O f f i c i a l p u b l i c a t i o n o f t h e Yo u n g P h y s i c i a n s C o m m i t t e e , A m e r i c a n A c a d e m y o f D e r m a t o l o g y
S P RF IANL GL 2 0 10 28
DERMATOLOGY’S CHANGING FACE … AND BODY
Practices adapt to new demographic and racial shifts
By Rahul Shukla, MD
diagnosing and managing disease in skin of color, it is important for the dermatologist to understand
extinguishes,
Population
cultural practices performed by different ethnicities and their potential for dermatologic sequelae.
a
vacuum
is created
trends across
causing
the
involved
skin to
No r t h
America
Coining
be
pulled
into
the
jar.
Modern
continue to evolve and
Cultural practices performed by people from Southeast Asia include
techniques employ the use of
people with skin of color
coining and cupping. Coining, also known as “cao gio,” is practiced by
a hand help pump to manually
increasingly comprise a large
many people of Cambodian and Vietnamese origin and is believed
create suction. In addition to circular,
proportion of the demographic.
to treat many symptoms by releasing excess
eechymotic, or purpuric macules,
Current North American immigration
“wind” or energy that is perceived to
cupping has resulted in bullae
statistics demonstrate a large number of
3
be responsible for illness . Coining
and skin burns5, 6.
immigrants of Asian origin. Racial diversity
is performed by applying
is on the rise in the United States. Recent
Some traditional
mentholated oil to various
figures show that the Asian, Hispanic, Africandress causes lesions
parts of the body such as
American, and Native American population
the temples, forehead,
Cultural practices of
have risen by 36 percent, 22 percent, 15 percent,
chest,
back,
and
South Asians may also
1
and 8 percent, respectively . The increase in the
shoulders followed by
lead to dermatologic
Caucasian population, by comparison, is 1.5
vigorously rubbing a coin
manifestations.
Traditional
percent(1).
on the skin potentially
clothing such as the sari and
If present trends continue, it has been posited leading to the formation
salwaar kameez are garments
that approximately 48 percent of the U.S.
of the following skin lesions
worn by South Asian women
population will be non-Caucasian by the year
in a linear distribution: petechiae,
that have the potential for inducing
20501. In Canada, similar trends exist where
eechymosis, and skin burns 4. In some
or precipitating cutaneous lesions. The sari and
projections suggest that approximately one third
cases, the cutaneous lesions produced by coining
its accompanying petticoat are tied around
of Canada’s population will be a visible minority
have resulted in a mistaken diagnosis of child
the waist of women by a drawstring with
by 20312. In Toronto and Vancouver, the
abuse, therefore a judicious history is particularly
overlapping layers of the sari resting between
proportion of visible minorities is expected to
important during consultation3, 4.
the skin and petticoat. The salwaar kameez
become the majority by 2031 where visible
consists of loose pajama like trousers tied
Cupping
minorities will consist of 63 percent of the
around the waist by a drawstring called the
population in Toronto and 59 percent in
Cupping is a form of traditional Chinese medicine used
“salwaar” and and a long shirt or tunic
2
Vancouver .
to treat a variety of ailments whereby a localized vacuum applied
called the “kameez.” Both the sari and
Given shifting demographics
against the skin breaks the superficial blood vessels in the papillary
salwaar kameez elicit similar cutaneous
occurring within the North
dermis creating distinctive, circular, cutaneous lesions. A number of
effects. Frictional forces exerted
American population, not
theories have been proposed to the benefits of the intervention, including
on the waist by both garments
only is it important for
improved circulation leading to the elimination of toxins as well as placebo
can lead to hyperpigmentation,
the dermatologist to
effect5. In order to perform cupping, an alcohol-soaked cotton ball is ignited
become skilled in
See Changing Face on page 3
and placed into a cup where it is inverted and placed onto the skin. When the flame
issue
1 Changing Face
7 Recognize Someone?
4
8
Retirement Planning
Message from the Chair
5
Male Cosmeceuticals
ETHICAL CONSIDERATIONS:
TRUTH TELLING AND THE DOCTOR-PATIENT RELATIONSHIP
What’s a physician’s obligation to absolute honesty?
