Preceptorship Program

Jason Stevens, MD shares his experience with Mitchel P. Goldman, MD

I am very thankful to the ASLMS for providing the opportunity to spend a week at Cosmetic Laser Dermatology in San Diego with Dr. Mitchel Goldman, his colleagues (Drs. Wu, Groff, Butterwick, Boen, Angra), and fellows (Drs. Ishii and Zubair).

Dr. Goldman is a laser surgery and vein expert who invented many of the technologies and devices used in laser and cosmetic dermatology. While seeing patients and performing procedures, Dr. Goldman always verbalized teaching points and pearls to enhance my learning experience. I was fortunate to see some of his pro bono cases for patients including revision of scars from intravenous drug use and laser treatment of a facial café au lait macules. The level of care and attention to detail Dr. Goldman and his colleagues provide to their patients is exceptional.

This preceptorship was an incredible learning experience where I gained exposure to many laser and energy-based devices and procedures that are not offered at my institution. I was able to observe neuromodulator and dermal filler injections, sclerotherapy, liposuction with fat transfer, radiofrequency microneedling, thread lifts and multiple laser procedures (ablative and nonablative laser resurfacing, tattoo removal, scar revision, and facial rejuvenation to name a few).

I’m very grateful to Allergan, Merz, ASLMS and Dr. Goldman for this opportunity and recommend this preceptorship to any resident interested in learning more about cosmetic dermatology.

Amanda Campbell, MD shares her experience with Elizabeth L. Tanzi, MD, FAAD

My time with Dr. Elizabeth Tanzi provided an invaluable opportunity to experience the daily life of one of our field’s leading cosmetic dermatologists. I learned about cutting edge therapeutics, injection techniques for neurotoxins and fillers, and various devices including numerous types of lasers (fractional non-ablative and fractional ablative lasers) and radiofrequency microneedling. Dr. Tanzi also took the time to provide valuable life, career, and business advice which I will carry with me throughout my career. I can't express in words how grateful I am to have had such a meaningful experience with Dr. Tanzi, and wish I was able to spend more time with her. I highly recommend this experience to any dermatology residents interested in cosmetic dermatology!

Bernice Yan, MD shares her experience with Tina S. Alster, MD

As part of the ASLMS Preceptorship program, I had the privilege of working with Dr. Tina Alster at the Washington Institute of Dermatologic Laser Surgery in Washington D.C. Dr. Alster is a woman who needs no introduction; she is a pioneer and internationally-renowned expert in the field of lasers and energy-based devices. She is also a woman who goes by many names to her patients: Dr. All Star, Michelangelo, “T”, and my personal favorite, laser queen.

My week-long rotation with Dr. Alster was truly a pivotal experience in my residency training; it offered me a rare glimpse into the world of cosmetic dermatology in a flourishing private practice. From fractional laser resurfacing to cryolipolysis, Dr. Alster’s practice contains an impressive armamentarium of injectables, lasers, and energy-based devices at its disposal, ready to address any and all concerns that her patients may have. A few highlights from the week for me included observing the use of a picosecond laser for tattoo removal, chemical peels to treat dyspigmentation of burn scars, and platelet rich plasma for dark under-eye circles. I also had the invaluable opportunity to learn her algorithmic and combination treatment approaches to different cosmetic concerns, including pulsed dye laser and intralesional injections for hypertrophic and keloid scars, microneedling and fractional laser resurfacing for perioral rhytids, and Nd:YAG laser for facial telangiectasias.

Throughout the week, Dr. Alster maximized my learning opportunities whenever she had the chance. She would ensure that I knew when other members of the practice were performing less common procedures so that I could observe the use of these devices that I previously did not have any exposure to, such as CoolSculpting and Ultherapy. A testament to her nature as an educator and mentor, Dr. Alster routinely highlighted clinical treatment pearls during patient encounters and despite the busy pace of her practice, always made herself available to answer questions. One of the most fascinating and inspirational parts of my preceptorship was also witnessing the application of Dr. Alster’s own published clinical trial findings in the treatment of her patients. For example, every patient who receives fractional laser skin treatment at her practice receives light-emitting diode (LED) photomodulation subsequently, given Dr. Alster’s previously published findings that LED treatment decreases the intensity and duration of postfractional erythema. It was truly inspiring to see how Dr. Alster’s research and contributions to the field directly impact patient care.

