Former UTMB DIG President Publishes Review Article About Scleroderma Ulcer Care

 Congratulations to Dr. Keith Wagner and his co-authors for their recently published literature review, “Filling in the Gaps of Scleroderma Ulcer Care: A Review,” that was published as an online pdf before print at the peer-reviewed journal, Advances in Skin and Wound Care, doi: 10.1097/01.ASW.0000582636.98643.3b, October 26, 2019. It is currently available on the journal’s website: https://journals.lww.com/aswcjournal/toc/publishahead  His co-authors are Drs. Kate Woolridge (UTMB completing resident in 2019) and Ashley Group, former UTMB Associate Professor of Dermatology.

UTMB Dermatology Residents Attend 2019 ASDS Meeting in Chicago

Three UTMB dermatology residents (one from each class) attended the recent American Society of Dermatologic Surgery Annual Meeting in Chicago (October  24-27, 2109). They were (left to right) Drs. Kristyna Gleghorn (PGY3), Julie Croley (PGY4), and Paige Hoyer (PGY2). They are eager to share what they learned at this meeting with our department!

Rare Colllision Tumor Presented at 2019 ASDS Meeting by UTMB Dermatology Resident

Congratulations to Dr. Kristyna Gleghorn and her coauthors for their poster, “An Unusual Presentation of a Collision Tumor, Containing Primary Basal Cell Carcinoma and Apocrine hidrocystoma, Encountered During Mohs Micrographic Surgery,” that was presented at the 2019 Annual Meeting of the American Society for Dermatologic Surgery (ASDS) in Chicago this October. Dr. Gleghorn’s coauthors on this poster were Drs. Matthew Lacour (UTMB SOM 2019), Skyler White (UTMB PGY4), Josh Hammel (2018-2019 UTMB Mohs Fellow), David Raimer (Core UTMB Mohs Fellowship Faculty), Brandon Goodwin (Assistant Professor of Dermatology and Dermatopathology), Brent Kelly (Professor Dermatology and Director of Dermatopathology), and Richard Wagner (Professor Dermatology and Mohs Fellowship Director).

Dr. Aaron Joseph Promoted to Clinical Associate Professor of Dermatology

Congratulations to Dr. Aaron Joseph, who was recently promoted to Clinical Associate Professor of Dermatology (nontenure track without salary) at UTMB. Dr. Joseph is active in the UTMB’s Micrographic Surgery and Dermatologic Oncology (MSDO) Fellowship Program, where he serves as the Associate Program Director and provides expert clinical and research supervision to the fellows in his Pasadena, Texas Mohs practice. Since 2016, three fellows have completed the UTMB MSDO program, with two currently in full-time academic positions (Dr. C. Helen Malone at Baylor Medical College and Dr. Jason Hirshburg at Oklahoma University School of Medicine). The 2019 completing fellow, Dr. J. Hammel is in private practice in Atlanta, Georgia. Dr. Vlad Codrea is the current MSDO Fellow.

UTMB DIG Presents Stay Shady at Collegiate Academy

UTMB Medical Student and DIG Stay Shady Chair Nicholas Tahmassi (MS2) presented Stay Shady to Students at Collegiate Academy on Tuesday October 22nd. Nicholas taught the students about sun protection and skin cancer, and made UV sensitive bracelets for students to take home. The event was a resounding success and the teachers and students were very enthusiastic about the presentation!

The next Stay Shady Event will be at Satori Elementary School on Monday November 4th at 2:30 pm. Please contact Nicholas Tahmassi  (nstahmas@utmb.edu) or Christina Davis (dndavis@utmb.edu) if you would like to participate.

UTMB Participates in the 2019 Annual ASDP Meeting

The Annual American Society of Dermatopathology Meeting was held in San Diego on October 17-20th and several UTMB medical students, fellows, and faculty participated. UTMB Medical Students Caroline Crain (MS4) and Michael Ryan (MS4) worked on the following posters with dermatology faculty and dermatopathology fellows:

A Rare Case of Endocrine Mucin- Producing Sweat Gland Carcinoma

Caroline Crain, BS; Liliana Rincon, MD; Brandon Goodwin, MD

Basomelanocytic Neoplasms: A Report of Two Similar Tumors with Divergent Treatments

Emily Behrens, MD; Michael P. Ryan, BS; Daniel D. Bennett, MD; Brandon P. Goodwin, MD; Brent C. Kelly, MD.

