
Practice Gaps in Dermatology, An Issue of Dermatologic Clinics
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This issue of Dermatologic Clinics, Guest Edited by Dr. Murad Alam, is devoted to Practice Gaps in Dermatology. Articles in this issue include: Psoriasis and Papulosquamous Disorders; Blistering Diseases; Disorders of the Nails; Disorders of the Hair; Infections; Abnormal Pigmentation; Lupus, Scleroderma, Dermatomyositis; Genodermatoses; Pruritus; Drug Reactions; Dermatoses of Pregnancy; Contact Dermatitis; Acne and Rosacea; Radiation Therapy; Surgery for Skin Cancer; Cosmetic Dermatologic Surgery; Light, Laser and Energy Treatments; and Melanocytic Lesions and Melanoma.
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Content
- Front Cover
- Practice Gaps in Dermatology
- Copyright
- Contributors
- CONSULTING EDITOR
- EDITOR
- AUTHORS
- Contents
- Preface: Practice Gaps and Training Gaps: Delineating What We Need to Fix
- Psoriasis Trends and Practice Gaps
- Practice and Educational Gaps in Lupus, Dermatomyositis, and Morphea
- Practice and Educational Gaps in Blistering Disease
- Practice Gaps in Pruritus
- Contact Dermatitis: Practice Gaps and Challenges
- Clinical and Educational Gaps in Diagnosis of Nail Disorders
- Practice and Educational Gaps in Dermatology: Disorders of the Hair
- Infectious Disease Practice Gaps in Dermatology
- Practice and Educational Gaps in Abnormal Pigmentation
- Practice and Educational Gaps in Genodermatoses
- Practice Gaps: Drug Reactions
- Practice and Educational Gaps in Radiation Therapy in Dermatology
- Practice and Educational Gaps in Surgery for Skin Cancer
- Practice and Educational Gaps in Cosmetic Dermatologic Surgery
- Practice and Educational Gaps in Light, Laser, and Energy Treatments
- Practice Gaps in Dermatology: Melanocytic Lesions and Melanoma
- DERMATOLOGIC CLINICS
- FORTHCOMING ISSUES
- October 2016
- January 2017
- April 2017
- RECENT ISSUES
- April 2016
- January 2016
- October 2015
- Preface: Practice Gaps and Training Gaps: Delineating What We Need to Fix
- Psoriasis Trends and Practice Gaps
- Key points
- INTRODUCTION
- TREATMENT
- Standards of Care
- Current Practice
- Gaps
- Barriers
- Recommendations for Improvement
- CARDIOVASCULAR RISK FACTOR SCREENING
- Standards
- Current Practices
- Gaps
- Barriers
- Recommendation for Improvement
- SCREENING FOR PSORIATIC ARTHRITIS
- Standards
- Current Practices
- Gaps
- Barriers
- Recommendations for Improvement
- ACCESS TO BIOLOGICS
- Standards
- Current Practices
- Gaps
- Barriers
- Recommendation for Improvement
- RESIDENT EDUCATION
- Standards
- Current Education
- Gaps
- Barriers
- Recommendations for Improvement
- REFERENCES
- Practice and Educational Gaps in Lupus, Dermatomyositis, and Morphea
- Key points
- LUPUS ERYTHEMATOSUS: BEST PRACTICES
- Clinical and Laboratory Assessment
- Patient Education and Treatment
- Longitudinal Care
- Cutaneous Lupus Erythematosus: Estimate of Current Practice
- Lupus Erythematosus: Gaps
- Dermatomyositis: Best Practices
- Clinical and laboratory assessment
- Screening for systemic disease
- Patient counseling and treatment
- Dermatomyositis: Estimate Current Practice
- Dermatomyositis Gaps
- Morphea: best practices
- Morphea: estimate current practice
- Morphea gaps
- BEST PRACTICES IN MEDICAL EDUCATION
- Estimate Current Practice
- REFERENCES
- Practice and Educational Gaps in Blistering Disease
- Key points
- DIAGNOSTIC POINTS
- THERAPEUTIC POINTS
- REFERENCES
- Practice Gaps in Pruritus
- Key points
- PRACTICE GAPS
- Difficulty Measuring Pruritus
- Lack of Appreciation of the Patient-Burden of Pruritus
- Limited Treatment Options for Pruritus
- Lack of Evidence for Workup of Generalized Pruritus
- EDUCATIONAL GAPS
- REFERENCES
- Contact Dermatitis
- Key points
- REFERENCES
- Clinical and Educational Gaps in Diagnosis of Nail Disorders
- Key points
- PRACTICE AND EDUCATIONAL GAPS IN DISORDERS OF THE NAILS IN DERMATOLOGY
- Introduction
- PRACTICE GAPS IN CLINICAL DERMATOLOGY: DIAGNOSIS OF NAIL PATHOLOGY
- Best Practice
- Current Clinical Practice
- The knowledge and attitude gap: delay in diagnosis of nail conditions
- Narrowing the Gap
- The skill and attitude gap: confidence in knowing when, where, and how to perform diagnostic and therapeutic nail surgical ...
