David Gao, MD shares his preceptorship experience with Thomas E. Rohrer, MD

My rotation at SkinCare Physicians (SCP) hosted by Dr. Thomas Rohrer and sponsored by ASLMS was among the most clinically impactful and fun weeks of my residency. Through high-volume exposure to surgical dermatology, clinical trials in procedural dermatology, and generous mentorship, I now have a sharpened vision for my career as a dermatologic surgeon. I have left with novel uses for lasers post-surgically, become more comfortable in facial assessment and injectables, learned how to better incorporate research and clinical trials into my career, and gained role models who exemplify medicine’s humanism. The practice’s professionalism and kindness modeled why so many patients and physicians enjoy going to and working at SkinCare Physicians.
My expertise and acumen in procedural and surgical dermatology were expanded from the rotation. My first shift with Dr. Rohrer in his procedures clinic set the tone for a fantastic week. Over that half-day, we covered laser selection (treatment settings of the pulsed dye laser [PDL], selection between NdYAG and PDL for vascular lesions, and post-surgical management of Mohs scars), advanced filler techniques for anatomically nuanced areas (like the temples, nasolabial folds, and oral commissures), and precise neurotoxin depth of injection. We ended the day with a patient with delayed inflammatory nodules, a notoriously difficult entity to treat. I appreciated the chance to observe modalities I have not yet tried in residency, including monopolar radiofrequency, cryolipolysis, and newer laser platforms.
My time on Mohs with Dr. Rohrer was exceptional, as we discussed the nuances of surgical decision-making and even discussed a publication that had been released the day prior. Watching his coordination with the current Mohs fellow illustrated the surgical efficiency and precision their team has cultivated. From a cosmetics standpoint, I learned many pearls. With Dr. Brooke Sikora for example, I learned to avoid neurotoxin pitfalls like the “helmet sign” or “shower cap sign,” the finer points of skin care, and fun adjuncts like Frownies. From Dr. Laurel Morton, I further developed my facial assessment technique while observing her tailor a cosmetic patient’s treatment.
The spirit of scientific inquiry and investigation permeated throughout the entire week. I was fortunate to spend time with Dr. Kenneth Arndt, a highly-respected dermatologist and researcher. As an original co-founder of SCP, Dr. Arndt emphasized how SCP’s culture was built on intellectual curiosity; we enjoyed discussions regarding capillaritis’ pathophysiology and his iterative discovery process behind laser indications. Another highlight was working with Dr. Kaminer in the clinical trials unit as he walked me through the active ongoing trials at SCP and explained the importance of being comfortable with multiple types of fillers so as to not under-treat the patient. As someone who is currently extensively involved in clinical trials, it was energizing to see how clinical trials have directly informed his technique. Other memorable discussions were with Dr. Karen Kim on the cutaneous effects of GLP-1 agonists and indications on initiating nicotinamide, as well as with Dr. Mitalee Christman on red light therapy.
Throughout and even before the week, SCP’s culture stood out. Dr. Jeffrey Dover, while out of town during my rotation, took time the Friday prior to send his regrets and best wishes. Every attending I met took time to connect personally and professionally; I enjoyed discussing an interest in global health with Dr. Molly Stout and learning of the Midwest connection with several of the staff like Drs. Morton, Sikora, and Jeffrey Sobell. Patients often remarked, “you have excellent mentors.” Their ability to make all patients feel at ease, especially those patients new to the cosmetic consult, is a skill all dermatology residents would benefit from observing. The fellows gladly gave their valued opinions on the fellowship application process and graciously answered my questions regarding their experiences in training.
The warm welcome extended well outside the physicians. From the moment I pulled into the driveway, the parking attendants David, Joe, and Patrick all greeted me as a newcomer. From there, Linda and Sandra, administrative staff at SCP, set aside their work to provide an insightful orientation tour of the practice, including the spa, where evidence-based procedures like cryolipolysis and platelet-rich plasma (PRP) are performed, administrative offices, clinical trials research rooms, and clinical workspace. Sandra would look through the attendings’ schedules each morning so I could know the types of patient concerns I’d be seeing. The rest of the administrative staff including Ana, Millie, and Michael took the time to make me feel welcome, while Stephen at the spa facilitated shadowing experiences with two of the spa’s nurses, Isabella and Hannah.
One of my mentors once told me that “if I ran a private practice, I would run it like how they do at SkinCare Physicians.” After spending a week at the practice, I understood what he had meant. The culture of intellectual inquiry, education, dedication toward patient care, and kindness make SCP a place where people are genuinely excited about coming in each day. My practice will be greatly impacted as I plan to utilize lasers more post-surgically, better tailor my facial assessment and neurotoxin technique, and delve further into clinical trials in injectables and energy-based devices. I am thankful to ASLMS for sponsoring this week-long rotation and to the entire SkinCare Physicians personnel for welcoming me.
SkinCare Physicians is the host of the 2025 Laser Aesthetics Course. Learn more at aslms.org/laser-aesthetics-course