A Metastasizing Atypical Fibroxanthoma or a Pleomorphic Dermal Sarcoma? A Highlight on the Blurred Boundaries

Ghadah Al Sannaa, MBBS; Michael P. Ryan, BS; Adam V. Nguyen, MD; Brent C. Kelly, MD; Sharon S. Raimer, MD.

UTMB MS4 Caroline Crain and Dermatology Faculty Dr. Brandon Goodwin in front of their poster

Flooding in Galveston

Monday morning, October 21, 2019 found areas around the UTMB campus flooded on Market St and 9^th St, including parts of campus.

UTMB MS4 Publishes in Dermatologic Surgery

Congratulations to Michael Ryan (MS4) for his recent publication "Atypical Fibroxanthoma of the Scalp with Cutaneous Metastasis" in Dermatologic Surgery. His coauthors on the manuscript are Drs. Adam Nguyen (PGY-4 Dermatology Resident), Brent Kelly (Professor of Dermatology) and Sharon Raimer (Professor of Dermatology). The article can be found online ahead of print at:  https://journals.lww.com/dermatologicsurgery/Citation/publishahead/Atypical_Fibroxanthoma_of_the_Scalp_With_Cutaneous.98132.aspx

St. Vincent's Student Clinic Dermatology Night 11/7/19

Join UTMB Dermatology faculty and residents for the upcoming dermatology night at St. Vincent’s Clinic. Please see the calendar link below to reserve your volunteering spot.

When: Thursday, November 7th at 5:30-8:30PM (volunteers should arrive at 5:15)
Where: St. Vincent's House, 2817 Post Office Street, Galveston, Texas 77550

Volunteer link: http://stvsc.org/index.php/students/sign-up

UTMB Dermatology NP Selected for UTMB Academy of Master Clinicians

Congratulations to Dr. Liz Petitt, DPN, RN, FNP-C, DCNP, Assistant Professor, SON for her selection to the UTMB Academy of Master Clinicians.

Texas Leads Nation in Uninsured

 According to the Texas Medical Association (https://www.texmed.org/TexasMedicineDetail.aspx?id=51651&utm_source=Informz&utm_medium=Email&utm_campaign=TMT), 11.2% of Texas children and 17.7% of adults lack health insurance.

Congratulations 2019 Completing UTMB Dermatology Residents

The results are in, and all of UTMB’s PGY4 completing 2019 dermatology residents passed the American Board of Dermatology Certification Examination. Congratulations to Drs. Vlad Codrea, Kyle Kaltwasser, Kristin Wolf, and Kate Woolridge. It has been a great pleasure working with you! Good luck in your future practices!

UTMB Dermatology Posters at 2019 Fall Texas Dermatological Society (TDS) Meeting

UTMB was well-represented at the 2019 Fall Texas Dermatological Society Meeting in San Antonio. UTMB posters presented were:

Foreign Body Reaction to Hydrophilic Polymer Following Mohs Micrographic Surgery, Kristyna Gleghorn MD, Marie Clark BA, Skyler Maher MD, Vlad Codrea MD, Brandon Goodwin MD, Richard F Wagner Jr. MD

A Case of L. Mexicana in a Mexican Cave Diver from California and a brief review of treatment, Adam Nguyen

Primary cutaneous nocardiosis in a patient with pancytopenia, Frank Winsett

DRESS Syndrome: A Refractory Case with Severe Hepatitis, Julie Croley

Cystic Molluscum: A Unique Histopathologic Presentation of a Common Condition, Paige Hoyer

Dermatitis Herpetiformis in an African American Female, Bianca Uzoma

The diagnostic challenge of a chemotherapy-related drug eruption in a patient with a bullous rash, Caroline Crain

Case of severe pemphigus vulgaris in an 11-year-old girl treated with rituximab and methotrexate, Corley Pruneda

Lab Monitoring in Healthy Asymptomatic Acne Patients on Isotretinoin: A Cost Comparison Between Daily Practice and Literature Based Recommendations, Michael Ryan

