Episoder
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Summary
Janelle Ball, the CEO and founder of BC Educators, discusses the importance of having a dedicated biologic coordinator in dermatology offices to streamline the prior authorization process for specialty medications. She emphasizes the need for proper documentation and education to ensure patients have access to the medications they need. BC Educators offers virtual coordinators and training to support offices in this role. Janelle also highlights the challenges of navigating insurance requirements and the importance of collaboration and networking among coordinators. She sees the future of dermatology involving more biologics and specialty medications, making the role of the biologic coordinator even more crucial.
Takeaways:
Having a dedicated biologic coordinator in dermatology offices can streamline the prior authorization process for specialty medications. Proper documentation and education are essential for ensuring patients have access to the medications they need. BC Educators offers virtual coordinators and training to support offices in the role of the biologic coordinator. Collaboration and networking among coordinators can help navigate insurance requirements and share best practices. The future of dermatology will likely involve more biologics and specialty medications, making the role of the biologic coordinator even more crucial.
Chapters
00:00 Introduction and Background
06:45 Streamlining Workflow in Dermatology Offices
12:47 The Role of the Biologic Coordinator
23:20 The Future of Dermatology
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Summary
Dr. Farah Kamangar interviews Dr. Whitney Tolpinrud, the Medical Director at Curology, a personalized skincare service. They discuss the journey that led Dr. Tolpinrud to her current position and the inefficiencies of traditional clinical practice. They also explore the founding of Curology and its mission to provide accessible and personalized dermatological care through telemedicine. Dr. Tolpinrud shares her experience as the Medical Director and the various aspects of her role, including product development, marketing, and clinical research. They discuss the future of dermatology, emphasizing the importance of personalized medicine and the integration of technology, such as AI, into medical practice.
Takeaways
Traditional clinical practice can be inefficient and limit the number of patients that can be seen.Telemedicine offers a more scalable and accessible solution.Curology is a personalized skincare service that provides telemedicine consultations and customized prescription treatments.The company was founded by a dermatologist and focuses on treating conditions like acne through a telemedicine platform.Dr. Tolpinrud serves as the Medical Director at Curology and is involved in product development, marketing, clinical research, and maintaining high medical standards.The future of dermatology involves personalized medicine, utilizing individual bio data and genetics, as well as the integration of technology, such as AI, into medical practice.Chapters
00:00 - Introduction and Background
05:07 - Curology: Personalized Skincare through Telemedicine
11:35 - The Future of Dermatology: Personalized Medicine and Technology
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Manglende episoder?
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Summary
Dr. Tina Bhutani shares her journey to becoming a dermatologist and the challenges she faced along the way. She emphasizes the importance of being proactive in interviews and marketing oneself effectively. Dr. Bhutani also discusses the rewards and challenges of working in an academic setting, including the bureaucracy and administrative burdens. She highlights the significance of clinical trials and her interest in studying lifestyle modifications and their impact on skin disease. However, she acknowledges the difficulty of getting funding for these types of studies. In this conversation, she discusses her busy life as a dermatologist and the importance of patient-centered research and accessible clinical trials. Dr. Bhutani and Dr. Fara also talk about Dr. Bhutani's book that she co-authored on the use of biologics in psoriasis treatment. The conversation covers various chapters of the book, including laboratory monitoring, TNF-alpha inhibitors, IL-17 class of biologics, combination therapies, biologic agents for pediatric psoriasis, special site psoriasis, comparing biologic agents, long-term registry data, biologic agents in special populations, and adherence to biologic therapy. Dr. Fara and Dr. Bhutani emphasize the importance of individualizing treatment and having open conversations with patients about their preferences and needs.
