Current Editors: Tim Allen and Keith Wagner

Past Editors: Kristyna Gleghorn, Dung Mac, Alex Acosta, William Tausend, Sheila Jalalat, Rebecca Philips, Chelsea Altinger, Lindsey Hunter, Alison Wiesenthal, Leslie Scroggins, Mara Dacso, Ashley Group, Fadi Constantine, Emily Fridlington, Joslyn Witherspoon, Tasneem Poonawalla.

Tuesday, September 26, 2017

DIG Meeting on Wednesday, October 11th at 5pm

On Wednesday, October 11th at 5pm in the 5th floor conference room (McCullough 5.124), the DIG Officers will be hosting the Fall 2017 meeting. Topics for discussion include: Stay Shady dates/sign-up, Texas Derm Society recap, Fall Bake Sale, and other upcoming events of interest. In addition, UTMB Program Director and DIG Faculty Adviser Dr. Richard Wagner will be present to provide general advice/recommendations as well as host an informal Q&A session. This is a great opportunity for interested students to receive advice early on to help them become a top applicant.

What: Fall DIG Meeting
When: Wednesday, October 11th @ 5pm
Where: 5th floor conference room (5.124 McCullough)

Friday, September 22, 2017

Recent PGY4 Dermatology Graduates Provide Lunch for Department

Thanks to our recently graduated PGY4 dermatology residents (and now Diplomates of the American Board of Dermatology!) Elizabeth, Emily, Young, and Alison for the delicious lunch. Wish you could be here with us! We will see y’all in Bastrop at the 2017 fall Texas Dermatological Society meeting in Bastrop, Texas next weekend. UTMB has lots of medical student and resident posters that should be of interest.

MCAT Score Predictive of AOA Election

Medical education researchers at the University of Minnesota report that at their medical school, higher MCAT scores were predictive of future AOA election (P < 0.001 ). Between 2012 and 2016, no students were elected to AOA who scored less than 27 on the MCAT. However, students who scored 38 or higher (99th percentile) had a 27% chance of AOA election. For additional information, please see: https://www.dovepress.com/articles.php?article_id=34741

Galveston is Free on Weekend of September 30/October 1, 2017 (At Least Some Things…)

The City of Galveston is generously offering free Seawall parking and beach (Stewart Beach and East Beach) admission during the weekend of September 30th and October 1st (“Galveston Cares Weekend”). Trolley rides on the Strand are also free these days. Free fireworks at 37th and Seawall honoring first responders. This is a good time to enjoy the wonders of Galveston for free! Please read http://www.chron.com/neighborhood/bayarea/news/article/Galveston-plans-free-beach-weekend-fireworks-and-12217740.php  for additional information.

Tuesday, September 19, 2017

UTMB MS4 First Author on Mohs Surgery Article

Congratulations to UTMB MS4 Josh Hays for his recent first author publication, “Reactive Eccrine Syringofibroadenoma Associated With Basal Cell Carcinoma: A Histologic Mimicker of Fibroepithelioma of Pinkus,” This electronic publication, ahead of print, appears in Dermatol Surg. 2017 Sep 4. doi: 10.1097/DSS.0000000000001308, PMID: 28902033.  His co-authors on this study were Drs. H. Malone (UTMB former Mohs Fellow not in private practice in Katy, Texas), Brandon Goodwin (Assistant Professor of Dermatology and Dermatopathology at UTMB), and Richard Wagner (Mohs Fellowship Director). The UTMB DIG blog congratulates Josh for the quality of his research and for his excellent academic productivity!

Friday, September 15, 2017

UTMB PGY4 Dermatology Resident Dr. Chinelo Ikpeama Assists Dermatology Lobbying Effort in Washington, DC

Chinelo Ikpeama MD, MBA, PGY-4 UTMB dermatology resident is photographed with the Texas delegation as they lobby Texas Junior Senator Ted Cruz at Capitol Hill during the 2017 American Academy of Dermatology Association Legislative Conference in Washington DC. Dr. Ikpeama is standing to the immediate right of Senator Cruz in this photograph.

