Implicit Bias in Medicine: Case Report and Literature Review

by Kory M. Johnson, Emma Fixen, David J. Elpern, Douglas W. Johnson Mount Sinai Health System, New York, NY John A. Burns School of Medicine, PGY1, Honolulu, HI David Elpern MD: The Skin Clinic, Williamstown, MA University of Hawaii School of Medicine, Honolulu, HI Keywords: implicit bias, explicit bias, immigrant, indigent, psoriasis, lymphoma, healthcare A 46-year-old Micronesian woman with history of severe disabling psoriasis and psoriatic arthritis had been our patient for many years (Figures 1 and 2). Her psoriasis started as an adolescent and had been treated with numerous therapies including topical steroids, phototherapy (sunlight exposure in Micronesia), methotrexate, cyclosporine, acitretin, apremilast, etanercept, infliximab, ustekinumab, secukinumab, ixekizumab, IL-23 blocker, … Continue reading

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Dermatology Mondays: On a Global Scale

“Find a job you enjoy doing, and you will never have to work a day in your life.” ― Mark Twain  Dermatology Mondays: On a Global Scale Omid Zargari, M.D.1, David J. Elpern, M.D.2, Gregor Jemec, M.D.3 Dana Clinic, Rasht, Iran, E-mail: ozargari@gmail.com The Skin Clinic, Williamstown, Massachusetts, USA Roskilde Hospital, University of Copenhagen, Denmark Key Words: Epidemiology, skin cancer, psoriasis, acne Funding source: None That’s when I first learned that it wasn’t enough to just do your job, you had to have an interest in it, even a passion for it. ― Charles Bukowski Each Monday, as physicians, we start our “work week.” If one happens to live in Iran, … Continue reading

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Psoriasis: A Poem

Psoriasis by Mara Feingold-Link PDF: Feingold Psoriasis The bronze plaque on Lake Champlain’s bridge is missing a nail. The empty pit in the top left corner is the only indication that it has seen countless cycles of pouring rain and flaring sun. On this dry afternoon it sits proudly above a school of mooneye fish swimming upstream toward clearer, cooler waters in early April. In their haste they scrape their flattened bellies along rock-lined riverbanks. To swim so fast is rash; beneath those silvery scales lie hundreds of miniscule eggs, pinpoints of new blood waiting to be born. The mooneye head toward a quiet inlet where patches of watermilfoil float … Continue reading

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Doctors First, Specialists Second

One morning, I pulled an empty chart from the rack on the examination room door: new patient, Ms. Judith Cornish, age forty-seven. I knocked twice and entered. “Good morning, I’m Dr. Shaw,” I flipped open the chart. “You are Ms. Cornish?” (I always used last names. It was formal, I know, but I preferred erring on the side of respect, not familiarity). I extended my hand. She sat, leaning forward in a chair, one very lean leg crossed over the other. “Good morning. Yes, I’m Judy,” she said in a husky voice. She shook my hand half-heartedly. In five seconds, I had processed a huge amount of diagnostic information: One, … Continue reading

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