A podcast tailored exclusively to dermatology residents and early-career dermatologists. Tune in for board review tips, clinical pearls, and valuable advice for residents you may not necessarily receive during training.
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From Residency to Real Life: Avoiding Burnout Before It Starts
Season 6 · Episode 47
Wednesday, January 7, 2026 • Duration 38:48
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.
Teamwork Makes the Skin Work: Your Guide to Clinic Culture
Season 5 · Episode 46
Wednesday, December 10, 2025 • Duration 33:15
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.
Light Work: PDT Made Simple for Residents
Season 5 · Episode 45
Wednesday, November 12, 2025 • Duration 29:41
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.
Hedging Your Bets: A Resident’s Guide to Hedgehog Inhibitors for laBCC
Season 5 · Episode 44
Wednesday, October 15, 2025 • Duration 33:11
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.
Hitting the JAKpot: New Frontiers in Alopecia Areata
Season 5 · Episode 43
Wednesday, September 24, 2025 • Duration 41:05
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, speaks with Natasha Mesinkovska, MD, about diagnosing and managing alopecia areata (AA) with a focus on JAK inhibitors.
Dr Mesinkovska shares diagnostic pearls, including full-body exam essentials, dermoscopy tips, recognition of key comorbidities, and the impact of AA on mental health. They also touch on less common subtypes such as diffuse AA and the ophiasis pattern, as well as the role of the SALT score.The conversation then turns to treatment, with insights into the 3 FDA-approved JAK inhibitors for AA: baricitinib, ritlecitinib, and deuruxolitinib. They discuss mechanisms of action, dosing, boxed warnings, and counseling strategies, while offering guidance on treatment selection and building confidence without head-to-head trial data.
The episode closes with a discussion of GLP-1–associated skin considerations that may become increasingly relevant for board exams, along with key points on body contouring procedures that are seeing greater demand as GLP-1 use rises.
Tune in to the full episode to sharpen your diagnostic skills, gain confidence in prescribing JAK inhibitors, and stay ahead on emerging board topics in alopecia areata and beyond.
Beyond the Basics: A 102-Level Look at Pediatric AD Biologics
Season 5 · Episode 42
Wednesday, September 10, 2025 • Duration 39:30
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes pediatric dermatologist Lisa Swanson, MD, for a deeper look at advanced systemic therapy in pediatric atopic dermatitis (AD).
They begin with a board review of transient skin diseases of the newborn. They cover key conditions including erythema toxicum neonatorum, transient neonatal pustular melanosis, congenital milia, neonatal cephalic pustulosis, eosinophilic pustulosis folliculitis, and the miliaria variants, highlighting cytologic findings, distinguishing features, and treatment considerations.
In the main segment, they explore AD biologics in a “102-level” discussion for residents. Dr Swanson reviews patient identification, differences between pediatric and adult treatment decisions, counseling strategies for families, and the impact of AD on growth and quality of life. She also discusses the mechanisms and use of dupilumab, lebrikizumab, tralokinumab, and nemolizumab, offering practical advice on selecting, switching, and discontinuing biologics, as well as insights into building confidence with advanced therapies.
Tune in to the full episode for both a high-yield board review and real-world guidance on incorporating systemic therapies into pediatric dermatology, equipping residents with tools for managing complex cases.
Cutaneous T-Cell Lymphoma: From Clinical Suspicion to Confirmed Diagnosis
Season 5 · Episode 41
Wednesday, August 13, 2025 • Duration 58:32
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, is joined by Ryan Svoboda, MD, for an in-depth review of cutaneous lymphomas.
They begin with a boards review of the four primary cutaneous B-cell lymphomas—two indolent (follicle center, marginal zone) and two aggressive (diffuse large B-cell, intravascular B-cell). The discussion covers prognostic differences, biopsy strategies, key immunostains, helpful mnemonics for BCL markers, and notable associations such as Borrelia infection.
In the main segment, the focus shifts to cutaneous T-cell lymphomas, particularly mycosis fungoides. Dr Svoboda shares diagnostic challenges, strategies to improve biopsy yield, and a practical scoring algorithm to interpret inconclusive pathology reports. They also review tips for diagnosing Sézary syndrome and highlight relevant NCCN guidelines.
Tune in to the full episode for high-yield insights on recognizing, diagnosing, and managing both B-cell and T-cell cutaneous lymphomas in clinical practice.
Foundations of Formulation: Compounding in Dermatology
Season 5 · Episode 40
Wednesday, July 16, 2025 • Duration 42:12
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes David Osborne, PhD, an industry expert in topical drug formulation, for an in-depth discussion on formulations and compounding in dermatology.
Dr Brownstone begins with a board review on the structure and function of the epidermis, covering the 5 layers of the skin and key cellular junctions, with mnemonic tips to aid retention.
In the main segment, Drs Brownstone and Osborne explore the fundamentals of topical formulation, including principles of localized drug delivery, ingredient selection, and the role of Fick’s law in product diffusion. Dr Osborne shares insights on formulation challenges, selecting the right solvents and excipients, and key considerations such as ingredient stability, packaging, and accurate measurement of actives.
The episode wraps up with practical pearls for dermatologists interested in product development, including which ingredients to avoid. Tune in for a high-yield, practical discussion!
Inside the APPLIED Exam: Resident-Tested Tips and Tools
Season 5 · Episode 39
Wednesday, June 11, 2025 • Duration 14:40
In this live-recorded episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, is joined by Danielle Dubin, MD, assistant professor and assistant program director in the department of dermatology at the Icahn School of Medicine at Mount Sinai, and Leena Ramani, MD, hair transplant fellow and dermatologist at Advanced Dermatology and Cosmetic Surgery, for a dynamic discussion recorded at the Real World Dermatology For Residents Conference at the Sahara Hotel and Casino in Las Vegas, Nevada.
They share key insights on how the APPLIED exam differs from the CORE Exam, offering strategies for tackling second-order, management-focused questions. The group also highlights their favorite study resources, including the Anki deck based on Review of Dermatology by Alikhan and Hocker, Boards University, and their preferred dermatopathology review resource. High-yield topics discussed include which question bank should be used, effective pathology study techniques, and tips for avoiding overstudying.
The episode wraps up with words of encouragement, and even a lighthearted chat about their ideal Vegas night out. Whether you’re preparing for the APPLIED exam or simply curious about the exam residents need to take to become board certified in dermatology, this episode is packed with practical advice and insider tips you don’t want to miss.
From BASIC to Boards: How to Prepare for Every Dermatology Exam
Season 4 · Episode 37
Wednesday, May 14, 2025 • Duration 44:21
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Aamir Hussain, MD, to discuss high-yield strategies for dermatology exam prep.
They start with a board review on contact dermatitis, covering key allergens like paraphenylenediamine, methylisothiazolinone and methylchloroisothiazolinone, propylene glycol, and bacitracin. Dr Hussain shares a structured approach to studying allergens, including memorizing the last 5 years of "Allergen of the Year" and the T.R.U.E. TEST’s 36 most common allergens.
They then break down exam timelines and study strategies, using insights from Dr Hussain’s recent publication. from the BASIC exam in PGY-2 to the 4 CORE board exams in PGY-3. They share tips on prioritizing sections and using the best textbooks, atlases, question banks, and digital tools, as well as touch on the value of in-person and virtual review courses and how to maximize free resident resources.
Tune in to the episode for high-yield pearls and a structured approach to acing your dermatology exams!