- Narrowing the Gap
- EDUCATIONAL GAP (IN DERMATOLOGY RESIDENCY EDUCATION)
- Best Practice
- Current Practice: Lack of Resident Exposure to Nail Disease Diagnosis and Diagnostic Procedures
- Assessing the Gap
- Narrowing the Gap
- REFERENCES
- Practice and Educational Gaps in Dermatology
- Key points
- PRACTICE GAP
- Attitude Gaps
- Knowledge Gaps
- Skill Gap
- Specific Practice Gaps: Treatment
- EDUCATION GAP (IN DERMATOLOGY RESIDENT EDUCATION)
- REFERENCES
- Infectious Disease Practice Gaps in Dermatology
- Key points
- INTRODUCTION
- ORAL ANTIBIOTICS FOR TREATMENT OF ATOPIC DERMATITIS
- Background
- Best Practice
- Current Practice
- Practice Gap
- Educational Gap
- Barriers
- TREATMENT OF COMMON SKIN AND SOFT TISSUE INFECTIONS IN THE OUTPATIENT DERMATOLOGY PRACTICE
- Background
- Best Practice
- Current Practice
- Practice Gap
- Educational Gap
- Barriers
- ANTIBIOTIC USE IN ACNE AND PROPOSED COURSE
- Background
- Best Practice
- Current Practice
- Practice and Educational Gap
- Barriers
- ORAL ANTIFUNGAL USE IN NAIL FUNGUS WITHOUT CONFIRMATION OF FUNGAL INFECTION
- Background
- Best Practice
- Current Practice
- Practice Gap
- Educational Gap
- Barriers
- USE OF IMIQUIMOD FOR MOLLUSCUM CONTAGIOSUM IN CHILDREN
- Background
- Best Practice
- Current Practice
- Educational and Practice Gap
- Barriers
- VACCINATION STATUS AND RISK OF INFECTION WITH BIOLOGICAL IMMUNOSUPPRESSANTS
- Background
- Best Practice
- Current Practice
- Practice Gap
- Educational Gap
- USE OF BEDSIDE DIAGNOSTIC TESTS
- Background
- Best Practice
- Current Practice
- Practice Gap
- Educational Gap
- Barriers
- REFERENCES
- Practice and Educational Gaps in Abnormal Pigmentation
- Key points
- INTRODUCTION
- GOLD STANDARD
- Melasma/Postinflammatory Hyperpigmentation
- Vitiligo
- EDUCATION IN RESIDENCY
- Melasma/Postinflammatory Hyperpigmentation
- Vitiligo
- EDUCATIONAL GAPS IN RESIDENCY
- Melasma/Postinflammatory Hyperpigmentation
- Vitiligo
- Solutions
- CLINICAL PRACTICE AND TREATMENT GAPS
- Melasma/Postinflammatory Hyperpigmentation
- REFERENCES
- Practice and Educational Gaps in Genodermatoses
- Key points
- INTRODUCTION
- GENODERMATOSES IN CLINICAL DERMATOLOGY PRACTICE
- Characterization and Classification of Patients with Genodermatoses
- Begin with the basics
- Gaps in current practice
- Strategies to overcome barriers
- Clinical characterization and classification
- Gaps in current practice
- Strategies to overcome barriers
- Keep an open mind to alternative diagnoses
- Gaps in current practice
- Strategies to overcome barriers
- Molecular Diagnosis in Patients with Genodermatoses
- Recognize available options for genetic testing
- Gaps in current practice
- Strategies to overcome barriers
- Find a laboratory for genetic testing
- Gaps in current practice
- Strategies to overcome barriers
- Determine the rationale for testing and provide counseling
- Gaps in current practice
- Strategies to overcome barriers
- Management of Patients with Genodermatoses
- Gaps in current practice
- Strategies to overcome barriers
- GENODERMATOSES IN DERMATOLOGY RESIDENT EDUCATION
- Basic Science Curriculum on Genodermatoses
- Gaps in current dermatology education
- Strategies to overcome barriers
- Clinical Curriculum on Genodermatoses
- Gaps in current dermatology education
- Strategies to overcome barriers
- REFERENCES
- Practice Gaps
- Key points
- INTRODUCTION
- CATEGORIES OF DRUG REACTIONS DISCUSSED
- GENERAL PRINCIPLES
- PITFALLS AND LIMITATIONS IN GENERAL