Vismodegib-induced alopecia: description of histologic findings, Natalya Gallaga

Squamous Cell Carcinoma within a Verrucous Cyst, Michael Phan

A Rare Case of Familial Generalized Multiple Glomangioma in an Adult Female, Elise Weisert

Dermoscopic Clue for Diagnosis of Involuting Congenital Nevus of the Scalp, Maureen Ezekor

UTMB PGY3 Dermatology Resident Publishes in Cutis

Congratulations to Dr. Kristyna Gleghorn for her 2019 case letter published in Cutis, “Postinflammatory Hyperpigmentation Following Treatment of Hyperkeratosis Lenticularis Perstans With Tazarotene Cream 0.1%” (Cutis. 2019 August;104[02]:E37-E38). Her coauthors were Drs. Tanya Riddle, and Adrian Subrt, and Erica Kelly (UTMB Professor of Dermatology). Their article is available at https://www.mdedge.com/dermatology/article/207756/pigmentation-disorders/postinflammatory-hyperpigmentation-following

UTMB PGY4 Dermatology Resident Featured in Twitter Chat About Skin Cancer

UTMB PGY4 dermatology resident Dr. Julie Croley will participate in a twitter chat about skin cancer on Tuesday, October 8, at 8 pm est. Her co-hosts are Drs. Candrice Heath (Assistant Professor of Dermatology, Temple University Dermatology) and Anthony Rossi (Memorial Sloan Kettering Cancer Center). The chat is being held on Tuesday, October 8, 2019 at #MDedgechats.  Please join us to learn more about skin cancer, sunscreens, skin of color, and melanoma!

Stay Shady Volunteer Opportunities

UTMB DIG will have two upcoming Stay Shady Presentations that medical students can volunteer for:

-The first is at Collegiate Academy @ Weis on Tuesday October 22, 2019 from 2:00-2:51pm.

-The second is at at Satori Elementary School on Monday November 4th at 2:30 pm .

Please contact Stay Shady Chair Christina Davis (cndavis@utmb.edu) for more information if you would like to help out.

UTMB DIG Hosts Fall Bake Sale

The Dermatology Interest Group had its annual Fall Bake Sale on Wednesday October 2nd. The event was organized and planned by DIG Fundraising Chair Elise Weisert (MS3). Special thanks to McKenzie Poehl (MS1) and Claire Culbertson (MS1) for coming out and helping Elise run the stand. The following students provided the baked goods that were sold: Caroline Crain (MS3), Alyssa Hansen (MS2), Will Meyer (MS1) ,McKenzi Poehl (MS1), and Claire Culbertson (MS1). Thank you to everyone who participated and those in the community who bought baked goods!

Left to Right: Claire Culbertson (MS1), McKenzie Poehl (MS1), and Elise Weisert (MS3)

UTMB DIG Presents First Stay Shady of the Year

UTMB DIG visited Austin Middle School on Thursday 9/26/19 to teach students about skin cancer and sun safety. Special thanks to Nicholas Tahmassi (MS2) and Christina Davis (MS2) for setting up the event and volunteering to give the presentation and make UV-sensitive bracelets with the students. Nicholas and Christina are the DIG Stay Shady Chairs for the 2019-2020 year and are working to plan many more events throughout the year.  Stay tuned for future blog posts with additional opportunities to get involved with Stay Shady!

Medical Student Christina Davis in front of Austin Middle School

Bake Sale Volunteers Needed

DIG will be hosting our annual Fall Bake Sale on October 2nd from 11:00-1:00. We are still in need of volunteers to bake or bring treats. Please sign up using the link below if you are able to donate treats and/or would like to volunteer! Please contact Elise Weisert at emweiser@utmb.edu with questions. 

https://docs.google.com/spreadsheets/d/1SMRd_Bv1U1SkMHXtacpYZNE1rqM93v-grgui-TnqYqc/edit?usp=sharing

St. Vincent Health Fair 2019

UTMB DIG will be hosting a booth at the annual St. Vincent's Health Fair on Saturday, November 9th, 2019 from 9:00am to 12:00pm. The health fair is a community-wide event focused on providing health screening opportunities, health resources and health education to the underserved population in Galveston. Our booth will be focused on sun and skin care, and we will be providing participants with free samples and skincare education materials during the fair. We are looking for 2 to 4 volunteers who can create an educational poster and then help run the booth for any or all of the time between 9:00am to 12:00pm.

