Clinics in dermatology最新文献

Red marble is a rare limestone found in the Ore Mountains of Saxony, Germany. It was used by a court goldsmith, Johann Heinrich Köhler (1669-1736), to create a sculpture for King Augustus the Strong (1670-1733) and for his widely known Green Vault in the Royal Palace of Dresden. This treasured small figure of a disabled Swedish Grenadier depicts the bloody experience of the battlefield during the Great Northern War (1700-1721) in the German States. The grenadier sculpture also conveys a positive message to the viewer, intended to guide the prevention of death and suffering-an art object for peace.

Nanodermatology is the application of nanotechnology specifically to dermatology. We discuss the pros and cons of translating these innovations into routine dermatology practice, as well as the unique safety challenges, regulatory issues, and ethical and equity concerns surrounding nanodermatology. Unlike other emerging technologies, nanodermatology involves transcutaneous exposure to engineered nanoparticles that may penetrate beyond the epidermis, persist in tissues, and accumulate systemically. These characteristics create distinct safety and ethical challenges, including invisible patient exposure, uncertain long-term toxicologic effects, and unequal regulatory oversight across countries. The specific ethical issues involve nonmaleficence, informed consent, privacy, autonomy, and justice.

As the dermatology residency match has become increasingly competitive, dermatology applicants are more prolific in their research achievements, including numerous poster presentations, abstracts, and manuscripts. Notably, students often feel compelled to attend as many conferences as possible to showcase their scholarly work and demonstrate their interest in the specialty. Compared with other research deliverables, conference attendance also offers the valuable benefit of networking opportunities. Attending conferences can impose a significant financial burden on students; the cumulative cost of accommodations, registration, and travel for multiple meetings can quickly become burdensome. The ethical considerations of this financial commitment and its implications on the dermatology applicant pool must be recognized as a consequence of the competitive residency application process.

The Accreditation Council of Graduate Medical Education (ACGME) requires ethics education for dermatology trainees; yet, less than half of American dermatology residencies currently include ethics in their curriculum. ^{1, 2} Barriers to establishing ethics curricula in dermatology residences include time restraints, lack of useful resources, and lack of faculty with expertise in dermatoethics.² We suggest a hybrid education model, involving a mix of virtual, lecture-based, and case-based didactics to incorporate ethics education longitudinally in dermatology residencies. Subject matter should align with the American Academy of Dermatology subcommittee's six domains of ethics education.

Dr Heinrich Lahmann was a German physician and health reformer who was especially active in Dresden and the surrounding area during the first half of the 20th century. He was born on December 11, 1860, in Bremen and died in Dresden in 1941. Lahmann was especially well-known for his efforts to improve general health care, promote naturopathy, and his role as a sanatorium director. His work and the institutions he established had a far-reaching impact on the medical landscape of his time. His sanatorium attracted patients from Europe and beyond, where he also tried to apply his therapeutic approach to sexually transmitted diseases and chronic dermatitis.