Above all, the most impressive and inspiring part of my experience was witnessing the relationship between Dr. Alster and her patients. Dr. Alster’s empathetic nature and genuine compassion for her patients shined brightly throughout every encounter, and it was not a surprise to learn that many of her longtime patients consider her as not only their go-to cosmetic dermatologist, but also as their friend. As an internationally-renowned cosmetic dermatologist, Dr. Alster manages to remain approachable and warmly welcomes patients and mentees alike
into her practice. Apart from providing an unparalleled educational experience, Dr. Alster also invariably provides mentorship and inspiration to all those in her presence. From my week with Dr. Alster, I left Washington D.C. more knowledgeable, more cultured, and a whole lot more inspired.

Many thanks to Dr. Alster, the ASLMS Preceptorship program, and its sponsors for this invaluable and memorable experience.

Aderonke Obayomi, MD, MPH shares her experience with Andrew F. Alexis, MD, MPH

As part of the ASLMS Preceptorship Program, I had the opportunity to spend three weeks with Dr. Andrew Alexis at Weill Cornell in New York City. I pursued this opportunity to broaden my exposure to laser surgery especially in skin of color patients. This was an invaluable experience as Dr. Alexis is a true pioneer in the field. I actually met Dr. Alexis, four years ago as a medical student who was eager to learn anything I could about Dermatology. Through the ASLMS preceptorship program, I chose to work with Dr. Alexis again, but now armed with a much deeper knowledge of medical and cosmetic Dermatology. Through his work he has shown the safety and efficacy of lasers in skin of color patients. All his patients love him for his thoroughness, kindness, and expertise. Dr. Alexis is an incredible mentor to me both professionally and personally. He has a wealth of knowledge to share, and he taught me many of the nuances to be aware of when dealing with energy devices. Additionally, his clinical team was excellent and very welcoming, making me feel like I was a part of the team right away. I highly recommend this rotation to any dermatology resident interested in learning more about cosmetic dermatology and how to provide exceptional patient-centered, evidence-based care. I hope to emulate his same character and bring his pearls of wisdom to my future patients! I am so grateful of the ASLMS program, The Allergen Foundation, Merz Aesthetics, and Dr. Alexis for a truly fun and unforgettable learning experience!

Melissa A. Levoska, MD shares her experience with Jeffrey S. Dover, MD, FRCPC

I had the pleasure of spending the week, learning from Drs. Jeffrey Dover, Michael Kaminer, Karen Kim, Thomas Rohrer, and Brooke Sikora at SkinCare Physicians of Chestnut Hill. Dr. Dover helped create a schedule for me that was focused on lasers and cosmetics with some Mohs and surgical exposure. As soon as I arrived, I was greeted by the practice’s welcoming office staff who graciously gave me a tour and introduced me to the physicians. I then spent the morning with Dr. Dover, where I saw a wide variety of procedures including neuromodulator injections for axillary hyperhidrosis and rhytides, periorbital skin tightening and various laser treatments. Not only did I get a crash course in cosmetic dermatology, but he provided valuable clinical pearls from years of experience and taught me how to set patient expectations. Dr. Dover and his colleagues treat their patients like family with many patients returning for decades. I was struck by his ability to create a calming atmosphere during clinic visits that set patients at ease.