By Karen Scully, MD, MA, Ethics
As physicians, are we obligated to be truthful
to patients? The answer to this question is not as
straightforward as it seems. In this column, I will
discuss our obligation of honesty to patients and
the subtleties involved in
telling the truth.
Honesty in the
informed consent
process has replaced a
paternalistic approach
in which physicians
of the past told patients little or nothing about
their diagnosis, particularly if it was cancer or a
terminal illness. Physicians made decisions for
patients, and they decided on treatment without
patient involvement. The physician was not
questioned. Frank dishonesty on the part of the
physician was not unusual.
Today, informed consent involves patients
in their health care process. Autonomy is now
one of the four important principles involved in
ethical medical care.
There are three arguments which justify the
ethical obligation of honesty to patients.1 First
of all, honesty is based on respect for others.
Secondly, honesty has a close connection to
fidelity and promise keeping. When we enter
into a relationship with a patient, we implicitly
promise not to deceive them. Lastly, doctorpatient relationships depend on trust, and being
truthful is essential to trust.
See Ethics on page 6
Karen Scully, MD, is a board-certified dermatologist in Canada and the United States, and has an MA in ethics
from UNC, Charlotte.
Changing Face from page 1
a hyperkeratotic groove of skin as well as
koebnerization of vitiligo and lichen planus 7.
Rarely, “sari cancer,” a form of squamous cell
carcinoma presumably induced by friction of the
sari and petticoat has been reported to occur[7].
Wearing of a sari or salwaar kameez, especially
by obese women with diabetes, can also promote
superficial cutaneous infections by contributing
to an occlusive and humid environment at the
waistline and by providing a potential source of
entry for organisms via the trauma induced by
constant pressure7.
Tattoos and body art
Henna tattoo is a form of body art enjoyed by
many South Asians with potential dermatologic
repercussion as well. Henna is derived from the
shrub Lawsonia inermis with its active ingredient
being lawsone. Women of South Asian descent
frequently apply henna or “mehndi” during
cultural events. Henna use appears to have
increasing popularity in the Western world as it
is often advertised as a “temporary” or “harmless”
form of body art despite a number of described
cases of allergic contact dermatitis (ACD).
In its pure form, henna rarely induces ACD.
However, black henna often contains additives,
such as para-phenylenediamine (PPD). In
addition to intensifying color, accelerating the
tattooing process, and increasing the duration
of tattooing, PPD is a potent skin sensitizer
that can cause ACD 8. Post inflammatory
hyperpigmentation can result after ACD
resolves, and a case of keloidal scarring has also
been reported following an episode of contact
dermatitis at the tattoo site8, 9. Patients found to
have ACD to PPD should be informed of other
products containing this substance as well as
products that may cross react with PPD in order
to prevent further reactions.
Given current population trends, recognizing
and managing dermatosis in diverse populations
is of increasing importance. Young physicians,
therefore, should be encouraged to become
more aware of conditions that are prevalent in
cosmopolitan cities, locales that focus on skin of
color, and obtain more international experience.
These skills will be needed as the face of North
America continues to evolve.
3. Davis RE. Cultural health care of child abuse?
The Southeast practice of cao gio. Coining and
abuse. J Am Acad Nurse Pract 2000; 12 (3):
89-95.
References
8. Kazandjieva J, Grozdev I, Tsankov N.
Temporary henna tattoos. Clin Dermatol
2007; 25(4): 383-387.
1. Projections of the resident population by race,
Hispanic origin, and nativity: middle series,
2050 to 2070. Washington, DC: Populations
Projections Program, Population Division, U.S.
Census Bureau.
2. Statistics Canada. (March 9th, 2010).
Study: Projections of the diversity of the
Canadian population. Statistics Canada.
Retrieved October 2nd 2010 from http://
www.statcan.gc.ca/daily-quotidien/100309/
dq100309a-eng.htm.
4. Amshel CE and Caruso DM. Vietnamese
"coining": a burn case report and literature
review. J Burn Care Rehabil 2000; 21(2):
112-114.
5. Yoo SS and Tausk F. Cupping: east meets west.
Int J Dermatol 2004; 43(9): 664-665.
6. Lin CW, Wang JT, Choy CS, Tung HH.
Iatrogenic bullae following cupping therapy.
J Altern Complement Med 2009; 15(11):
1243-5.
