Cutaneous Miscellaneous: The Dermatology Residents Podcast

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Peter Lio, MD, to examine the role of over-the-counter (OTC) skin care in everyday practice.

They discuss evolving perceptions of “drugstore” products, explore what “sensitive skin” may actually represent clinically, and review emerging data on polymer-based cleansing technologies designed to support barrier integrity. The conversation also highlights formulation science, including research evaluating moisturizers that combine hyaluronic acid, natural moisturizing factors, and essential lipids, as well as data suggesting improved quality of life when lightweight adjunctive moisturizers are paired with acne regimens. They also examine clinical findings from a study assessing structured OTC regimens before and after procedures and their impact on tolerability and irritation.

Tune in to the episode for an evidence-informed framework for recommending OTC products with confidence and elevating everyday patient care as a resident or early-career dermatologist.

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, is joined by Vinh Chung, MD, dermatologist and Mohs surgeon, for a thoughtful conversation on burnout, physician well-being, and becoming the kind of doctor you want to be.

They explore why burnout often emerges early in training, driven by workload, time pressure, and administrative demands, and how it can manifest as emotional exhaustion, depersonalization, and diminished fulfillment. Dr Chung reframes burnout as something that can develop through neglect rather than inevitability, emphasizing the importance of supportive teams, shared purpose, and meaningful work. The discussion also touches on moral injury, the role of autonomy in professional satisfaction, and the value of aligning career decisions with personal values rather than prestige or compensation alone.

Tune in to the episode to reflect on who you want to become as a physician, how to evaluate culture and leadership when choosing your next step, and how long-term perspective, humility, and human connection can help sustain fulfillment in dermatology.

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Erik Domingues, MD, for a conversation on why practice culture matters and how residents and early-career dermatologists can start thinking about it long before they run their own clinic.

The episode opens with a boards review on vitiligo, covering common triggers, genetic associations, major clinical subtypes, important mimickers, notable associated conditions, and core medical and surgical treatments every resident should know.

In the main part of the episode, the discussion focuses on how practice culture develops and its direct impact on patient care, staff morale, and clinical efficiency. Dr Domingues shares perspective on communication, leadership behaviors, team dynamics, and the habits that contribute to a positive clinical environment, offering concepts residents can begin applying even during training.

Tune in to the episode for insights that can help residents recognize healthy practice environments, understand their own role in shaping team culture, and prepare for the responsibilities that come with building a supportive, patient-centered practice.

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Shannon Trotter, DO, for a discussion on photodynamic therapy (PDT), a treatment many residents may receive limited exposure to during training. Dr Trotter shares how PDT fits into both preparing for board exams and clinical use, highlighting its versatility and importance in dermatology.

They open with a board review of PDT fundamentals, including the activation of aminolevulinic acid (blue light) and methyl aminolevulinate (red light), and why understanding protoporphyrin IX and its absorption spectrum matters. They also cover key uses along with adverse effects such as phototoxicity and pigment alteration.

In the main segment, they explore actinic keratosis as a chronic disease, the importance of field therapy, and how to set expectations. Dr Trotter also shares practical pearls for optimizing outcomes and tailoring PDT in clinic.

Tune in to hear how Dr Trotter integrates PDT into daily practice and empowers residents to expand beyond traditional training to confidently incorporate this helpful therapy.

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Meenal Kheterpal, MD, Associate Professor of Dermatology at Duke University School of Medicine, for a comprehensive look at locally advanced basal cell carcinoma (laBCC) and the role of Hedgehog inhibitors (HHIs), a must-know topic for dermatology residents.

Dr Brownstone opens with a board review of basal cell carcinoma, including risk factors, clinical variants, treatment selection, and when to consider Mohs surgery. He breaks down the Hedgehog signaling pathway, explaining how vismodegib and sonidegib work and their common side effects.

In the main segment, Dr Kheterpal discusses how to identify and define laBCC in clinical practice, select appropriate candidates for HHI therapy, and integrate these agents into neoadjuvant treatment strategies. She shares practical pearls on counseling patients, managing adverse effects like muscle cramps, alopecia, and dysgeusia, and addressing teratogenicity concerns in reproductive-age patients. The episode also highlights tips for communicating treatment expectations confidently and applying clinical judgment beyond textbook definitions.

Tune in to the full episode for board-focused insights and real-world takeaways for your future clinics.