After lunch, I spent time with Dr. Rohrer, a gifted Mohs surgeon, who described his lidocaine injection techniques, tray set-up, and reasoning for choosing different closures. Many of his tips for excisions and suture material will be helpful for my clinical practice. The following day, Dr. Kaminer taught me various neuromodulator injection techniques. I was impressed by his precision and eye for detail. I then had the opportunity to learn from the wonderful and fashionable Dr. Sikora who showed me her tricks for tear trough and lip filler injections. As a bonus, she inspired me to strive to wear stilettos all day in clinic! The next day, I had the joy of working with Dr. Kim, observing fractional CO2 laser resurfacing, laser tattoo removal and intense pulsed light treatments. She provided clear explanations for her clinical reasoning and taught me the importance of discussing risks and side effects of procedures prior to treatment.

Dr. Dover, the other physicians, nurses, medical assistants, and office staff at SkinCare Physicians of Chestnut Hill created a positive space for me to ask questions and learn cosmetic dermatology. I am confident I will use the skills I learned daily in my clinical practice. More importantly, I now have a better understanding of my abilities as well as my limitations with regards to cosmetic procedures. The preceptorship also allowed me to learn more about working in a private practice setting, which I have not had as much exposure to during my residency training. I would like to thank Dr. Dover and SkinCare Physicians for providing a transformative learning experience that will undoubtedly improve the way I care for my future patients.

Jean-Phillip Okhovat, MD, MPH shares his experience with Jeffrey Dover, MD, FRCPC and Thomas Rohrer, MD

I was fortunate to be able to spend my ASLMS preceptorship shadowing Dr. Thomas Rohrer and Dr. Jeffrey Dover at SkinCare Physicians in Chestnut Hill, Massachusetts. Dr. Rohrer and Dr. Dover are truly pioneers in Mohs surgery and procedural and cosmetic dermatology and I was quickly introduced to their warm, welcoming staff and trainees during the course of my preceptorship.

During my time with Dr. Rohrer and Dr. Dover, I was able to both witness and engage in the vast array of clinical activities performed in the office, and learn about many laser and energy-based devices. I was able to participate in a number of surgical procedures with Dr. Rohrer, in addition to witnessing the use of the Fraxel laser, neurotoxin injections, and filler techniques with Dr. Dover. It was truly a privilege to be able to learn from such world-renowned leaders of the field, as I quickly gained much knowledge and exposure during my preceptorship.

Furthermore, the relationships that Dr. Rohrer and Dr. Dover each had with their patients was much unlike any others I have experienced. Each knew their patients stories, backgrounds, interests, and everyone was treated with such a kind, gentle, warm sense of compassion and respect. The nursing staff and trainees during my time at SkinCare Physicians welcomed me with open arms and made an interest in getting to know me as a person and learning about my background.

The ASLMS preceptorship provided me with an avenue to connect with some of the brightest minds and compassionate physicians in the field. I learned a great amount of knowledge about the subtle art of cosmetic and laser procedures, in addition to being able to witness such strong patient-physician relationships during the course of my time, which I hope to emulate in my own career. I am very grateful for the ASLMS Preceptorship Program to have provided me with this unique and invaluable experience.  

Lisa Akintilo, MD, MPH shares her experience with Mitchel P. Goldman, MD 

As part of the ASLMS Preceptorship Program, I had the opportunity to spend a week with Dr. Mitchel P. Goldman and his colleagues at Cosmetic Laser Dermatology (CLD) in San Diego, California. I pursued this opportunity to broaden my exposure to laser surgery and aesthetic medicine in a completely new environment on the opposite side of the country. To say my week was eye-opening is an understatement. In five short days, I was able to immerse myself in the world of cosmetic dermatologic surgery and observe a multitude of procedures including neuromodulators, fillers, sclerotherapy, and a diverse variety of lasers and energy-based devices. Devices I found particularly interesting included fully-ablative laser resurfacing, tumescent liposuction, InstaLift, microfocused ultrasound, radio frequency with and without microneedling—all procedures I have had very limited exposure to in the past.  By shadowing Drs. Goldman, Butterwick, Groff, Wu, and Boen, I was able to learn first-hand not only the mechanics behind these procedures/devices, but also how to effectively communicate a comprehensive plan to patients and engage in respectful shared decision-making. All the attendings and fellows at CLD were so genuine and gracious enough to take the time to address my questions and include me in the patients’ encounters, going out of their way to provide cosmetic pearls (including what adjustments they would make to their treatment plans for skin of color patients, a particular interest of mine) and tips for creating/maintaining a successful career.