Takeaways
Be proactive in interviews and market yourself effectivelyWorking in an academic setting has rewards and challengesClinical trials are important for providing access to treatmentsStudying lifestyle modifications and their impact on skin disease is valuableObtaining funding for non-traditional studies can be challengingPatient-centered research and accessible clinical trials are important for improving dermatology treatmentsDr. Bhutani's book on the use of biologics in psoriasis treatment provides practical guidance and evidence-based recommendationsTNF-alpha inhibitors are still valuable in psoriatic arthritis treatmentIL-17 class of biologics work quickly and are effective for tough-to-treat areasCombination therapies can be beneficial for patients who have already tried monotherapyTreating special site psoriasis is important for improving quality of life and preventing comorbiditiesComparing biologic agents is challenging due to individual patient factors and access issuesLong-term registry data provides reassurance about the safety and efficacy of biologic agentsSpecial populations, such as pregnant women and the elderly, require careful consideration in biologic therapyAdherence to biologic therapy is crucial, and treatment should be tailored to individual patient preferences and needsChapters
00:00 Introduction and Background
08:39 Navigating the Challenges of an Academic Setting
29:27 The Value of TNF-alpha Inhibitors in Psoriatic Arthritis
36:04 Comparing Biologic Agents: Challenges and Considerations
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Summary
In this episode, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the challenges of accessing newer dermatology medications and the importance of proper documentation for prior authorization. They also touch on the use of patient coupons and the requirements set by insurance companies. The conversation highlights the need for clear and thorough notes, including previous treatments and failed therapies. The hosts emphasize the importance of advocating for patients and using all available resources to navigate the access process. They also discuss the potential role of AI in streamlining the prior authorization process.
This episode is sponsored by an educational grant from the company Dermavant.
Takeaways
Accessing newer dermatology medications can be challenging due to the paperwork and prior authorization process.Patient coupons are available for some medications, but the reasons behind their existence are not always clear. Insurance companies often require documentation of previous treatments and failed therapies before approving newer medications.Thorough and clear notes are essential for successful prior authorization, including details of previous treatments and justifications for prescribing specific medications.Advocacy for patients and utilizing available resources can help navigate the access process.AI has the potential to streamline the prior authorization process and reduce the burden on healthcare providers. -
Summary
In this episode, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the efficacy and safety of Tapinarof, a non-steroidal topical therapy for psoriasis and atopic dermatitis. They highlight the impressive results of clinical trials, with 35-40% of psoriasis patients achieving clear or almost clear skin after 12 weeks of treatment. They also discuss the potential benefits of Tupinarof for atopic dermatitis patients. The side effects of folliculitis and headaches are mentioned, but overall, patients tolerate the medication well. The episode concludes with a discussion on the future of Tapinarof, including potential pediatric indications.
This episode is sponsored by an educational grant from the company Dermavant.
Takeaways
Tapinarof is a non-steroidal topical therapy that has shown impressive efficacy in treating psoriasis, with 35-40% of patients achieving clear or almost clear skin after 12 weeks of treatment.The medication is also being studied for its effectiveness in treating atopic dermatitis, with early data showing promising results.Common side effects of Tapinarof include folliculitis and headaches, but overall, patients tolerate the medication well.The future of Tapinarof may include pediatric indications, which would be beneficial for parents looking for non-steroidal treatment options for their children.Gentle skincare techniques and moisturization may also play a role in managing psoriasis and improving skin barrier function. -
Summary
In this episode of the Future of Dermatology podcast, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the mechanism of action of aryl hydrocarbon receptors (AHR) and its potential in dermatology. They explore the history of AHR and its connection to coal tar, as well as its role in inflammation, antioxidant activity, and metabolism. They also touch on the importance of considering the impact of circadian rhythms and sleep on skin health. The conversation highlights the potential of AHR-targeted therapies in achieving longer remissions and the need to view psoriasis patients as a whole, addressing comorbidities and environmental factors. The episode concludes with a discussion on the future of dermatology, including the possibility of directly targeting resident memory T cells and the further exploration of AHR mechanisms.
This episode is sponsored by an educational grant from the company Dermavant.
