Jun 27, 2019
Three dermatology residents — Dr. Elisabeth Tracey, Dr. Julie
Croley, and Dr. Daniel Mazori — discuss tips for
clear communication with patients in this special resident
takeover of the podcast. Beginning at 6:11, they talk about
challenges with topical therapies and setting expectations with
patients. “We, as dermatologists, can optimize patient management
by being effective communicators,” said Dr. Croley. They provide
communication strategies for improving compliance with therapy and
ensuring patients have the correct instructions, as well as
clarifying patient misconceptions and the importance of maintenance
We also bring you the latest in dermatology news and
Topical ruxolitinib looks good for facial vitiligo in phase 2
About half of patients on the two highest doses had a 50%
improvement after 6 months of treatment.
Patients concerned about clinician burnout.
Almost three-quarters of Americans are concerned about burnout
among health care professionals.
Antimalarial may be effective, safe for erosive oral lichen
Hydroxychloroquine sulfate may be an effective and relatively
safe treatment option for moderate to severe oral lichen
Things you will learn in this episode:
- Review expectations of therapy with patients, such as an
intense inflammatory response to topical 5-fluorouracil for
actinic keratosis, to ensure that patients remain compliant with
the therapy but also feel they can trust you as their
- If patients are hesitant to use topical minoxidil because they
are concerned with the length of time they’ll have to use it, use a
metaphor for another lifelong commitment such as brushing your
teeth. “What I started actually doing is calling topical minoxidil
toothpaste for your hair,” said Dr. Mazori.
- Talk to patients about spot-treating with acne or applying
topical medication appropriately for psoriasis. “A particular
challenge in dermatology with topical medications is not just
whether or not they use it or pick up the prescription but how they
use it,” said Dr. Tracey.
- Talk to patients about underapplication of sunscreen. Recommend
a physical blocker if patients express concerns about systemic
- Write down instructions to ensure patients have the relevant
information. The teach-back method of communicating with patients
often is taught in medical school and ensures that the patients
have understood what you’ve said, but it doesn’t ensure that they
retained it. Strategies such as having medical students write the
instructions or copying notes from your electronic medical record
to print for patients can help save time.
- Emphasize the importance of maintenance treatment for
conditions such as intertrigo, seborrheic dermatitis, or
onychomycosis to prevent recurrence.
- Give patients both the trade name and generic name to ensure
they use the correct medication.
Hosts: Elizabeth Mechcatie, Terry Rudd
Guests: Elisabeth (Libby) Tracey, MD (Cleveland Clinic
Foundation); Julie Ann Amthor Croley, MD (University of Texas
Medical Branch at Galveston); and Daniel R. Mazori, MD (State
University of New York, Brooklyn).
Show notes by Melissa Sears, Alicia Sonners, and Elizabeth
You can find more of our podcasts at http://www.mdedge.com/podcasts.
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Interact with us on Twitter: @MDedgeDerm