Please contact Michael Ryan (mpryan@utmb.edu) if you would like to be a part of this event.

St. Vincent's Student Clinic Dermatology Night 10/3/19

Join UTMB Dermatology faculty and residents for the upcoming dermatology night at St. Vincent’s Clinic. Please see the calendar link below to reserve your volunteering spot.

When: Thursday, October 3rd at 5:30-8:30PM (volunteers should arrive at 5:15)
Where: St. Vincent's House, 2817 Post Office Street, Galveston, Texas 77550

Volunteer link: http://stvsc.org/index.php/students/sign-up

Imelda Part 2

What started as a dry morning in Galveston has become a very wet with more flooding.

Photo caption: Same view as yesterday, looking south on 9^th Street from the UTMB Campus toward the Gulf of Mexico

Imelda

Yes, much of Galveston was under water today. Most area school districts closed. UTMB clinics in Galveston, Bay Colony, and Stewart Road remained open for patient care. Thank you dermatology residents, faculty, and staff!

Photo caption: View looking south toward Market and 9^th Street from UTMB campus

What is the Best Practice for Swapping Dermatology Interview Dates?

Since dermatology residency programs often have limited interview dates and not all interview offers are made at the same time, what should the applicant do if already committed to interview at Program A and then receives an offer from Program B for the same interview date? The applicant may like both programs and would like to interview at both. This issue was discussed in detail at the 2019 Association of Professors of Dermatology annual meeting. There is concern that in the recent past, applicants in this situation have offered to compensate those holding the desired interview date for more than travel costs already incurred. One prestigious dermatology program in attendance indicated that they would soon update their website to prohibit this type of trading, and to insure fairness in this process, only allow rescheduling through their program coordinator.

UTMB “Physician Only/R” Dermatology Residency Position for July 2020 Receives NRMP Program Code

The UTMB Department of Dermatology has received a NRMP Program Code for the “Physician Only/R”  for one dermatology residency position that will begin on July 1, 2020. The new NRMP Program Code is 1714080R0. This position is only available to physicians who currently are in or who have completed a PGY1 year in a clinical specialty approved by the American Board of Dermatology. Since UTMB Dermatology will be listing two dermatology residency programs with different codes this year, applicants should make sure that they use the correct program code on both ERAS for applications and NRMP for ranking.

Thank you Dr. Chandler Self

Dr. Chandler Self, UTMB Assistant Professor of Psychiatry and Behavioral Sciences, presented her lecture, “Delusions of Parasitosis” to dermatology residents, faculty, and students on Friday, September 6, 2019. We all enjoyed learning more about this important topic.

UTMB Dermatology Publishes Research About Cutaneous Nontuberculosis Mycobacteria Infections

Congratulations to Dr. Rebecca Philips (UTMB SOM, Dermatology Residency, and Dermatopathology Fellowship) for her September 2019 JAAD article, “Cutaneous nontuberculous mycobacteria infections: A retrospective case series of 78 patients from the Texas Gulf Coast region” (J Am Acad Dermatol 2019;81:730-9). Her co-authors on this publication were Dr. Paige Hoyer (UTMB PGY2 dermatology resident), Dr. Skyler White (UTMB PGY4 dermatology resident), Dr. Katherine Tinkey, Dr. Michael Loeffelholz, Clark Anderson, Dr. Michael Wilkerson (UTMB Professor Dermatology), Dr. Bernard Gibson (UTMB Dermatology Chair ad Interim), and Dr. Brent Kelly (UTMB Professor Dermatology and Director of UTMB Dermatopathology). Congratulations to all on such an excellent article!

