lipner
{"title":"Persistent Gaps in Inclusion of Racial and Ethnic Minorities in Nail Psoriasis Randomized Clinical Trials: A Systematic Review.","authors":"Natalia V Chalupczak, Jose W Ricardo, Shari R Lipner","doi":"10.12788/cutis.1426","DOIUrl":"https://doi.org/10.12788/cutis.1426","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 2","pages":"60-62"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180028","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}