DR. ANNA CHACON PASSION FOR DERMATOLOGY

Interview by QP STAFF WRITER

Dr. Anna Chacon is a distinguished dermatologist known for her commitment to accessible healthcare and her extensive licensure across 53 states and territories. Her journey into dermatology was inspired by personal experiences and a fascination with the skin's complexity. Today, her passion is fueled by the field's diversity, enabling her to engage in both medical and procedural care while staying abreast of rapid advancements.

Dr. Chacon 's dedication extends to underserved and rural areas through teledermatology, allowing remote diagnosis, treatment, and collaboration with healthcare providers nationwide. Her involvement in teledermatology addresses barriers to timely care and aims to improve accessibility and patient outcomes. Dr. Chacon is driven by the opportunity to make a tangible difference in patients' lives, enhancing their skin health and confidence while contributing to the field through research and outreach.

Dr. Chacon, your career has been incredibly diverse and impactful. What initially inspired you to pursue dermatology, and what drives your passion for this field today?

Thank you. My interest in dermatology began with personal experiences and the impact of skin conditions on patients' lives.

Today, the diversity of the field drives my passion. Dermatology allows me to treat conditions from acne to skin cancer and engage in both medical and procedural care. The rapid advancements keep it dynamic and challenging.

Making a tangible difference in patients' lives by helping them achieve healthier skin and confidence is rewarding. Contributing through teaching, research, and outreach also fuels my dedication to dermatology.

You’re licensed to practice dermatology in 53 states and territories, which is quite an accomplishment. What motivated you to achieve such widespread licensure, and how does it enhance your practice?

Achieving licensure in 53 states and territories allows me to extend quality dermatological care, especially to underserved areas. This enables teledermatology services, remote diagnosis, treatment, and collaboration with nationwide healthcare providers. It also supports national clinical research and educational initiatives. My goal is to improve access to dermatological care and advance the specialty through broader engagement.

Teledermatology is a growing field, and you're a leading figure in this area. How did you become involved in teledermatology, and what do you see as its biggest advantages and challenges?

My involvement in teledermatology began to provide accessible care, especially in underserved and rural areas. Using digital technology, I offer remote consultations,diagnoses, and treatment plans, ensuring high-quality care similar to in-person visits.

The main advantages are convenience and accessibility, reducing travel and wait times, especially for remote patients. Teledermatology enables quicker triage and management of urgent skin conditions, potentially preventing complications.

Challenges include ensuring accurate diagnoses digitally and integrating teledermatology into existing systems, addressing reimbursement, multi-state licensing, and data security. Educating patients and providers is crucial.

Despite these challenges, teledermatology significantly improves care quality and accessibility. As technology advances, remote dermatological services will continue enhancing patient outcomes and healthcare delivery. My commitment to this field is driven by its profound impact on patient care and the opportunity to innovate in dermatology.

Your work with Native American Indian Health Services and Lake County Tribal Health is remarkable. Can you share more about your experiences serving these remote communities?

Working with Native American Indian Health Services and Lake County Tribal Health has been incredibly rewarding. Serving these remote communities has highlighted healthcare disparities, particularly in dermatology, due to geographic isolation.

Culturally sensitive care is crucial. Understanding and respecting Native American traditions builds trust and provides effective care. Adapting my approach to align with community values is essential.

Teledermatology provides remote consultations and timely care for chronic conditions. However, on-the-ground presence and collaboration with local providers ensure continuity of care and empower local healthcare workers.

Addressing social determinants of health requires a holistic approach and collaboration with other sectors. Despite challenges, progress is encouraging. Seeing improvements in patients' skin health reinforces the importance of equitable healthcare access.

Overall, this work has deepened my commitment to providing high-quality, accessible healthcare and has been a journey of learning, adaptation, and connection with these communities.

Access to medical care in rural and underserved areas is a significant issue. How does your work in these regions impact your approach to dermatology and patient care?

My experiences in underserved regions have highlighted the challenges of limited healthcare access. To address this, I use teledermatology for remote consultations, ensuring timely care for patients who would otherwise need to travel long distances.

Teledermatology provides prompt attention and effective management of chronic conditions. Cultural sensitivity is crucial, involving listening to concerns, explaining treatments, and sometimes integrating traditional practices.

Community involvement and education are vital. I collaborate with local healthcare providers and community health workers to deliver comprehensive care and educate about skin health and preventive measures. These experiences have made me resourceful and innovative, optimizing treatment plans and using technology creatively. They have also reinforced the importance of advocacy for better healthcare policies and increased funding.