UTMB Mohs Team Publishes Nasal Reconstruction Article in October 2017 JAAD

Congratulations to Dr. Helen Malone (former UTMB Mohs Fellow now in private practice in Katy, Texas), UTMB MS4 Josh Hays, UTMB PGY4 Dermatology Resident Dr. Will Tausend, and Fellowship Director, Dr. Richard Wagner for their October 2017 article, “Interdomal sutures for nasal tip refinement and reduced wound size,” that was electronically published in the October 2017 issue of the Journal of the American Academy of Dermatology (Volume 77, Issue 4, pages e107-e108). Of note, Josh Hays drew all of the figures in this report! It is available online at http://www.sciencedirect.com/science/article/pii/S0190962217316456
Congratulations to Josh and the rest of the Mohs team for this interesting article!

Stay Alert for New Cases of Murine Typhus in Galveston County

The Galveston County Health Authority has requested assistance in identifying new cases of murine typhus (Rickettsia typhi) that is spread by infected fleas. Infected animals include rats, cats, and opossums. So far this year, there have been 15 new infections identified in Galveston County. Dermatologists may see these patients due to a  maculopapular rash that begins on the trunk and extends peripherally. Additional information about murine typhus can be found at https://www.cdc.gov/typhus/murine/index.html
Please direct any additional questions to 409-938-2208, 409-938-2215 or 409-938-2322

Wednesday, September 13, 2017

2017 UTMB Dermatology Residents Receive an A on ABD Certification Exam

The American Board of Dermatology Provides dermatology residency programs with composite information about the results of their annual Certification Examination each year as one way to evaluate effectiveness of the training program. This year our 4 graduating PGY4 dermatology residents achieved a composite percentile rank of 90%. The failure rate of the 2017 exam was 1.4% of the 496 testees. This makes the third year in a row that UTMB PGY4 graduating dermatology residents have achieved composite percentile ranks of 90% or greater. 130 Programs were ranked by this method in 2017. Congratulations to the UTMB Dermatology Residency Program for this great achievement and recognition.

Friday, September 08, 2017

Dermatology Very Popular With New First Year Students

Dermatology was very popular among the incoming students at welcome weekend (Aug 26-29), with over ~30 people signing up to join the blog. When the DIG booth looks this good, its easy to see why! Thanks to Michael Ryan(MS2) and Keith Wagner (MS3) for volunteering to man the booth.

UTMB Dermatology Operations during Hurricane Harvey

The UTMB Dermatology Clinic was open at UHC in Galveston on Monday, August 28th. Even though UTMB medical students were dismissed from school the previous week to evacuate for Hurricane Harvey (and would not return until Tuesday, September 5th), the UTMB Dermatology Clinic at UHC in Galveston was open for patients on this very wet day. Kudos to all who were able to staff this clinic (photo) during this weather emergency! All UTMB Dermatology Clinics were open for patients on Friday, September 1.

100% of PGY4 UTMB Dermatology Residents Pass July 2017 American Board of Dermatology Certification Examination on First Try

Congratulations to all of the PGY4 2017 UTMB PGY4 Dermatology Residency Graduates who completed training in June. All four passed the American Board of Dermatology on their first attempt. The UTMB DIG had no doubts about your success!

Tuesday, September 05, 2017

Record Number of Visiting Medical Students Taking UTMB Dermatology Electives

There have been 12 visiting MS4s in the UTMB Department of Dermatology so far during the 2017-2018 academic year through Period 3 (July through September). Included are in-state medical students (University of Texas Houston, Texas A&M) and others from out-of-state medical schools (University of Arkansas, University of Louisiana New Orleans, University of Tennessee Memphis, Drexel University, and University of North Dakota). We hope that you have all enjoyed your stay in Galveston and have learned more about dermatology!

UTMB Medical Students Return Following Hurricane Harvey

UTMB medical students were dismissed prior to the arrival of Hurricane Harvey, and are now back at UTMB starting September 5th, 201

UTMB Dermatology has Two New Professors!