7. Verma SB. Dermatological signs in South
Asian women induced by sari and petticoat
drawstrings. Clin Exp Dermatol 2010; 35(5):
459-61.
9. Lewin PK. Temporary henna tattoo with
permanent scarification. CMAJ 1999;
160(3):310.
Dr. Shukla is an associate dermatologist at
Dermatology Centre in Hamilton, Ontario,
Canada; Bertucci MedSpa in Woodbridge,
Ontario, Canada; and AvantDerm, Toronto,
Ontario, Canada.
FALL 2012
m
Young Physician Focus
3
SEVEN RETIREMENT PLANNING STRATEGIES FOR DERMATOLOGISTS
By James M. Dahle, MD & Lawrence B. Keller, CLU, ChFC, CFP®
Retirement planning focuses on saving
money today in order to provide a lifestyle
for you and your family in the future, when
you decide to slow down or stop practicing
dermatology altogether. If you want to retire
comfortably, you need to live below your
means in order to invest, reduce your debts,
and increase your net worth. This article will
provide you with seven strategies to help you
achieve that goal.
1) Set a goal
The first step is to determine your goal
— the more specific the better. How much
money do you want to have each year in
retirement and when do you want to retire?
We all know this answer is likely to change
throughout your career, but seeing the end
from the beginning goes a long way toward
achieving your goals.
A typical physician can retire quite
comfortably on 30 to 60 percent of his
or her pre-retirement income. You’ll pay
less in taxes, have no need for retirement
savings, be free of your mortgage, and have
the kids out of the house and, hopefully, out
of college or graduate school. Visit http://
whitecoatinvestor.com/percentage-of-currentincome-needed-in-retirement/ for thoughts
related to the percentage of current income
needed in retirement for physicians.
would need to save approximately $27,000
per year (increased each year at the rate of
inflation). However, if he waited until age 50
to start, he would have to save approximately
$83,000 per year to ensure the same income
in retirement.
3) Apply a reasonable rate of return
Many physicians mistakenly
assume their investments
will grow at a rate
of 10 percent or
more per year.
The truth is that
after investment
expenses, taxes,
and inflation, a
typical portfolio is
likely to grow at only
4 to 5 percent per year.
That means you have to
start earlier and save more money
than most physicians believe.
2) Start early
4) Minimize your expenses
The less you pay in advisory fees,
commissions, and management fees, the more
money you keep. Many physicians find that
having most or all of their retirement funds
invested in a few diversified, low-cost index
funds helps them minimize their investment
expenses and portfolio complexity, while still
capturing market returns.
Let's look at a dermatologist who wants
to be able to spend $100,000 per year in
retirement (and expects $25,000 from
Social Security). He will need a portfolio
of $1,875,000 (based on a 4 percent
withdrawal rate) in today's dollars, and he
achieves an average return of 5 percent per
year (after expenses, taxes, and inflation), he
5) Minimize your taxes
Your most significant investment expense
is likely to remain your tax bill. Maximizing
your use of 401(k) plans, 403(b) plans, 457
plans, profit sharing plans, and defined
benefit plans will not only reduce your taxes
initially but will allow your money to grow on
a tax-deferred basis.
We also recommend that dermatologists
take advantage of Roth IRAs. Although you
might think your income is too high to allow
you to contribute, you can take advantage of
a loophole that allows anyone to convert a
non-deductible traditional IRA to a Roth IRA
regardless of their income. You can learn
more at http://whitecoatinvestor.
com/retirement-accounts/
backdoor-roth-ira/.
Although Roth
IRAs don’t save you
anything on your
current tax bill,
they do provide
tax-free growth and
tax-free withdrawals
in retirement, providing
valuable tax diversification.
6) Saving 10 percent for retirement
isn’t enough
Dermatologists should also save 20 percent
of their income towards retirement — starting
the day they graduate from residency. While
it’s true that if you start early, you can save less,
saving 20 percent provides flexibility for years
where you might not be able to save as much,
to allow for poor investment returns, or for
a personal or financial catastrophe such as
divorce or disability. If all goes well and none
of these scenarios materialize, then you will be
left with a wonderful choice: retire earlier or
retire wealthier.