Takeaways
Aryl hydrocarbon receptors (AHR) have a complex mechanism of action and can have anti-inflammatory, antioxidant, and metabolic effects.AHR-targeted therapies, such as tofacitinib, have shown promise in achieving longer remissions in psoriasis patients.Considering the impact of circadian rhythms and sleep on skin health is important, as sleep loss can increase inflammation and affect skin diseases.Psoriasis patients should be viewed as a whole, addressing comorbidities and environmental factors.The future of dermatology may involve directly targeting resident memory T cells and further exploring the mechanisms of AHR.AHR-targeted therapies may offer new possibilities for treating inflammatory skin diseases and achieving longer remissions.Chapters
00:00 Introduction02:24 Understanding the Mechanism of Action of Aryl Hydrocarbon Receptors09:07 The Impact of Circadian Rhythms and Sleep on Skin Health12:43 Viewing Psoriasis Patients as a Whole16:39 The Potential of AHR-Targeted Therapies in Achieving Longer Remissions22:35 Exploring the Mechanisms of Aryl Hydrocarbon Receptors -
Summary
In this follow up episode, Dr. Wilson Liao shares insights on the benefits of a research year for medical students and offers advice on transitioning back to medical school. He and SFDS Med Student, Chandler Johnson, also discuss the future of dermatology and the role of team science in advancing research.
Takeaways
A research year provides medical students with valuable skills and insights into the field of dermatology.Transitioning back to medical school requires a clinical refresher and practicing essential clinical skills.Team science and collaboration are key to advancing dermatology research and finding better treatments for patients. -
Summary
In this episode, Dr. Wilson Liao discusses the genetics and environmental triggers of psoriasis. He highlights the significant progress made in identifying psoriasis genes and how they relate to the different types and severity of psoriasis. Dr. Liao also explores the connection between psoriasis genes and therapeutic response, as well as the potential for precision medicine in psoriasis treatment. The conversation delves into the evolutionary persistence of psoriasis and its survival advantage in fighting off viruses. The role of environmental triggers, such as obesity, diet, and smoking, is also examined. Additionally, Dr. Liao and Chandler Johnson discuss their current research studies, including the Skin Tracker Project and capillary blood testing. In this conversation, Dr. Wilson Liao and Chandler Johnson discuss various research projects and clinical trials in dermatology. They explore the use of RNA and proteins in research, the importance of studying multiple aspects of autoimmune disease, and ongoing psoriasis survey studies. They also delve into the impact of menopause on psoriasis and the relationship between sleep and psoriasis.
Takeaways
Significant progress has been made in identifying over 100 psoriasis genes, which has led to a better understanding of the different types and severity of psoriasis.Genetic testing can help predict therapeutic response and guide treatment decisions, with the potential for precision medicine in psoriasis.Psoriasis genes may have persisted evolutionarily due to their role in fighting off viruses, as seen in the similarities between psoriasis patients and HIV non-progressors.Environmental triggers, such as obesity, diet, and smoking, can contribute to the development and severity of psoriasis.Current research studies, including the Skin Tracker Project and capillary blood testing, aim to improve accessibility to clinical trials and provide insights into the molecular mechanisms of psoriasis. Research in dermatology involves studying RNA, proteins, and multiple aspects of autoimmune disease.Psoriasis survey studies are being conducted to explore the impact of menopause and sleep on psoriasis.Help us understand how psoriasis affects you
Help Us Understand More About Sleep and Psoriasis Are you interested in helping researchers understand how psoriasis and sleep are related?
Please consider taking our paid online survey. Recruiting both individuals with and without psoriasis. https://redcap.ucsf.edu/surveys/?s=RLFR379LNL4RFTTF
Help Us Understand About Menopause and Psoriasis Are you interested in helping researchers understand how psoriasis and menopause are related?
Please consider taking our paid online survey. Recruiting post-menopausal women with psoriasis. https://redcap.ucsf.edu/surveys/?s=JYTNX3XKDC84J3DX
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Summary:
Dr. Keira Barr, MD, shares her non-traditional journey in dermatology and her focus on the mind-body connection in skin health. She discusses the harmful phrase "anti-aging" and the need to shift the conversation to a more positive and empowering approach. Dr. Barr also highlights the challenges and complexities of cosmetic dermatology consultations and the importance of addressing the psychological aspects of these procedures. She emphasizes the connection between mental health and skin health, particularly in relation to stress and trauma. Dr. Barr advocates for a more holistic and personalized approach to dermatology, incorporating mind-body techniques and personalized medicine. In this conversation, Dr. Keira Barr discusses the importance of skin health and provides insights into common skin conditions, prevention and treatment methods, and the role of skin care products. She also emphasizes the importance of skin cancer awareness and highlights the connection between skin health and overall well-being.