Congratulations to Drs. Erica and Brent Kelly. Dr. Erica Kelly was promoted to Clinical Professor of Dermatology on September 1, 2017 and Dr. Brent Kelly was promoted to Professor, Dermatology (tenured) at the same time.  The UTMB Dermatology Department now has 5 dermatology professors, 1 associate professor, and 3 assistant professors on faculty. Three of the professors are tenured.

Monday, September 04, 2017

St. Vincent Dermatology Night 9/7

Join UTMB Dermatology residents and faculty for the upcoming dermatology night (Thursday, September 7th) at St. Vincent’s Clinic. Please see the calendar link below to reserve your volunteering spot:
When: Thursday, September 7th 5:30-8:30PM (volunteers should arrive at 5:15)
Volunteer link: http://ift.tt/25Hmbgd

Thursday, August 24, 2017

How Many Dermatology Residency Programs Should I Apply To?

Opinions vary. Some suggest applying to them all; this is certainly the most expensive strategy. Of interest is the AAMC’s analysis. They suggest that fewer applications may be the best strategy. For additional information, please review https://www.aamc.org/cim/481320/applysmartderm.html

Tuesday, August 22, 2017

Committed to a Dermatology Career?

Dermatology has certainly changed since its earliest days. Prior to the advent of penicillin, many dermatology patients were treated for syphilis, a highly stigmatizing and chronic disease. Entry into dermatology practice was relatively easy since careers in our specialty were not very competitive or prestigious. After the advent of penicillin (and the cure of many patients with syphilis) dermatology practice became more procedural, first with minor office surgery, and later with the adoption of Mohs surgery, lasers, dermabrasion, sclerotherapy, chemical peels, hair transplantation, fillers, neurotoxins, and new emerging cosmetic technologies. Dermatology has now become one of the most competitive residencies for applicants. It is very attractive profession because it is one of the ROAD (“road to happiness”: radiology, ophthalmology, anesthesia, and dermatology) specialties, with manageable lifestyle and excellent compensation for hours worked. With these 4 specialty choices, there is a chance to have a second life outside of medical practice with a good income!

Career planning is prudent when considering very competitive specialties. The reality is that there are not enough residency positions for all the highly qualified applicants. Why are the majority of dermatology applicants highly qualified? Self-selection is at work, because potential applicants without many academic honors, awards, dermatology research, and high scores don’t apply. Applicants with a PhD, extensive research, taking an additional year of substantive, productive (publications!) research before graduating from medical school, high Step 1 scores, AOA membership, and graduation from a top medical school are favored in this selection. This process results in a pool of applicants with above average credentials. However, this has created another problem--there is no longer any guarantee for dermatology matching, even with a Step 1 score of 250 or higher and AOA membership. Everyone is not able to get the competitive job they want, and if they do, it may be in an undesirable location.