- CAUSATION DETERMINATION THROUGH AN ALGORITHM
- Kramer Criteria
- POTENTIAL PITFALLS OF THIS CLINICAL ALGORITHM
- Challenge Step
- Dechallenge Step
- Rechallenge Step
- Exclusion Steps
- Biologic Plausibility
- Class Effect
- Dose Relationship
- THE BOTTOM-LINE: CAN THE DRUG/DRUGS IN QUESTION BE CONTINUED AND/OR RESTARTED
- SOME ADDITIONAL PITFALLS BEYOND THE CLINICAL ALGORITHM
- PITFALLS WHEN INTERPRETING THE LITERATURE INTERPRETATION
- PITFALLS OF PERSONAL EXPERIENCE
- SOME STATISTICAL PRINCIPLES OF VALUE IN EPIDEMIOLOGIC STUDY INTERPRETATION
- SUMMARY
- REFERENCES
- Practice and Educational Gaps in Radiation Therapy in Dermatology
- Key points
- BEST PRACTICES IN DERMATOLOGIC RADIOTHERAPY
- ESTIMATE OF CURRENT PRACTICE
- PRACTICE GAPS IN THE USE OF SUPERFICIAL RADIATION THERAPY IN CLINICAL DERMATOLOGY PRACTICE
- Knowledge Gap Within Dermatology Professional Organizations
- Perceived Research Gaps
- The Randomized, Clinical Trials Conundrum Gap
- National Comprehensive Cancer Network Guidelines Gap
- Use Gap
- Radiation Therapy Terminology Knowledge Gap
- Perceived Expense of Dermatology Office-based Radiotherapy Gap
- RADIOTHERAPY EDUCATION BEST PRACTICES IN DERMATOLOGY RESIDENCY EDUCATION
- Strategy to Correct the Appropriate Use Criteria for the Superficial Radiation Therapy Practice Gap
- Barriers to the Development of Appropriate Use Criteria for Superficial Radiation Therapy by Dermatologists
- Strategies to Correct Knowledge Gaps
- Strategies to Correct Perceived Research Gaps and the Randomized, Controlled Trial Conundrum
- Strategies to Correct the National Comprehensive Cancer Network Guidelines Gap
- Strategies to Correct the Use Gap
- RADIOTHERAPY EDUCATION BEST PRACTICES IN DERMATOLOGY RESIDENCY EDUCATION
- ESTIMATE OF CURRENT DERMATOLOGIC RADIOTHERAPY EDUCATION AND EDUCATIONAL GAPS
- STRATEGIES TO CORRECT EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION
- SUMMARY
- REFERENCES
- Practice and Educational Gaps in Surgery for Skin Cancer
- Key points
- PRACTICE GAPS IN CLINICAL DERMATOLOGY PRACTICE
- Best Practices
- Current Practice
- Gaps and their Classification
- Barriers and How They May Be Overcome
- EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION
- Best Practices and Current Practices
- Gaps and Their Classification
- Barriers and How They May Be Overcome
- REFERENCES
- Practice and Educational Gaps in Cosmetic Dermatologic Surgery
- Key points
- PRACTICE GAPS IN CLINICAL DERMATOLOGY PRACTICE
- Best Practices
- Current Practice
- Gaps and Their Classification
- Barriers and How They May Be Overcome
- EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION
- Best Practices
- Current Practices
- Gaps and Their Classification
- Barriers and How They May Be Overcome
- REFERENCES
- Practice and Educational Gaps in Light, Laser, and Energy Treatments
- Key points
- I. PRACTICE GAPS (IN CLINICAL DERMATOLOGY PRACTICE)
- Best Practice
- Current Practice
- Gaps and Their Classification
- Barriers and How They May Be Overcome
- II. EDUCATIONAL GAPS (IN DERMATOLOGY RESIDENCY EDUCATION)
- Best Practice
- Current Practice
- Gaps and Their Classification
- Barriers and How They May Be Overcome
- REFERENCES
- Practice Gaps in Dermatology
- Key points
- IMPORTANCE OF NEW OR CHANGING MELANOCYTIC LESIONS
- CURRENT BEST PRACTICE
- Relevant Dermoscopic Changes During Follow-up
- CURRENT PRACTICE
- PRACTICE AND EDUCATIONAL BARRIERS AND FACILITATORS
- SUMMARY
- REFERENCES
- Index
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