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Under Your Skin

Interview with Neal Bhatia, MD

My name is Dr. Nick Brownstone, and I'm here with Dr. Neil Batia, board certified dermatologist. Neil, always nice to catch up with you. Pleasure. Whether it's about dermatology or current events, first thing I want to ask is if you can go back in time. What advice would you give yourself as a first year dermatology resident? Yeah, is back in time. Needless to say, that was back in 95, but I'd probably talk about expectations. Think about your first job, may not be your last job. Think about creating a niche for yourself. If you want to get involved with research or in industry or anything else, just create your specialty, stay in your focus, learn a little bit about everything, but try to stay in a niche that you can be proud of and dive deep into. I think the other thing, too, in residency now, the demands are still very high academic, very high achieving. And I would just try to find some balance, but I think if I could go back again and find that balance, I would say, all right, well, just keep your foot on the gas and not so much on the brake. Great advice. I'm a big fan of the back to the future movies. I'm thinking back to the future Ford. Neil Bocce goes back in time and gives himself advice to be the best resident he could be. God. Well, I would start a better diet. I would exercise more and color my hair more often. So we talked about the past. Now thinking in the future, what innovation in dermatology are you most excited about? Yeah, it's been fun. I mean, my career now is mainly in clinical research, and we've been watching just the innovations of the Janus kinase inhibitors, the biologics, all the strategies to manage itch, which we really didn't have options for. I mean, we were all groomed on topical steroids and all the other innovations that were so focused on active ingredients. But now the vehicles of topicals are really exciting. And I think, too, just the approach to thinking about the process of disease, not just the bandage in front of us. I think there's some really good things that are coming in the pipeline that we also just really have to strategize with. I think dermatologists just need to not be afraid of their own shadow. We got to, again, put our patients interest forward because they're going to come somewhere else if we're not so called comfortable or whatever we want to call it. So I think dermatologists just need to get out of our own shadow and start being aggressive again. Let's switch gears here for the last question. This is something that I always have trouble with. How do you communicate a serious disease, serious diagnosis to your patients? Can you give me some tips? Sure. Actually just happened a couple of weeks ago. First of all, you have to really do these things in person. I mean, you have to put your hands on people. You have to look them in the eye, talk to them, them about the severity of what's happening, whether it be melanoma, whether it be other kind of cancer, whether it be something bolus or inflammatory that they may not understand. Because the problem is if you do it over the phone, they may not hear anything past the bad news, even more so they'll start doing research on their own. And you want to be prepared on how you're going to talk to them about what's in front of them, what the management plan is. But part of medicine is, again, putting your hands on people. Dermatology is got to be with people. And when I was teaching, I used to tell the residents, you cannot leave the room without putting your hands on them, whether you shake their hands or anything else. And delivering bad news is part of that. You have to be able to feel the compassion and know that you're with them and not just giving the bad news. You're part of the bad news and part of the solution. Also, always great catching up with you. Appreciate your answer. Oh, thank you. Thanks for having me. Bye.

Interview with Benjamin Lockshin, MD

I'm Dr. Nick Brownstone here with Dr. Ben Lakshin, director of clinical trials at US Dermatology Partners. Dr. Locksheen, great to have you here. Want to ask you a few questions about the practice of dermatology. First of all, how do you advertise your practice? Nick, good question. We actually don't do any formal advertising. We reach out to community doctors, make sure that we've developed a relationship with those providers. And I think that taking care of patients effectively and having the patients advertise for us is the most effective way for us to grow as a quality practice. Love that answer. Second thing I want to ask is about practicing dermatology. I love being a dermatologist, but there's many great medical specialties. So Dr. Lakshan, if you couldn't be a dermatologist, what other medical specialty would you practice? That's an easy question. I think my personality and mindset actually work pretty well with urology. I like the humor. I also like the fact that dermatology and urology both share a lot of similarities. You can manage patients with acute problems or you can manage patients over many years. There's a surgical component as well as a medical component with both of these specialties. Definitely. One thing I love about dermatology is being a surgeon and a medical doctor. Dexter's disease doctor, which urology deals with all that. Finally, Dr. Laksheen, how do you avoid burnout, which I know is an important topic for physicians amongst all specialties, dermatology included. So I think adding a little variety in terms of your daily and weekly activities is helpful. So I run our clinical trial center. In addition, I consult and speak with for a number of companies. So that really just allows me to vary up my weekly schedule. Variety is the spice of life. Absolutely. Dr. Lockheed, great to have you here. I really appreciate your answers. Thank you very much.