The dermatology match through ERAS and the NRMP is a highly stressful time for many applicants. Stress begins immediately for many applicants, who after receiving a high Step 1 score, make the decision to become a dermatologist. Many have no prior dermatology research and now have one year or less to gain enough research experience to remain competitive before submitting residency applications. Is there enough time to become competitive while taking required MS3 clerkships and doing well on these rotations? Stress continues to build when excellent applicants find themselves not getting enough interviews (or fewer interviews than classmates). Interviews are highly correlated with matching: the more interviews, the greater the chance for a match. Going to interviews is stressful, and may be costly as well. Air travel and hotel is often involved, and once at the interview, the quality of the other applicants is daunting. Everyone is so well qualified and competing for just a few available positions. This is why long-range planning is prudent for anyone considering a dermatology career. Applicants need to know what could happen if they do not match on the first attempt.
Sadly, every year excellent dermatology applicants fail to match. Of all 4 ROAD specialties, dermatology has the fewest residency positions. What is the next step? Some have already planned for this outcome and have matched into back up specialty; they never looking back at dermatology and are happy with their alternative career choice. Others cannot give up the dream of a dermatology career. They consider completing residencies in primary care specialties and plan to reapply for dermatology; this can work, but due to restrictions in Medicare funding for second residencies, only a few programs are able to consider this type of applicant. Some initially match into alternative residencies with longer Medicare funding periods, like the 5 year general surgery residency with the plan to leave the program after one or two years in order to protect 3 years of dermatology residency funding. Some take a 4 year pathology residency with a transitional or preliminary medicine PGY1 year and then take a dermatopathology fellowship, with the plan to identify a dermatology residency that needs a dermatopathologist for ACGME program accreditation and is willing to forgo full Medicare funding. Currently the most efficient strategy for dermatology re-applicants appears to be completing the PGY1 year, obtaining a medical license, and going into a non-accredited dermatology clinical trial research fellowship with the hope of improving research credentials and professional connections during this additional training. It is thought that more than 50% of these paid clinical dermatology fellows eventually match into dermatology residencies, although it may take several years to do so. These dermatology re-applicants may need to move across the country for dermatology training in an unfamiliar city without friends and family. There is some risk to this strategy, because those that fail to match into dermatology after this extra research training may find it hard to find residency positions in other specialties, since it now has been several years since medical school graduation and nondermatology clinical skills and general medical knowledge have faded. Some in this situation will forgo additional postgraduate training and open dermatology practices anyway, relying on dermatology knowledge obtained during medical school, the clinical trial research fellowship, and ongoing CME obtained at dermatology conferences. This career course may not be optimal because due to a lack of ACGME dermatology residency, there is no possibility for board certification in dermatology and some insurance plans may not accept physicians who have not completed a dermatology residency and become board certified.

Thursday, August 17, 2017

DIG needs volunteers for Plazapalooza

DIG is looking for members to volunteer at our Plazapalooza booth Tuesday, August 22nd 5:30-8:30. It will be outside of Old Red. There will be food and drinks at the event. Please email Kedwagne@utmb.edu

Tuesday, August 15, 2017

Volunteers needed for Saturday

UTMB DIG is requesting volunteers for the DIG booth this Saturday. There will be a breakfast served before the fair and lunch will be after. We are also looking for someone to design our poster for the table.  Details below. Email Kedwagne@utmb.edu if you would like to help us this weekend!

Location and Time:
Welcome Weekend will take place at the Moody Gardens Convention Center at 7 Hope Boulevard, Galveston, TX 77554. The Community Fair will occur from 10:00 AM – 12:30 PM in Expo Hall C in the Convention Center. Student Organizations and Community Vendors will be allowed to set up for the fair starting from 9:00 AM – 9:45 AM. All student organization must be at their tables and ready to go at 9:45 AM. Volunteers will be unable to enter the Expo Hall after 9:45 AM, as we will be preparing to transition the first group of students into the fair.

Thursday, August 10, 2017

Lots of Medical Students at UTMB

928 allopathic medical students as of last fall, making UTMB the 9th largest medical school in the US.

UTMB Dermatology Publishes Original Research in August 2017 JAAD

UTMB dermatology research about nephrogenic systemic fibrosis (Wilson J, Gleghorn K, Seigel Q, Kelly B. Nephrogenic systemic fibrosis: A 15-year retrospective study at a single tertiary care center. J Am Acad Dermatol 2017; 77:235-240) was published in the August 2017 issue of JAAD. The first author, Dr. Janice Wilson, recently completed a dermatopathology fellowship at UTMB and will join the dermatology faculty next month. She will be the 9th UTMB faculty member.

Monday, August 07, 2017

Texas Dermatological Society Requesting Posters for Fall 2017 Meeting in Bastrop, Texas

The application deadline for the Texas Dermatological Society (TDS) fall meeting applications for poster presentations is September 1, 2017, with complete abstracts due by September 8th. Only residents are eligible to win awards, but medical students may submit their work. Materials presented must not have been published, but may be already accepted for publication. Winning abstracts are published in The Texas Dermatologist. The meeting is on September 29th and 30th. Please email any questions to sylvia.hall@texmed.org

Thursday, August 03, 2017

Living with Melanoma Symposium at MD Anderson Cancer Center, 8/26

Hey DIG members, Register now for the free 2017 Living with Melanoma Symposium at MD Anderson Cancer Center on August 26! Hear stories from survivors of melanoma, as well as lectures by melanoma experts on topics related to melanoma. Click the link below for more information and to register. 