I am so grateful I had the opportunity to learn alongside such pioneers in the field of dermatology. Furthermore, the entire CLD family was incredibly kind and welcoming to me. Every single person I interacted with was immensely friendly and made sure to include me in office activities/events, making me feel right at home. I hope to someday work in such a collegial, respectful, and engaging environment where everyone pushes each other to perform at their very best. My week at CLD was an invaluable part of my dermatology residency training, having sparked in me a renewed passion for aesthetics, energy-based devices, and evidence-based medicine. Many thanks to ASLMS and Dr. Goldman for providing me with such an educational and memorable preceptorship experience, one that I will never forget!  

Christina Tejeda, MD shares her experience with Robert Weiss, MD, FAAD and Margaret Weiss, MD

During my ASLMS preceptorship, I had the privilege of working with Dr. Robert Weiss and Dr. Margaret Weiss at the Maryland Dermatology, Laser, Skin and Vein Institute. This experience far exceeded my expectations!

I gained great insight observing how they approached patients during consultations, counselling patients on pros and cons as well as setting patient expectations. During the week I gained familiarity with multiple lasers. I was also lucky to have the opportunity to learn from Dr. Wu, Dr. Halvorson, and Dr. Noell who had great interest in sharing their knowledge.

This program provided me with new insights on how to treat commonly encountered dermatologic conditions with energy-based devices. In addition to devices, I learned new techniques and perspectives on injectables while further understanding how to manage complications that arise.

All in all, this amazing experience enhanced my knowledge as well as my understanding of other treatment modalities available. I am again thankful for this preceptorship as well as the faculty’s eagerness to teach.  

Tiana Kazemi, MD shares her experience with Mitchel Goldman, MD

I had the honor of spending two weeks with Dr. Mitchel Goldman and his colleagues at the premier Cosmetic Laser Dermatology in San Diego, California. Dr. Goldman is a true expert and pioneer in the field of dermatology who has both invented and helped create numerous techniques and devices that are now considered the gold standard of treatment in the field of cosmetic and aesthetic dermatology. It was absolutely incredible to hear first-hand from Dr. Goldman himself about the inspiration that led to the creation of procedures and devices now used in dermatology practices across the globe.

During these two weeks, I also had the privilege of working with Dr. Goldman’s colleagues, including Drs. Wu, Fabi, Boen, Butterwick, and Groff as well as Dr. Goldman’s Cosmetic Dermatology Fellows, Drs. Hartman and Loyal. The chance to learn from so many different true experts during one rotation is a unique and exceptional strength of this preceptorship. Additionally, I was able to observe a wide breadth of treatments including neuromodulators, fillers, intense pulse light, lasers, radiofrequency, liposuction/liposculpture, sclerotherapy, phlebectomy, and venaseal vein closure to name a few. It was incredible to see procedures that I had read about in textbooks and journal articles come to life in the expert hands of Dr. Goldman and his colleagues.

Throughout these two weeks, no matter how busy the clinic was, Dr. Goldman, his colleagues, and the wonderful nurses and medical assistants always made me feel welcome and went out of their way to enhance my learning experience. I was able to sit in on consults and observe how to establish excellent patient rapport and educate and empower patients to achieve their desired cosmetic goals while minimizing unnecessary risks and procedures. I was also able to observe procedures in the operating suites, including full face laser ablation and varicose vein treatment, and follow the patient during subsequent post-op appointments, thereby not only learning how to best perform a procedure but also the equally important best practices of post-procedure recovery.

I am so appreciative of the ASLMS, The Allergen Foundation and Merz Aesthetics, and Dr. Goldman and his entire team for a truly unique experience. I look forward to applying the tips, tricks, and pearls of wisdom that I learned during this experience in my future practice. I highly recommend this rotation to any dermatology resident interested in learning more about cosmetic dermatology and/or how to provide exceptional patient-centered care.