7) 4 percent withdrawal rate
A rule of thumb often used by financial
See Retirement Planning on page 7
James M. Dahle, MD (left), is a practicing board-certified emergency physician and editor of the
website www.whitecoatinvestor.com, created to help those that wear the white coat get a “fair shake”
on Wall Street. He provides investing and personal finance information to physicians, dentists,
residents, students, and other highly-educated, busy professionals. He can be reached for questions
or comments by email at editor@whitecoatinvestor.com.
Lawrence B. Keller, CLU, ChFC, CFP® (right) is the founder of Physician Financial Services, a New
York-based firm specializing in income protection and wealth accumulation strategies for
physicians. He can be reached for questions or comments at (516) 677-6211 or by email
to Lkeller@physicianfinancialservices.com.
4
Young Physician Focus
m
FALL 2012
MALE COSMECEUTICALS: DOES MALE SKIN
REQUIRE DIFFERENT TREATMENT?
By Allison Evans, AAD staff editor
Should male skin be treated in
a different way than female skin?
Earlier this year, at the AAD's 70th
Annual Meeting in San Diego, Davi
de Lacerda, a dermatologist in private
practice in San Paolo, Brazil, posed
this question as part of a Cosmetics
Symposia on March18. While a
majority of the session attendees
agreed with the statement that both
“male skin biology and behavior have
specificities that can be exploited
to improve male skin care,” Dr. de
Lacerda, explained that most products
for men are simply women’s products
packaged with the words “for men”
on the label; they don’t offer different
formulations for male skin.
Currently, there is a focus on
evidence-based differences in male
versus female skin; however, “the
evidence is limited. We have very few
studies done on the topic,” Dr. de
Lacerda said.
Biological distinctions between
male and female skin
Dr. de Lacerda has identified several
aspects of skin health care where male
and female differences may suggest
using specific cosmeceuticals and
treatments.
In his discussion of hair, Dr. de
Lacerda focuses first on androgenetic
alopecia. He states his belief that
topical minoxidil can be considered
a “male” cosmeceutical because it
improves skin appearance for men with
this condition. Studies have shown
that the inhibition of 5α-reductase
helps manage androgenetic alopecia.
Many botanicals have the potential
for 5α-reductase inhibition, such
as green tea extract, Serenoa repens,
Artocorpus incises, isoflavonoids and
lignans, among others. “They need to
be in high concentration, but we don’t
know yet how to deliver them to the
hair,” he said.
Men with facial hair can suffer from
skin conditions like pseudofolliculitis
barbae or seborrheic dermatitis, and
there exist many cosmeceuticals that
can be used to treat and improve
both conditions. Available treatments
for folliculitis include exfoliating
with retinoids, α-hydroxyacids, and
scrubs; using anti-inflammatories like
aloe vera or poly-hydroxyacids; or
using antibacterial/anti-inflammatory
combinations like benzoyl peroxide.
Zinc and other probiotics may provide
relief to men with seborrheic dermatitis.
Sweat and body odor is another
aspect of skin health that differs
between men and women. “Men
“Active” ingredients in men’s products
Exfoliating / Stratum
Antioxidant / Free Radical
Comeum Modifiers
Scavengers
α-hydroxy acids
salicylic acid
retinoids
ascorbic acid (vitamin C)
flavonoids
gingo biloba extract
ginseng extract
green tea extract
EDTA
ubiquitone (Q10)
selenium
tocopherol (vitamin E)
superoxide dismutase
resveratrol
α-lipoic acid
caffeine
Cellular Stimulants
Cell Nutrients
Firming Agent /
Tensor
retinoids
DNA, asiaticoside
ginseng extract
caffeine
copper gluconate
zinc
magnesium
isoflavones
brewer's yeast
peptides
resveratrol
ursolic acid
elastin
chitosan
plankton
collagen
hydrolysed protein
sweat 40 percent more than women,”
Dr. de Lacerda said. Sweat rate,
sebum production, pH, and biofilm
influence typical male odor. One
simple solution is to use magnesium
hydroxide, which reduces odor by
interfering with sebum-degrading
microflora enzymes without adding
fragrance, he said.
