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Dermatologists weigh benefits, drawbacks of patients' direct access to lab results
November 1st 2011The Department of Health and Human Services is proposing a new rule that would allow patients to have direct access to their lab test results. The tests that dermatologists send, such as biopsies, can indicate serious medical conditions. On Call asked dermatologists around the country what they think about patients being able to access their lab results directly, without the benefit of the physician's knowledge and experience to interpret their meaning.
Research ties dermatology workforce balance and melanoma outcomes
November 1st 2011Findings from a study examining an association between dermatologist density and melanoma mortality suggest that better workforce distribution may lead to a population-level improvement in mortality related to this malignancy, reported researchers at the 2011 annual meeting of the Society for Investigative Dermatology.
Potential pruritus treatments are as varied as its causes
November 1st 2011In the elderly population, the sources of itching are the same as those affecting anyone else, but the causes of their discomfort are usually exacerbated by age, according to Jeffrey Bernhard, M.D., a dermatologist who practices in Worcester, Mass.
L.A. dermatologist uses upbringing to treat patients with respect, tolerance
November 1st 2011Tanya Kormeili, M.D., was 3 years old when the Iranian Revolution began to unravel her family's life. As pro-democracy Jews living in Tehran, the Kormeilis experienced an erosion of their freedoms with each year of the Ayatollah Khomeini's reign.
AMA: E-prescribing exemption deadline nears
October 12th 2011The American Medical Association (AMA) is urging physicians who were unable to meet the requirements of the Medicare E-prescribing (eRx) program to apply for a hardship exemption before the Nov. 1 deadline to avoid monetary penalties in 2012.
The wrong financial adviser could cost you millions
September 1st 2011The single most common mistake we see in our physician-focused practice is in the doctors’ choice of specialists. The successful delivery of healthcare is based on the patients’ need for physicians to refer them within and between various specialties and subspecialties when unique challenges arise. When it comes to the successful navigation of their own financial health, however, physicians do not apply the same logic or expect the same level of sophistication from their advisers.
Lesion-directed topical therapy safe for actinic keratosis
September 1st 2011A new topical therapy combining low-dose 5-fluorouracil (5-FU) with salicylic acid is proving very effective in the treatment of actinic keratosis (AK), particularly in more difficult to treat advanced hyperkeratotic AK lesions, study results show.
Dermatologists struggle with electronic health record implementation
September 1st 2011While the implementation of health information technology (HIT) systems in medical practices has the potential of improving healthcare efficiency and patient care, there are obstacles that medical practices must overcome, and those problems are especially acute for small practices such as those operated by many dermatologists.
Afamelanotide for vitiligo to be tested in international clinical trial
September 1st 2011The addition of afamelanotide, known by the trademark Scenesse (Clinuvel), may represent a major advance in the treatment of vitiligo, a condition for which there is no therapy in the United States that has been approved by the Food and Drug Administration.
Potential cuts to medical programs leaves dermatologists uncertain about future
September 1st 2011When the United States reached a virtual gridlock in July over raising the country's debt ceiling, most politicians agreed that the country needed to cut spending to bring the nation's budget back into line. With the medical component of the proposed spending cuts, On Call wondered how dermatologists viewed the political gymnastics occurring in Washington and how the impact on Medicare and Medicaid would affect their practices and medicine in the future.
Alopecia areata responds to skin-directed therapy
September 1st 2011Although large, randomized, controlled trials of topical treatments for alopecia areata (AA) are lacking, experts say many such treatments provide varying degrees of success. When it comes to AA, says Jerry Shapiro, M.D., "Some dermatologists still believe nothing works." He is adjunct professor, department of dermatology, New York University, New York.
Segmental pigmentation not associated with systemic manifestations, study finds
September 1st 2011Although patterned pigmentation in children can include a variety of clinical findings involving neurologic, musculoskeletal and cardiac abnormalities, most localized pigmentary disorders are not associated with systemic manifestations, according to pediatric dermatologist James Treat, M.D., University of Pennsylvania School of Medicine, Philadelphia.