Christina Anne Del Guzzo, MD shares her experience with Tina Alster, MD

I had the privilege of participating in a week-long preceptorship with Dr. Tina Alster at the Washington Institute of Dermatologic Laser Surgery. I was thrilled to have the opportunity to broaden my exposure to laser and light-based devices with such a leader and pioneer in the field.

I learned far more than I could have imagined in my one week with Dr. Alster and it is a testament to her extraordinary practice, expertise, and teaching ability. I gained firsthand experience in strategies to optimize non-ablative laser resurfacing, applications of vascular and pigment-specific lasers, and the many indications for microneedling. Dr. Alster customizes each treatment to match the patient’s specific goals while simultaneously distilling the complicated field of laser medicine into digestible clinical pearls and basic principles. I was particularly excited to see her novel approaches to complex patients, including those with burns and vascular malformations, where she uses multimodality techniques to optimize patient outcomes. Observing her in-depth patient counseling highlighted for me the importance of addressing expectations during the patient consultation, techniques to avoid adverse events, and the importance of post-treatment care.

Dr. Alster brings kindness, energy and enthusiasm to every interaction and her passion for her work is inspiring. She is beloved by her patients and approaches each one with compassion and patience. Dr. Alster treated every patient interaction, as well as the time between patients, as an opportunity to teach and impart her expertise. She discussed the science behind the devices and took the time to review relevant articles with me. Dr. Alster is not only someone to emulate for her clinical acumen, but she also serves as a role model for leadership in dermatology. She is actively engaged in clinical, research, and educational endeavors and it was valuable to observe how she balances and integrates these responsibilities. Dr. Alster kindly took the time to learn about my career goals and provided thoughtful advice and insight.

I know that I will take what I learned from Dr. Alster to further my goals of integrating lasers and light-based devices into my academic career. A special thank you to ASLMS, Allergan and Merz for making this opportunity possible. I am infinitely grateful to Dr. Alster and her staff for welcoming me into their office and providing such an invaluable experience.

Rosannah Marie Velasquez, MD shares her experience with Suneel Chilukuri, MD

I am extremely grateful and honored to have the opportunity to learn from Dr. Suneel Chilukuri as part of the ASLMS preceptorship program. From the moment I stepped into the Refresh Dermatology office, Dr. Chilukuri was very welcoming and genuinely wanted to teach me from his years of experience in practice in all aspects of medicine.

I was immediately blown away with all the cutting-edge technology in his office and how active he is in research and product development. As I observed Dr. Chilukuri during his patient encounters, I saw not only his highly personalized techniques for neurotoxins, fillers, and lasers, but more importantly the trust he has developed with each patient. Each day my education was at the forefront of Dr. Chilukuri’s mind with setting goals of what I wanted to learn for the day and reviewing patients at the end of the day to answer any lingering questions. Any time between patients was spent teaching me about the intricacies of the business side of the practice.

Dr. Chilukuri, his amazing current fellow Dr. Trivedi, and his entire staff at Refresh Dermatology provided the setting for a phenomenal preceptorship. Dr. Chilukuri is a true inspirational role model balancing family, a successful practice, research and product development, leadership roles, and making time to educate the next generation. I thoroughly enjoyed my experience and words cannot express how much I have gained from the preceptorship. I am very thankful to ASLMS for making this preceptorship possible to further develop my passions as a dermatologist.

Alice He, MD shares her experience with Rebecca Kazin, MD

I worked with Dr. Rebecca Kazin, MD as part of my ASLMS preceptorship experience. Upon arrival, I immediately felt welcomed at her office, ICON Dermatology in North Bethesda. Dr. Kazin took me under her wing and made it a point to ensure I was able to observe every procedure she performed. Despite her busy schedule and many responsibilities throughout the workday, she kindly took time out between patients to debrief after each procedure and explain her thought process and injection technique. I was even able to work with the other dermatologist in the practice, Dr. Brenda Pellicane, who graciously allowed me to observe her during a laser procedure while I was between patients. 