Excessive oiliness is a common
cosmetic complaint for men. Unlike
women’s skin, oiliness in male skin
does not decrease significantly
with age. This is because men have
larger pores and greater sebum
production, approximately three
times the amount of women. “When
addressing cosmeceuticals for men,
it is important to deal with oiliness,”
Dr. de Lacerda said. Retinoids —
like tretinoin — sebum-absorbing
beads, and light primers, which help
reflect light differently, are all ways of
addressing this issue when developing
products for male skin.
In the first decades of life, dermal
thickness decays at roughly the same
rate for males and females. While
androgens increase dermal thickness,
the male dermis starts decaying
earlier. Male skin thickness may affect
the amount of UV penetration and
absorption of applied products. Also,
more and more men use hormonal
replacements after forty-five or fifty
years of age. Dr. de Lacerda questions
the effects of using hormones,
like Dihydroepiandrosterone
(DHEA), on skin thickness, broadly
considering the possibility of whether
a DHEA supplement could be safely
used to delay dermal decay in male
skin. “This is something that is still
open,” he said.
Dr. de Lacerda’s discussion of skin
thickness leads to questions of whether
epidermal thickness can interfere
See Cosmeceuticals on page 6
FALL 2012
m
Young Physician Focus
5
Cosmeceuticals from page 5
Male behavior and marketing
strategies
When developing cosmeceuticals for men,
it’s important to take advantage of male
behavior patterns and psychology. Products
adapted to male behavior increase adherence,
Dr. de Lacerda noted. For example, shaving
offers ways to educate males about skin care
health and deliver cosmeceuticals that will
benefit their skin. Depending on skin type,
there are products that work best for sensitive,
aging, or acne-prone skin. Shaving can involve
a number of products, from face wash and the
shaving vehicle (foam, cream, gel) to aftershave
or other moisturizers. Each of these products
can be formulated to accomplish specific male
skin care needs.
Ethics from page 3
Although deception in medicine is wrong, the
obligation of complete honesty to patients is not
absolute. An example of not telling the whole
truth is treating a very sick patient who asks his/her
physician not to reveal to him/her the diagnosis. The
physician should respect this patient’s autonomy.
As physician/ethicist Edmund Pellegrino states,
“To thrust the truth … on a patient who expects
to be buffered against news of impending death is
a gratuitous and harmful misinterpretation of the
moral foundations for respect for autonomy.”2
In the case of the patient with a terminal
illness, by respecting the patient’s autonomy,
the physician would not immediately disclose
the patient’s fatal illness as soon as it was
diagnosed. Since the patient asked the physician
not to disclose the diagnosis, he/she presumably
would not be ready for the cold, hard facts. The
physician would help the patient come to terms
with the reality of his/her impending death
over time. This process attempts to achieve
truthfulness gradually, respecting the principles
of beneficence and non-maleficence within the
time constraints of the patient’s terminal illness.
6
Young Physician Focus
m
FALL 2012
Sensitive Skin
Wash
Acne
Wrinkles
salicylic acid
"brand name," sensitive
salicylic acid
liquid cleanser
sulfur
glycerine soap
benzoyl peroxide
Shave
mild shaving cream
benzoyl peroxide shaving
cream
Protect
moisturizing sunscreen
non-comedogenic
sunscreen
ZnO sunscreen
α-Hydroxyacids
retinoids
retinoids
antioxidants
α-Hydroxyacids
α-Hydroxyacids
caffeine???
antioxidants
antioxidants
Treat
Men prefer products to be pragmatic; they
should be simple to use, quick-acting, and
efficient, Dr. de Lacerda said. A product with
multi-functional properties is preferred, and
fragrance should be discreet and not change
body odor. All of these factors further support
the need to differentiate male and female
products to drive male consumption.
In this example, beneficence would indicate
that telling the whole truth is not always in the
patient’s best interests. This has been referred to
as “benevolent deception.”3 The obligation to
tell the truth may be outweighed by other moral
considerations, such as the obligation to do no
harm. There are, however, arguments against
this line of reasoning. Shielding a patient from
bad news to prevent anxiety, for example, may be
inadvisable; not telling the patient the whole truth
may result in causing more anxiety. Furthermore,
it may threaten the doctor-patient relationship
by causing the patient to mistrust the doctor. As
opposed to the practice of benevolent deception,
it may be inferred from this latter argument that
being completely honest and disclosing all findings
with all patients may be the best action in our care
of patients.