Wednesday, August 02, 2017

St. Vincent Dermatology Night 8/3

Join UTMB Dermatology residents and faculty for the upcoming dermatology night (Thursday, August 3rd) at St. Vincent’s Clinic. Please see the calendar link below to reserve your volunteering spot:
When: Thursday, August 3rd, 5:30-8:30PM (volunteers should arrive at 5:15)
Volunteer link: http://ift.tt/25Hmbgd

Friday, July 28, 2017

UTMB Dermatology Resident Receives eGEM Recognition

The UTMB eGem (“Going the Extra Mile,” https://www.utmb.edu/gem/ program recognizes UTMB employees, students and volunteers for professional behavior and excellent patient care. One recent patient wrote, “Dr. Tausend took the time to personally call me and give me my bx results the normal 8 to 5 hours. It was a great feeling to have a personal touch to my care instead of only getting an update via MyChart. Dr. Tausend was wonderful during my clinic appointment answering my questions. He's wonderful asset to the derm depart. and we are lucky to have a Resident that cares as he does.” Congratulations Dr. Tausend! Nominations for eGEM awards can be made at https://www.utmb.edu/gem/SendGEM

New Dermatology Journal Publishes Two Articles from UTMB Dermatology

A new peer-reviewed, open access, quarterly dermatology journal, Skin: The Journal of Cutaneous Medicine (http://jofskin.org/index.php/skin), has published two articles from the UTMB Department of Dermatology in its first issue. Dr. M. Wilkerson, Professor, Dermatology supervised the medical student (first author) and two UTMB dermatology residents who co-authored these reports. The full articles are available at the journal website:

A Rare Transition from Pemphigus Vulgaris to Pemphigus Foliaceus Following Rituximab Therapy Confirmed by Antidesmoglein ELISA
Samuel P Haslam, Katelyn F Woolridge, Michael G Wilkerson

Penile Mondor's Disease: Two Rare Cases
Samuel P. Haslam, Chinelo Ikpeama, Michael G. Wilkerson

Wednesday, July 26, 2017

UTMB MS2 Scheduled to Present Dermatology Research Honors Thesis

Please join UTMB MS2 Michael Ryan when he presents his UTMB Dermatology Research Honors Thesis, “Dermatologic Depictions in Animated Movies,” on Thursday October 5, 2017 in the 4th floor dermatology conference room (4.130 McCullough Bldg) at 5 pm. Mr. Ryan’s committee members are Drs. Peek, R. Wagner (faculty advisor), B. Kelly, and J. Wilson. UTMB DIG members with an interest in participating in the UTMB Research Honors Program should attend this presentation to find out more about this research opportunity. UTMB MS3s who are interested in participating should be aware that the thesis proposal deadline December 31, 2017. If the thesis proposal is approved, it meets the BSHS graduation writing requirement.

Monday, July 24, 2017

UTMB Dermatology to Provide Rotation for UTMB Family Medicine Residents

Starting this week, UTMB Dermatology will initiate a new clinical elective for UTMB Family Medicine residents. Family Medicine residents will be able to take this elective during their PGY2 and PGY3 year. UTMB Dermatology already has established rotations for UTMB Internal Medicine residents and for PGY3 Plastic Surgery residents (Mohs rotation). Dr. Brent Kelly coordinates the Family Medicine and the Internal Medicine residents, and Dr. Richard Wagner supervises the Plastic Surgery residents. The Family Medicine residents, like the Internal Medicine and Plastic Surgery residents, will be able to see patients in the dermatology clinics and write notes in EPIC, all under dermatology faculty supervision.

Friday, July 14, 2017

Everything You Ever Wanted to Know About the History of the UTMB Dermatology Department!

Ms. Betty Head is the UTMB Department of Dermatology employee who has been with our department longer than anyone else. You are invited to listen to her re-collection of the Department’s history when she gives a lecture in the UTMB Dermatology 5th floor conference room at 10 am on Friday, July 21st.