Takeaways:
The phrase 'anti-aging' is harmful and should be replaced with a more positive and empowering approach to aging.Cosmetic dermatology consultations require addressing the psychological aspects of the procedures and understanding the motivations behind them.The mind-body connection is crucial in dermatology, as stress and trauma can impact skin health.Physicians need to prioritize building a connection with their patients and addressing their mental and emotional well-being.The future of dermatology lies in a more holistic and personalized approach, incorporating mind-body techniques and personalized medicine. Maintaining healthy skin is essential for overall well-being.Common skin conditions can be effectively prevented and treated with proper care. Choosing the right skin care products is crucial for maintaining skin health.Regular skin cancer screenings and awareness are important for early detection and treatment.Skin health is interconnected with overall physical and mental well-being.Learn more from Dr. Barr at:
Website: drkeirabarr.com
Skincare Quiz: yourskincarequiz.com
Podcast: The Skinny Dipping Rx: https://podcasts.apple.com/us/podcast/the-skinny-dipping-rx/id1635601527
Instagram: @drkeirabarr
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Summary
In this episode, Dr. Farah Kamangar discusses the effects of alcohol on the skin. She highlights the importance of considering alcohol consumption as a potential factor in dermatological conditions such as rosacea, eczema, and psoriasis. Dr. Kamangar also explains the guidelines for alcohol consumption and emphasizes the need to follow them to maintain skin health. Additionally, she explores the impact of alcohol on the immune system and its contribution to skin aging.
Takeaways
Alcohol consumption can lead to various skin conditions, including rosacea, eczema, and psoriasis.It is important to understand the guidelines for alcohol consumption and follow them to maintain skin health.Excessive alcohol intake can weaken the immune system and increase the risk of skin cancers.Alcohol can contribute to premature aging of the skin.Chapters
00:00
Introduction
00:32
Alcohol and its effects on the skin
03:14
Guidelines for alcohol consumption
04:10
Effects of alcohol on the skin
05:02
Alcohol and rosacea
06:28
Alcohol and other skin conditions
08:23
Alcohol and immune system
09:19
Alcohol and aging
09:49
Conclusion
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Summary
In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar discusses the shift from anti-aging to longevity in the field of dermatology. She explores the changing beauty standards and the desire to look more youthful and functionally enhanced. Dr. Kamangar also delves into the causes of aging, such as the fibroblast collapse theory, and the importance of behavioral changes and topical treatments for anti-aging. She highlights the role of retinoids in collagen production and introduces emerging therapies for anti-aging, including mTOR inhibitors and senolytics. The episode concludes with a discussion on the controversies surrounding the diagnosis of aging.
Takeaways
The focus in dermatology has shifted from anti-aging to longevity and health span.Behavioral changes, such as sun protection and stress reduction, are important for anti-aging.Topical treatments like retinoids can stimulate collagen production and improve skin health.Emerging therapies, including mTOR inhibitors and senolytics, show promise in anti-aging research. -
This podcast kicks off our anti-aging segment starting with Dr. Azadeh Shirazi, MD, FAAD, from More Than a Pretty Face Podcast, as she discusses her background, journey, and current practice in dermatology. Dr. Shirazi emphasizes the importance of social media and online education in connecting with patients and providing valuable information. She also shares her experience transitioning from a large corporate practice to opening her own private practice. She highlights the benefits of having a personalized, boutique practice and the challenges she has faced. Additionally, Dr. Shirazi talks about the creation of her skincare line and the comprehensive approach she takes in formulating her products.
Learn more at: https://azimdskincare.com/ Listen to Dr. Azi's podcast, More Than a Pretty Face, at https://morethanaprettyface.libsyn.com/
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In our second Ask Me Anything, host Payton Smith asks Dr. Faranak Kamangar questions around patch testing for contact allergies, the difference between patch testing done by dermatologists and allergists, the use of oral minoxidil for hair loss, treatment options for chronic itch, the difference between emollients and lotions, the effectiveness of argireline and tretinoin for wrinkle reduction, the frequency and safety of micro-needling, and the treatment of scars.