Generally in North America, there is direct, frank
honesty in sharing information with patients about
diagnosis and treatment options, but a less direct
approach in sharing prognosis.4 Most physicians
agree that compassion and sensitivity for patients
would lead to disclosure of a poor prognosis over
time. In this way the physician attempts to let the
patient know that his/her prognosis may be guarded
Chart modified from Karen Burke, MD
with the incidence of skin cancer. Developing
cosmeceuticals for sun protection may be even
more important for men since more men are
diagnosed with melanoma than women, Dr.
de Lacerda said. “Maybe if we increase the
epidermis in men with the use of retinoids
and alpha-hydroxyacids, we could reduce UV
damage,” he said. He also raises the question
of whether cosmeceuticals could increase anticancer immune response. “Cosmeceutical
antioxidants may lower UV-associated DNA
damage,” Dr. de Lacerda said.
Cosmeceutical approach for men adapted to shaving habits
TiO sunscreen
In a field that has been long dominated by
women’s products, attention
is finally being given to the
fact that men, too, have
biosocial specificities in
which differentiated
products may be more
effective.
Davi de Lacerda, MD
but at the same time optimistic, and appeal, for
example, to statistics of patients with the same
disease. The process of sharing bad news with the
patient depends on the individual doctor-patient
relationship, the patients’ understanding of his/her
medical problem, and all the particular nuances of
that patient’s medical problem.
As physicians we are ethically obligated to be
honest with our patients. Some of us may decide to
be “benevolently deceptive” in our compassion for
certain patients at certain times. Others will decide
to be strictly honest with all patients at all times. It
is up to each of us to determine how to fulfill this
ethical obligation.
References
1. Beauchamp TL and Childress JF. Principles
of Biomedical Ethics. Fifth Ed. Oxford
University Press 2001 New York. P. 284.
2. Pellegrino E in Beauchamp and Childress
p. 289.
3. Beauchamp and Childress p. 288.
4. Beauchamp and Childress p. 286.
Retirement Planning from page 4
planners is that you can safely withdraw
about 4 percent of your nest egg each year of
retirement. This rule says, in essence, that you
must save about 25 times your annual expenses,
or that you can withdraw about 4 percent of
your portfolio in the first year of retirement and
then adjust that amount for inflation each year,
with little chance of running out over a 30-year
retirement.
Summary
Saving for retirement isn’t as hard as you
might think. Begin educating yourself now, set
your goals, save early and often, minimize your
investment expenses and taxes, and most
Articles in Young Physician Focus
represent the perspective of the
individuals author(s) and should not
necessarily be construed as advice from
the American Academy of Dermatology
or the Young Physician Committtee.
RECOGNIZE SOMEONE?
The Academy recognizes and honors
extraordinary dermatologists, and as readers of
Focus we assume you are
Young Physician Focus,
extraordinary or, likewise, know someone worthy
of nomination. Take a look at the Academy's many
recognition opportunities at www.aad.org/awards.
The AAD Volunteer Recognition
program was designed to encourage
volunteerism and recognize those who make
the commitment to give back to the field of
dermatology. Find out more at www.aad.org/
VolunteerRecognitionProgram.
The Members Making a Difference
award is the highest honor that a volunteer
can receive in the Academy's Volunteer
Recognition program. One award is given
each month and the winner is profiled in
Dermatology World. Learn more at: www.aad.
org/MembersMakingADifference.
The American Academy of Dermatology
has the distinguished honor of being selected
as one of only five medical societies that
were considered to administer the Arnold P.
Gold Foundation Humanism in Medicine
Award. The esteemed award is given to a
practicing dermatologist who exemplifies
compassionate, patient-centered care. Read
more about the award here: www.aad.org/
humanisminmedicine.
The Academy also confers a Master
Dermatologist Award, recognizing an
Academy member who, throughout the span
of his or her career, has made significant
contributions to the specialty of dermatology,
as well as to the leadership and/or
educational programs of the American
Academy of Dermatology. More information
can be found at www.aad.org/
MasterDermatologist.
JAAD APPS AVAILABLE
FOR IPAD AND IPHONE
Two new apps designed to let you access the
Journal of the American Academy of Dermatology
anywhere, anytime are now available. The apps
provide full access to the journal in convenient
tablet or smartphone versions.