More on Dermatology “Research Year” Opportunities

There has been a proliferation of “Research Year” opportunities in dermatology for medical students and for those who have completed PGY1. One current source lists 74 research positions nationwide: https://docs.google.com/spreadsheets/d/18DTwXT1kq3RvsbO164q1LOHPVIBkDFRvfbeUg4FhX8I/edit#gid=1571544969 with 6 in Texas. This list is dynamic, with some programs closing and new ones opening. Applicants should be aware that the “Research Year” is trending toward more than one year in duration. Committing to a “Research Year” is indicative how competitive dermatology residency has become and the determination of applicants, but unfortunately is not a guarantee for matching into a dermatology residency. 

AAD Limits Case Report Posters for the 2020 Annual Meeting

Yes, the AAD has decided to limit the number of poster case reports accepted to 100 for the 2020 AAD Meeting in Denver: “New for 2020 and beyond: Case reports will be considered however there will be a maximum of 100 case reports that will be accepted. The top 3 accepted case reports will be printed at the front of the JAAD Supplement.”

Good Luck Dr. Ashley Group

The DIG has greatly enjoyed working with you and we are very grateful for your excellent dermatology teaching. Good luck!

Dermatology Interest Group - Opening Meeting Notes – 8/29/19

The Dermatology Interest Group would like to thank everyone who came out to the opening meeting on Thursday. Below are the notes from the meeting:


Q&A with Dr. Wagner (UTMB Program Director)


General Information
-UTMB Dermatology Residency Program will have 5 spots in the match this year and looks to fill them with high achieving students who have strong research background.
-Faculty are willing to assist students with research and mentoring.
-Always follow through with research projects and set clear expectations
-Honors Research Program is a good opportunity to complete independent project.
-Many clinical electives are available for students.
-1^st years can take a 4-week elective between MS1/MS2 in dermatology.
-Dermatology electives can count for many graduation requirements.
-There are didactive courses offered that can allow ample time for interviews.
-Opportunities for Conferences: Texas Dermatological Society meetings (fall and spring) and Annual AAD meeting (spring).
-Avoid prioritizing research at the cost of grades and learning. Applicants should be able to manage academics, research, and extracurriculars.
-Find reliable upperclassmen to provide advice and mentoring.

What options are available if you don’t match:
-Must have a back-up plan.
-Delay graduation (Super-senior year, master’s degree, more away rotations).
-Other specialties in the match.
-Supplemental Offer and Acceptance Period (SOAP).
-PGY-1 Year (intern year) + Apply again or Research years.
-Research Fellowships.
-Unmatched dermatology applicants have applications and step scores much higher than the median for many other fields.

What to do as a 1^st year medical student:
-First and foremost, focus on adjusting to medical school and performing well in classes
-Attend monthly St. Vincent Dermatology Nights (1^st Thursday of the Month)
-Sign up for Dermatology Preceptorship or dermatology related research (MSSRP) between 1^st and 2^nd year
-Consider shadowing opportunities
-Consider project ideas for Honors Research Thesis

Upcoming DIG Events:

Stay Shady Presentations:
9/26/19- 8:00 - 10:30 AM
Contact: Christina Davis
cndavis@utmb.edu

DIG Fall Bake Sale
October 2^nd 11:00am - 1:00pm
Sign up link:
https://docs.google.com/spreadsheets/d/1SMRd_Bv1U1SkMHXtacpYZNE1rqM93v-grgui-TnqYqc/edit?usp=sharing
Contact: Elise Weisert
emweiser@utmb.edu

Other events this year: (Dates TBD)
-6-7 additional Stay Shady Presentations
-Spring Bake Sale
-Dermatology Procedure Workshop
-Match Panel
-Officer Elections
-Melanoma Walk
-Psoriasis Walk

-Various volunteer activities

UTMB Dermatology Nurse Practitioner Receives 2019 UTMB President’s Cabinet Award

Congratulations are in order for Stephanie Kemmerling, FNP-C. She received a 2019 UTMB President’s Cabinet Awards for her proposal, “Reducing the Perception of Pain in Children and their Families with Implementation of Comfort Kits for Kids.”

Period 2 Students’ Present “Kodachrome Cake”

Thank you to our Period 2 rotating dermatology students who presented UTMB Dermatology residents and faculty with a “Kodachrome Cake” (based on our weekly clinical unknown Kodachrome conference) on the last day of the 4 week rotation. We all enjoyed working with you this month and learned from your end-of-rotation presentations. Good luck in your medical careers.

