The corporatization of care in academic dermatology.
Concern over the corporatization of medicine has existed since the late 1800s and continues to grow today in the face of large-scale mergers, vertical integration of health care services, and private equity (PE) investment in dermatology practices. Although academic departments have traditionally been viewed as exempt from Corporate Practice of Medicine (CPOM) laws, they face the same health care landscape and cultural pressures as private and PE-backed practices, as well as some unique financial challenges. To adapt to these difficult realities, academic dermatology has embraced new models of care, some of which mirror the controversial strategies used by PE-backed practices to maximize profit. We explore the corporatization of academic dermatology and its manifestations in changing practice patterns, patient care, education, and research.
DeWane ME; Mostow E; Grant-Kels JM
Clinics in Dermatology
2020
2020-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1016/j.clindermatol.2020.02.003" target="_blank" rel="noreferrer noopener">10.1016/j.clindermatol.2020.02.003</a>
Saucerization Biopsy Of Pigmented Lesions
care; current therapy; cutaneous melanoma; Dermatology; diagnosis; excision; initial biopsy; malignant-melanoma; prognosis; stage-i; survival
Ho J; Brodell R T; Helms S E
Clinics in Dermatology
2005
2005-11
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.clindermatol.2005.06.004" target="_blank" rel="noreferrer noopener">10.1016/j.clindermatol.2005.06.004</a>
It's time for a "change" in our approach to early detection of malignant melanoma
7-point checklist; abcd; benign pigmented lesions; clinical recognition; cutaneous melanoma; Dermatology; dermatoscopy; diagnosis; photography; rule; signs; skin-lesions
Zaharna M; Brodell R T
Clinics in Dermatology
2003
2003-09
Journal Article
<a href="http://doi.org/10.1016/s0738-081x(03)00058-0" target="_blank" rel="noreferrer noopener">10.1016/s0738-081x(03)00058-0</a>
Drug sampling in dermatology
biomedical industry; company representatives; conflict-of-interest; Dermatology; educational intervention; medical-students exposure; national-survey; pharmaceutical sales representatives; physician-industry relations; prescribing behavior; residency programs
The use of drug samples in a dermatology clinic is controversial. Drug samples are associated with influencing physician prescribing patterns often toward costlier drugs, increasing health care costs, increasing waste, inducing potential conflicts of interest, and decreasing the quality of patient education. On the other hand, they have the potential to help those in financial need, to improve adherence and convenience, and to expose patients to better drugs. Although some academic centers have banned drug samples altogether, many academic and private practices continue to distribute drug samples. Given the controversy of the topic, physicians who wish to distribute drug samples must do so in an ethical manner. We believe, when handled properly, drug sampling can be used in an ethical manner. (C) 2012 Elsevier Inc. All rights reserved.
Reid E E; Alikhan A; Brodell R T
Clinics in Dermatology
2012
2012-03
Journal Article
<a href="http://doi.org/10.1016/j.clindermatol.2011.06.007" target="_blank" rel="noreferrer noopener">10.1016/j.clindermatol.2011.06.007</a>
Morphea: Current concepts.
Adrenal Cortex Hormones/therapeutic use; Diagnosis; Differential; Humans; Immunosuppressive Agents/therapeutic use; Localized/complications/*diagnosis/diagnostic imaging/*therapy; Magnetic Resonance Imaging; Methotrexate/therapeutic use; Scleroderma; Ultrasonography; Ultraviolet Therapy
Morphea is an inflammatory, sclerosing skin disorder that can involve the underlying soft tissues. Although the cause of morphea remains poorly investigated, genetic predisposition, immune dysregulation, and environmental factors have been implicated. Morphea is associated with cosmetic and functional sequelae, and internal organ involvement is rare. Early diagnosis and treatment are imperative to minimize damage such as limitation of range of motion. This review summarizes advances in diagnosis and treatment of morphea, allowing clinicians to better serve patients with this condition.
Florez-Pollack Stephanie; Kunzler Elaine; Jacobe Heidi T
Clinics in dermatology
2018
2018-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.clindermatol.2018.04.005" target="_blank" rel="noreferrer noopener">10.1016/j.clindermatol.2018.04.005</a>
The "ABCs" of dermatology: using art, bird-watching, and computers to enhance the teaching and learning of dermatology.
Animals; Art; Birds; Computer-Assisted Instruction; Dermatology/*education; Education; Humans; Medical/*methods; Teaching/*methods
Mostow Eliot N
Clinics in dermatology
2008
2008-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.clindermatol.2007.10.010" target="_blank" rel="noreferrer noopener">10.1016/j.clindermatol.2007.10.010</a>