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May 30

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IN THIS ISSUE / MAY 30, 2018


FDA issues warning on unapproved sunscreen pills

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The U.S. Food and Drug Administration (FDA) has issued warning letters to several companies that have been illegally marketing pills labeled as dietary supplements that prevent sunburn, reduce skin aging caused by UV rays, or protect against skin cancer. “These companies were instructed to correct all violations associated with their products and were advised to review product websites and product labeling to ensure that the claims they are making don’t violate federal law,” said FDA Commissioner Scott Gottlieb, MD, in a statement. “There’s no pill or capsule that can replace your sunscreen.”

Supplements aside, there are several sunscreen ingredients that are not approved for use in the United States. Read more about these ingredients and where things stand in the approval pipeline in Dermatology World.

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May Access Hero: Karen Edison, MD 

edison-karen-dww.jpgAfter participating in Derm ECHO with board-certified dermatologist Karen Edison, MD, family physician Robert Pierce, MD, started having older male patients take their shirts off during physicals. Learn how this practice helped save a patient’s life.

Each month, the Academy highlights members’ diverse efforts to expand access to dermatology. Submit your story at SkinSerious.org.

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Study: AI detects skin cancer better than dermatologists

According to a study published in Annals of Oncology, a machine trained to detect skin cancer missed fewer melanomas and misdiagnosed benign nevi as malignant less often than 58 dermatologists. Researchers in the United States, Germany, and France trained a deep learning convolutional neural network (CNN) to identify skin cancer by showing it more than 100,000 images of malignant melanomas and benign nevi. 

Despite the CNN’s performance, the study authors stated, “This CNN may serve physicians involved in skin cancer screening as an aid in their decision whether to biopsy a lesion or not. Most dermatologists already use digital dermoscopy systems to image and store lesions for documentation and follow-up. The CNN can then easily and rapidly evaluate the stored image for an ‘expert opinion’ on the probability of melanoma. We are currently planning prospective studies to assess the real-life impact of the CNN for physicians and patients.” Additionally, the authors note several limitations. For example, the dermatologists were in an artificial setting where they knew they were not making “life or death” decisions. Additionally, “the test sets did not include the full range of skin lesions; there were fewer validated images from non-Caucasian skin types and genetic backgrounds; and the fact that doctors may not always follow the recommendation of a CNN they don’t trust.”

Should dermatologists fear machine learning, or are concerns over their impending obsolescence unwarranted? Read more in Dermatology World.

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BCBS Michigan rescinds modifier 25 reimbursement reduction policy

As a result of significant advocacy efforts by the Michigan Dermatological Society, the American Academy of Dermatology Association (AADA), and the Michigan State Medical Society, Blue Cross Blue Shield Michigan has announced that it will rescind its proposed policy to reduce reimbursement for evaluation and management services by 20% when billed with a modifier 25. The policy was scheduled to go into effect on July 1.

The AADA will continue its advocacy efforts in other states with known modifier 25 reduction policies. Read more about the Academy’s attempts to rein in this policy, and other payer policies, in Dermatology World

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Medical school enrollment is up, but can residency slots keep pace?

According to results from the American Association of Medical Colleges’ 2017 Medical School Enrollment Survey, first-year enrollment in U.S. medical schools has increased 29% since 2002. While the uptick in medical school enrollments may be good news, given the potential physician workforce shortage, 44% of medical school deans indicated that they are concerned that there will not be enough graduate medical education (GME) slots available for the influx of students.

The availability of GME opportunities at the state and national level has been a growing concern for medical schools across the country. Read more about this issue in Dermatology World.

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​​FDA approves new biologic for psoriasis

The FDA has approved a label extension for certolizumab pegol (CIMZIA) to include the indication of adults with moderate-to-severe plaque psoriasis. The drug was previously approved for use in psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis, and Crohn’s disease. According to a press release, “The approval makes CIMZIA the first Fc-free, PEGylated anti-TNF treatment option for this indication.”

While biologics may be a boon for psoriasis patients, are they effective for patients with scalp psoriasis? Read more about scalp psoriasis and other conditions that can cause itchy scalp in Dermatology World.

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​​2019 committee appointment application now open

Every year, hundreds of dermatologists serve the Academy through its organizational governance structure and through other service opportunities. The Appointment Selection Committee, chaired by George J. Hruza, MD, MBA, has begun accepting applications to fill 2019 open appointments. Applications must be submitted by June 30, 2018. Members who are selected to serve will be contacted in the winter. Letters of recommendation are highly suggested but are not required. 

Access the 2019 online appointment application at www.aad.org/applications/cctf. Learn more about the specific committees and task forces, committee member responsibilities, and other opportunities, in the CCTF Resources-Governance Handbook.