Photo caption (left to right): Mason Yu (UTMB PA student), MS4 Kathryn Hinchee-Rodriguez (UT San Antonio), MS4 Brandy Drozd (Texas A&M), MS4 David Duff (U Mississippi), MS4 Timothy Tran (Texas Tech El Paso), MS4 Kevelyn Rose (UT Houston), and MS4 Meenakshi Manivannan (Texas Tech El Paso)

Dr. Keith Wagner interviewed by The Dermatologist

Congratulations to Dr. Keith Wagner, a recent UTMB SOM graduate who will begin dermatology residency at UTMB in July 2020. He was interviewed by Melissa Weiss, Associate Editor of The Dermatologist about his research on skin hoaxes. Dr. J. Croley (UTMB PGY4) and Dr. Janice Wilson (UTMB Assistant Professor of Dermatology) are credited with helping Dr. Wagner with his research. Their internet resource for the public and researchers interested in this topic is also mentioned (www.SkinHoax.com). The interview is available online at https://www.the-dermatologist.com/article/qa-dr-wagner-online-skin-disease-hoaxes

Dr. Ben Raimer Named UTMB Interim President of UTMB

 Congratulations to Dr. Ben Raimer, the new Interim President of UTMB. His wife is Dr. Sharon Raimer, former UTMB Dermatology Chair (1999-2016) and current dermatology professor. His son, Dr. David Raimer, is a UTMB SOM graduate, UTMB dermatology resident, and current UTMB Clinical Dermatology Faculty and a core faculty for the UTMB Micrographic Surgery and Dermatologic Oncology Fellowship Program.

Academic Trifecta!

Academic publication can be a daunting task for medical students. However, in academic medical centers and medical schools, experienced help is usually available! In many settings, presentations and publications are needed by medical students applying for residencies, residents seeking fellowships, and faculty seeking promotion and tenure. Where do medical students fit in? In many instances, medical students (especially in their final year) have time to read about interesting case presentations, topics, participate in research projects, write a first draft abstract or manuscript for review and editing by the resident(s) and faculty, and finally submit the work for conference presentation or publication.

This describes an often iterative process that may take several weeks in the writing phase until everyone is satisfied with the final draft. After submission, the medical student keeps coauthors informed during the review process and organizes everyone if revisions are requested. In doing so, everyone on the team benefits. Students become more acquainted with medical research and become better writers. Resident and faculty are able to help medical students by providing direction, editing, and providing mentorship. Following positive team interactions through this process, faculty become important professional references. When posters, presentations, and publications appear with medical student, resident, and faculty co-authors, everyone wins!

UTMB Honors Research Program has a New Director

Congratulations to Bret T. Howrey, PhD (UTMB Associate Professor of Family Medicine). Dr. Howrey is the new Director for the UTMB Honors Research Program for medical students. Since 2001, 32 UTMB medical students have completed this program in the Department of Dermatology, with the vast majority of these students matching into dermatology residency programs.

UTMB Dermatology Chair Search Announced

UTMB has announced its search for a Dermatology Chair. Dr. Bernard Gibson, UTMB Associate Professor of Dermatology, has been the UTMB Dermatology Chair ad interim since 2016.

UTMB SOM 2019 Graduate Publishes about Porphyria

Congratulations to Dr. Christopher Dallo, who published, “The Royal History of Porphyria” in Online Journal of Community and Person-Centered Dermatology.

The article may be found at http://ojcpcd.com/dallo-c-h/royal-history-of-porphyria/  Dr. Dallo begins dermatology residency at the University of Kansas in July 2020.

Updated Date for DIG 2019-2020 Opening Meeting (8/29/19)

Please note that the date for the opening meeting has been moved from Monday 8/26/19 to Thursday 8/29/19. The corrected announcement is copied below:

Come join the Dermatology Interest Group for their first meeting of the year! We will have UTMB Dermatology Program Director Dr. Richard Wagner present to answer questions about matching into dermatology. We will also discuss future events and have sign ups available for our fall fundraising bake sale and community outreach "Stay Shady" program. The meeting will be held on Thursday 8/29/19 in the 5th floor Dermatology conference room (5.124) at 5 pm. We hope to see you there!