It is clearly evident from my very first patient encounter with her that Dr. Kazin’s number one priority is her patients’ happiness and satisfaction. When patients come into her office requesting specific procedures, Dr. Kazin takes the time to carefully evaluate whether that procedure will truly allow the patient to obtain the most amount of improvement and satisfaction they desire. If not, then she will recommend another procedure that is better suited to address the patient’s concerns. Because of this, in just my short time with Dr. Kazin, I witnessed dozens of patients flock to her office on the strong recommendation of family and friends, including patients who have steadfastly followed her throughout her entire career and patients who drove hours from other cities to see her--a true testament to how skilled Dr. Kazin is and the type of relationship she is able to build with her patients. 

At the completion of this preceptorship experience, I was surprised at how much more comfortable I became with fillers, including the science behind different types, the selection process, and injection technique. While this was always my goal entering this preceptorship, I was dubious at how much I could really absorb in this short period of time. But I was really able to learn so much as I listened to Dr. Kazin explain to each patient the thought process behind where to put which filler, observed her precise injection technique, and saw the subtle but notable before and after differences that appeared. Time and time again, patients would erupt into wide smiles upon seeing their reflection after the procedure, always in awe at how much of a difference such a subtle change in their facial structure could make. 

Dr. Kazin’s office in North Bethesda is beautiful, immaculately clean, and exudes a sense of calm and tranquility that seems to put patients immediately at ease. Her office is stocked with a multitude of fillers and neurotoxins, and also boasts a plethora of laser devices ready to treat a variety of patient concerns. 

Dr. Kazin is humble and unassuming, despite her many accolades and recognitions in the field of dermatology. My experience in the ASLMS preceptorship program was fantastic, and I highly recommend this experience to others. 

Emily Chea, DO shares her experience with Eric F. Bernstein, MD, MSE and Kachiu Lee, MD, MPH 

I was fortunate enough to gain two mentors during my week at Main Line Center for Laser Surgery. From the start of my rotation, Dr. Eric Bernstein and Dr. Kachiu Lee made me feel at home as part of their team. Their passion for their fields fostered an unparalleled learning experience.  

Dr. Bernstein is an internationally recognized leader in laser medicine and surgery and has developed treatment protocols and patents for many lasers. Despite being a world-renowned expert, Dr. Bernstein’s modesty and contagious love for lasers was empowering. He established a safe learning environment and emphasized that no resident should feel intimidated by the complexity of lasers; they are as simple as ROYGBIV. He demonstrated the use of various PDL, KTP, Nd:YAG (pico and nanosecond), and Fraxel® lasers. Additionally, Dr. Bernstein’s ability to simplify extremely complex technologies with such ease served my education well. His presentation reviewed the basic physics and concepts of lasers, types of lasers and their indications, safety precautions, and challenges and complications associated with the use of lasers. He utilized individual laser parts to demonstrate the general mechanism of lasers and modifications made for various laser types and pulse durations. I’m thankful to have learned from the best in the field, and I’m excited to integrate his clinical pearls and earnest enthusiasm for lasers into my future practice.

Dr. Lee is a nationally renowned expert in the medical and cosmetic applications of injectables and lasers. Dr. Lee’s humble and approachable demeanor created a warm, welcoming space for me to learn. She set aside time between patients to debrief and expand upon my textbook understanding of injectables. Between patients, she reviewed the safety profiles of the injectable used, including recent data regarding delayed inflammatory reactions to hyaluronic acid fillers, and she elaborated on different techniques and strategies for the best cosmetic outcome. Dr. Lee emphasized that neuromodulator and filler injections follow an art more so than an algorithm. She demonstrated the importance of thoroughly and judiciously examining your patient through a creative lens. I am inspired by Dr. Lee and hope to emulate her clinical and creative prowess.