To download the iPad app search “Journal of
the American Academy of Dermatology” in the
Apple App Store.
JAAD is accessible for the iPhone and Android
phones via publisher Elsevier’s HealthAdvance
app. To download, search “HealthAdvance” within
the Apple App Store or Google Play store. Once
you have downloaded the app, select Browse at
the bottom to locate JAAD among the variety of
Elsevier journals included.
In order to access the full spectrum of JAAD
content via the apps, members must register
and claim access on the JAAD.org website.
To claim access, visit www.jaad.org/content/
mobileaccessinstructions. Be sure to follow the
instructions numbered 1 through 5.
Details about the iPad and iPhone app features
and instructions for use are also available at www.
aad.org/member-tools-and-benefits/publications/
jaad/jaad-apps.
REGISTER TODAY!
AAD’s Practice Management
and Coding Course
Nov. 16-18, 2012
JW Marriott Desert Ridge
Phoenix, AZ
www.aad.org/PM
FALL 2012
m
Young Physician Focus
7
MESSAGE FROM THE CHAIR
by Amit Garg, MD
As dermatologists, we are fortunate to
have the support of the American Academy
of Dermatology, whose key priorities include
developing leadership capabilities across the
specialty. Having been a mentee and now
continuing on the leadership learning curve as
a mentor, I have come to fully appreciate the
skill involved in operational (task-oriented)
and organizational (people-oriented)
leadership. Participating in leadership
training has been one of my most gratifying
experiences with the Academy, and one that
has allowed me to become more effective in
my day-to-day activities.
The 2013 Annual Meeting program
will include several courses on leadership
development addressing topics like
communication, change management, and
understanding group dynamics. These courses
icon in the program
are identified by the
book. I encourage you to add these courses to
your Annual Meeting schedule.
For more information on leadership
development programs, please visit the
Academy’s Leadership Institute Web page at
www.aad.org/leadership.
American Academy of Dermatology
PO Box 4014
Schaumburg, Illinois 60168-4014
As young physicians active in patient
care, volunteerism, advocacy, teaching, and
research, we are presented with a multitude
of leadership opportunities in the community
and in academia. Recognizing these
occasions and maximizing the impact of our
contributions necessitates leadership skills. I
suppose there exist among us “born leaders;”
however, for most of us, developing the ability
to lead effectively requires focus, practice, and
persistence. The success of an individual in
achieving skill in leadership is also linked
to the quality and nature of the leadership
development program, among other factors.
HELP MAKE US 'APPY
AAD seeking new dermatology apps
The Academy would like to hear from young physicians about mobile apps that they use
professionally or recommend as health care resources to their patients. Please visit www.aad.
org/app-info to share the name of the app, what type of app it is (iPhone, iPad, Android),
and how you use it professionally. The Academy may contact developers of some of the most
highly recommended apps to discuss partnership opportunities.
The American Academy of Dermatology would like
to thank Merz Pharmaceuticals for supporting the publication
of this issue of Young Physician Focus.
FALL 2012
VOL. 10, No. 3
American Academy of Dermatology
YOUNG PHYSICIANS COMMITTEE:
Amit Garg, MD Chair
Bethannee Schlosser, MD, PhD,
Deputy Chair
Lisa K. Chipps, MD
Annie Chiu, MD
Caroline C. Kim, MD
John Harris, MD, PhD
Rebecca Kazin, MD
Daniela Kroshinsky, MD
Roopal V. Kundu, MD, Physician Editor
Gary Goldenberg, MD
Joslyn S. Kirby, MD
Molly K. Smith, MD
Jeremy A. Brauer, MD, Resident Member
2013
2015
2015
2016
2015
2014
2016
2014
2016
2016
2013
2013
2013
Dean Monti, Managing Editor, Special Publications
Allison Evans, Staff Editor
Lara Lowery, Director, Creative and Publishing
Katie Domanowski, Associate Director, Publishing
Ed Wantuch, Design Manager
Nicole Torling, Lead Designer
Theresa Oloier, Editorial Designer
Linda Ayers, AAD Staff Liaison
© 2012
American Academy of Dermatology
P.O. Box 4014, Schaumburg, Illinois 60168-4014
Phone: (847) 330-0230 Fax: (847) 330-0050
Website: www.aad.org