Sep 5, 2019
More patients are being admitted to the hospital with skin
problems, and specialized dermatologists are needed to provide
effective treatment. Dr. Vincent DeLeo talks with Dr. Michi M.
Shinohara about the evolving role of the dermatology hospitalist in
the inpatient setting. Dr. Shinohara highlights some key takeaways
about job satisfaction and barriers to care from a recent survey of
members of the Society for Dermatology Hospitalists.
We also bring you the latest dermatology news and research:
Cephalosporins remain empiric therapy for skin infections in
pediatric atopic dermatitis
“When a patient with AD walks into your office and looks like
they have an infection of their eczema, your go-to antibiotic is
going to be one that targets MSSA
[methicillin‐sensitive Staphylococcus aureus].”
you market your aesthetic services to the ‘Me Me Me
By 2020, spending by millennials will account for $1.4 trillion
in U.S. retail sales.
Things you will learn in this episode:
- Inpatient care is getting increasingly complex, but dermatology
has become more outpatient-centric overall: “There has really been
a shift over time from dermatologists acting as the primary
admitting service to more of a consulting service,” Dr. Shinohara
explains. As a result, inpatient dermatology has become more
specialized, leading to the development of the dermatology
- The Society for Dermatology Hospitalists was created in 2009 by
a group of medical dermatologists to develop the highest standards
of clinical care in hospitalized patients with skin disease.
- Most requests for inpatient dermatology consultations come from
medical services for conditions commonly seen in an outpatient
clinic. However, the hematology/oncology service is a common source
of dermatology consultations, requiring a separate knowledge
- Dermatology hospitalists typically dedicate 25%-50% of their
time on inpatient consultations.
- Time that dermatology hospitalists spend in the hospital is
fundamentally different than time spent in clinic: “You have a lot
more time to think about your patients and to teach about them to
your trainees,” Dr. Shinohara notes. “It’s really one of the few
places that I find you still have the opportunity to work as a team
- Personal fulfillment is high among dermatology hospitalists,
which can help combat burnout.
- A key challenge that dermatology hospitalists face is that most
don’t generate the same revenue doing consultations as they do in
clinic. Financial support from medical institutions and recognition
of the value of the work is crucial to the longevity of dermatology
hospitalists, who tend to be a younger workforce.
Hosts: Elizabeth Mechcatie, Terry Rudd, Vincent A. DeLeo, MD
(Keck School of Medicine of the University of Southern California,
Guest: Michi M.
Shinohara, MD (University of Washington, Seattle)
Show notes by Alicia Sonners, Melissa Sears, and Elizabeth
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