Check out our shorts for the quick answers then come back to this podcast to learn more! https://www.youtube.com/@TheFutureofDermatology/shorts
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Dr. Kamangar and Dr. Sarah Arron disucss non-invasive skin imaging which allows dermatologists to see beneath the surface of the skin without the need for biopsies. They also chat about the VIO system, the first of its kind technology.
To learn more, check out these articles and websites:
Enspectra Health Announces US FDA Clearance of VIO™ System, First of Its Kind Technology to Visualize Skin Cellular Structures in Real-Time
Enspectra Health Website
Research Techniques Made Simple: Emerging Imaging Technologies for Noninvasive Optical Biopsy of Human Skin
UCSF Rosenman Institute
Fogarty Innovation
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In this episode, Dr. Kamangar and Dr. Maria Buethe discuss the importance of providing childcare at educational conferences for young physicians. They reflect on their experience organizing a kids club at SF Derm 100 year Symposium in 2023, and the positive impact it had on attendees. They highlight the need for inclusive and high-quality childcare options to support physicians in attending conferences and advancing their careers. They also discuss the cost and sustainability of implementing such initiatives and the potential for sponsorship. The episode concludes with a discussion on the future of dermatology and the excitement around targeted therapies.
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Dr. Kamangar chats with Doctors Kathy Fields, Greg Morganroth, David Murad, and Jason Hawkes, who all provide valuable insight into being a dermatologist and prioritizing and balancing a fulfilling life. Dr. Jason Hawkes asks us to consider sustainability in how one approaches their schedule and what might reasonable bandwidth look like. Dr. Morganroth asks the question - what type of lifestyle do you want and use that to determine how you can create balance in your life. Dr. Fields urges people to nurture your family and keep them in mind when balancing a fulfilling life.
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Dr. Kamangar chats with Doctors Kathy Fields, Greg Morganroth, David Murad, and Jason Hawkes, who all provide valuable insight into being a dermatologist and what financial considerations they've had to make and how they've negotiated their salaries. Dr. Kathy Fields talks about building your private practice and earning your credibility. Dr. Greg Morganroth shares about the differences of salaries based on location and where you might want to spend your career. Dr. David Murad talks about unrealistic salary goals especially right out of med school and knowing your end goal for retirement. Dr. Jason Hawkes talks about lack of education when it comes to the business side of dermatology, and how residents and med students don't have proper guidance when it comes to negotiating an appropriate salary. This is an episode you don't want to miss as you start trying to negotiate your own salary.
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Dr. Kamangar chats with Doctors Kathy Fields, Greg Morganroth, David Murad, and Jason Hawkes, who all provide valuable insight into being a dermatologist and their journey and drive in this field. Recorded in 2022, these passionate doctors gathered to share their unique thoughts and insight with dermatology residency students. Dr. Kathy Fields tells us about developing Proactive (https://www.proactiv.com/) and her own private practice. Dr. Greg Morganroth's journey led him to California, private practice, and building a network of doctors. Dr. David Murad advises students to create a balance between medicine and family and his journey with Kaiser through to retirement. Dr. Jason Hawkes implores students to consider their values as they pursue their own dermatology journeys while continuing their education.
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Dr. Kamangar chats with Doctors Kathy Fields, Greg Morganroth, David Murad, and Jason Hawkes, who all provide valuable insight into being a dermatologist and what they love and hate about their field of dermatology. They discuss the changes in technology and dermatology, their dedication to their patients, pursuing their dreams despite what others say, investing in your career and life, scientific advancements in medicine, the SF Derm community and knowledge share between all generations of dermatologists, and the importance of residency mentorship.
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In this episode, Chandler Johnson, SFDS Med Student, asks Dr. Kamangar all the questions we want to ask our dermatologists, but might not have the chance to ask them during a visit. They chat about the best lotions to use in the winter to combat dry skin, how to test sunscreens to determine which one works best for you, hair and nail care, scarring vs. nonscarring hair loss, dandruff, the Russian Manicure trend, and dermatology and social media. This is the first of many Ask Me Anything episodes, so more to come! And check out the accompanying shorts on YouTube! Each topic is broken down into 60-seconds of valuable information.
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