Effective mentorship is said to be an important determinant of success in dermatology, and I am incredibly grateful to have forged these two mentoring relationships through the ASLMS program. I highly recommend this rewarding and invaluable opportunity to any resident who is considering applying!

Margaret Dennin Bruns, MD shares her experience with Carolyn Jacob, MD 

I am incredibly grateful to the ASLMS for the opportunity to spend two weeks with Dr. Jacob. This was an invaluable learning experience. It exposed me to aspects of dermatology that I would never have otherwise seen during residency. It gave me many new tools to incorporate into my practice that will allow me to be a better dermatologist and best serve my future patients.

Dr. Jacob is a naturally gifted teacher and clearly has a passion for working with residents. She was consistently willing to answer my many questions and explained concepts in an easy to understand manner. Furthermore, her rapport with patient’s is excellent. She shows patience and truly listens to cosmetic concerns. Observing these skills will help me empathetically address cosmetic concerns as I transition to practicing on my own next year. I learned about the importance of taking excellent photographs and training staff to complete pre and post cosmetic care. Furthermore, Dr. Jacob taught me about running an effective practice. The physician assistants, medical assistants and office staff were all extremely welcoming and really contributed to a wonderful learning experience.

During my preceptorship, I was exposed to numerous lasers I had not previously seen, including CO₂, Fraxel®, Alexandrite, and KTP. Dr. Jacob talked me through pre and post laser counseling, laser settings and the appropriate use of each laser for specific dermatologic indications. Furthermore, I observed the use of state of the art energy-based devices, including Thermage®, CoolSculpting®, Emtone™, Emsculpt Neo®, EmSculpt®, miraDry®, and RESONIC™. Exposure to these devices helped me learn new approaches to address cellulite, abdominal fat, excess skin laxity and hyperhidrosis. I feel much more confident counseling patients about these procedures going forward. In addition to lasers, I learned about other cosmetic procedures, including neuromodulators, fillers, chemical peels, microneedling, and microdermabrasion. Dr. Jacob taught me her approach to placement of neurotoxins and fillers. Additionally, I learned about avoiding and managing complications from injectables. It was particularly satisfying to see these cosmetic procedures applied in an evidence-based approach and the associated patient satisfaction.

I cannot recommend this preceptorship enough to all dermatology residents. I feel extremely lucky to have learned from such a leader in laser and cosmetic surgery and am forever grateful to Dr. Jacob for her time. I will always remember these two weeks as a highlight of my residency training.

Elizabeth Kream, MD shares her experience with Mitchell Goldman, MD 

I am grateful to the ASLMS for supporting my preceptorship with Dr. Mitchell Goldman. I enjoyed observing a variety of modalities to address both cosmetic and medical dermatologic complaints. Some highlights include seeing superficial basal cell carcinomas treated with pulsed dye laser and facial rejuvenation with non-fractionated ablative laser. At one point Dr. Goldman mentioned how you could give a child a scalpel and the scalpel does not make the child a surgeon, likewise, lasers themselves do not denote a physician as a laser surgeon. Rather, an intimate understanding of concepts such as selective photothermolysis and anatomy will allow authorities like Dr. Goldman to expertly treat patients. This idea reverberates with me and affirms my excitement of pursuing formal training after residency to learn more about modalities such as lasers.

Shane Swink, DO, MS shares his experience with Katarina Kesty, MD

My two weeks with Dr. Kat Kesty at St. Petersburg Skin and Laser was immensely valuable. She uses multiple lasers and devices to create a personalized plan with each patient to reach their goals. Beyond learning the technical use and science behind the devices, seeing Dr. Kesty navigate patient encounters with such finesse was an experience I will carry forward in my own practice. Her care and expertise in every encounter ensures that her patients feel that they are receiving the best care possible.

I also learned that it takes a great deal of training and skill to properly use lasers and that it is critical to educate our patients on that level of expertise. This allows patients to make the most informed decisions possible to help them achieve their goals. The same sentiments were echoed with the use of injectables as well, including various ways to use neurotoxins to alter the contours of the neck, lips, and eyebrows. Patients clearly appreciated Dr. Kesty’s thoroughness in her explanations and they felt very safe and comfortable under her care. In between patients, she was sure to go over all of the reasoning and science behind the procedures and always ensured I was learning something from each encounter.

Beyond learning about lasers and other procedures, Dr. Kesty and her staff were so welcoming of my two weeks in her office, making me feel like I was at my home program. I feel extremely lucky to have had the opportunity to work with Dr. Kesty and look forward to her mentorship throughout my career. I’m also very thankful for the ASLMS Preceptorship Program who made this possible and I encourage all residents to take advantage of the opportunity if possible!

Gabriella Vasile, DO shares her experience with Tina Alster, MD

I am extremely grateful to ASLMS for providing me with the opportunity to rotate with Dr. Tina Alster at the Washington Institute of Dermatologic Laser Surgery in Washington, DC. Dr. Alster is a world-renowned expert on lasers and energy-based devices.

Dr. Alster has a wide variety of lasers (both ablative and non-ablative) and energy-based devices at her clinic, including PDL, CO₂, Fraxel® Dual, Fraxel® Clear and Brilliant, Picoway® laser, and IPL. I was also exposed to new techniques for cosmetic injectables such as fillers and toxins. Dr. Alster went out of her way to teach me in every single patient room. I learned laser settings and indications for each laser device for all skin types and ages. Dr. Alster employs laser in her practice not only for cosmetic procedures like facial rejuvenation and the treatment of photodamage but also for scar revision, hemangiomas, port wine stains and even medical conditions. I also found it interesting to observe how Dr. Alster layers certain treatments on qualified patients for enhanced results.

I learned not only about the fundamentals of lasers, but also the business side of how to have successful practice as a dermatologist and laser expert. Dr. Alster seamlessly balanced a busy schedule without compromising patient care. Her patients look up to her and completely trust her with all decisions, something I strive for.

Dr. Tina Alster is an amazing role model, mentor, and my time with her will never be forgotten. The lessons and teaching that I received during my week-long rotation are invaluable and will be useful in my future career as a dermatologist. Thank you, Dr. Alster and ASLMS for this opportunity! 

Jacqueline McKesey, MD, MS shares her experience with Melanie Palm, MD, MBA

I recently completed my ASLMS preceptorship with Dr. Melanie Palm, MD, MBA in Solana Beach, CA. I knew I was in for a treat from the first day of our preceptorship. I was greeted by her warm and generous staff, including her lovely service dogs! Flawlessly, Dr. Palm incorporated me into her patient visits.

The first day, we hit the ground running with clinical trials, IPL, and Sculptra® Aesthetic. She also had several medical dermatology visits to add to her busy schedule. Dr. Palm warmly greeted her patients, some even got puppy kisses, and introduced me as a member of the Art of Skin MD family.

Dr. Palm first taught me the art of a new patient consultation. I learned how to integrate the use of energy-based devices such as radiofrequency microneedling with trichloroacetic acid CROSS technique and subcision for acne scars. Dr. Palm also showed me great outcomes resulting from the combination of alternating treatments of Ultherapy® with Radiesse® for rejuvenation of the face and neck. Additionally, Dr. Palm ensured that I spent time with her other clinical staff.  Her Physician Assistant demonstrated the use of laser devices to remove a multi-colored tattoo. Dr. Palm’s body sculpting expert demonstrated the combination of EmSculpt®NEO with CoolSculpting® for best outcomes of a patient with persistent abdominal fat.

Dr. Palm also demonstrated her unique technique for treatment of chronically photodamaged skin, which is quite prevalent in sunny Solana Beach, California! Dr. Palm combined PDT with IPL, blue light, and often fractional CO₂ laser for best results.

It was a treat to work with Dr. Palm and her staff. Her patients love her! Her bedside manner and expertise truly support her reputation as a trendsetter in the field.