In summary, working in rural and underserved areas has made me a more empathetic, innovative, and culturally sensitive practitioner, ensuring high-quality care for all patients regardless of location or background.

What unique skin conditions or dermatological issues have you encountered in the arctic slope villages of Alaska compared to other regions?

Serving the Arctic Slope villages in Alaska involves unique dermatological challenges due to extreme climate and isolation.

Common issues include:

Xerosis: Severe dry skin from cold air and indoor heating.

Frostbite: Requires prompt management due to freezing temperatures.

Eczema: Flare-ups are common, needing moisturizers and systemic treatments.

Psoriasis: Worsens with limited sunlight and stress from isolation.

Skin Infections: Often occur due to compromised skin integrity and limited access to care.

Vitamin D Deficiency: Requires supplementation due to lack of sun exposure. Traditional practices may lead to allergic reactions, so it’s crucial to provide effective advice while respecting cultural methods.

Addressing both physical and mental health is essential for holistic care. Overall, effective management requires tailored approaches focused on education, prevention, and accessibility.

Cosmetic dermatology is a rapidly evolving field. What are some of the latest treatments and technologies that excite you the most?

Cosmetic dermatology is rapidly advancing with exciting new treatments:

1. Laser Therapies:

Fractional Lasers: For skin resurfacing and wrinkles.

PicoSure/Picoway: Effective for tattoo and pigmentation removal.

BBL Therapy: Treats sun damage and age spots.

2. Injectables:

Hyaluronic Acid Fillers: Long-lasting, natural results.

Biostimulatory Fillers: Stimulate collagen for volume restoration.

Neurotoxins: New formulations offer longerlasting effects.

3. Microneedling with RF: Enhances collagen production for better texture and tightening.

4. PRP Therapy: Uses the patient’s blood to improve skin and hair growth.

5. Non-Surgical Body Contouring: immediate results, like skin cancer removal.

CoolSculpting: Eliminates fat without surgery.

EmSculpt: Builds muscle while burning fat.

SculpSure: Reduces stubborn fat with minimal discomfort.

6. Thread Lifts: Non-surgical facelifts using PDO threads.

7. Advanced Skincare: Growth factors, peptides, and antioxidants for skin repair.

8. AI Technology: Personalizes skincare and treatment plans.

9. HydraFacial: Combines multiple treatments for instant results.

These innovations improve the safety and effectiveness of cosmetic procedures, allowing for better patient outcomes.

How do you balance your practice between medical, surgical, and cosmetic dermatology? Do you have a preference for one aspect over the others?

Balancing medical, surgical, and cosmetic dermatology requires strategic scheduling and effective time management. I designate specific days for each specialty to ensure comprehensive patient care. My trained staff is crucial for smooth operations, and regular consultations help me tailor treatments to patient needs.

I appreciate the diverse challenges:

Medical Dermatology: Manages chronic conditions and fosters long-term relationships.

Surgical Dermatology: Offers precision and immediate results, like skin cancer removal.

Cosmetic Dermatology: Allows creativity in enhancing patient appearance and confidence. My goal is to provide high-quality care across all areas of dermatology.

Your educational background is impressive, being double Ivy League-educated. How has your education shaped your approach to dermatology and patient care?

My Ivy League education has shaped my dermatology practice by enhancing my knowledge and commitment to excellence. It developed my critical thinking and problemsolving skills for complex skin conditions and keeps me updated on advancements through research.

Emphasizing evidence-based medicine informs my clinical decisions, while training with diverse populations improves my cultural competence. Collaborative learning fostered teamwork and communication skills, and networking supports my professional growth. Overall, my education equips me to provide exceptional patient care.

Teledermatology allows you to reach patients from the comfort of their homes. How do you ensure a high standard of care and personal connection in a virtual setting?

To ensure quality teledermatology, I use secure HIPAA -compliant video platforms and start each consultation by reviewing the patient's history and photos. Clear communication is essential, so I explain diagnoses and treatment plans thoroughly.

I prioritize active listening, encourage questions, and schedule regular check-ins. I also use patient portals for secure messaging and educational resources. When necessary, I coordinate with local providers for in-person care. Continuous feedback helps refine my practice for compassionate teledermatology.

What advice do you have for aspiring dermatologists who are interested in telemedicine and rural healthcare?

Aspiring dermatologists in telemedicine should embrace technology and strong communication skills for effective remote care. Understanding rural healthcare challenges is crucial for better patient outcomes.

Culturally competent care and networking with local providers enhance coordination. Continuous education through courses and hands-on experience is vital. Advocating for supportive policies and cultivating empathy helps build trust with patients.

Dermatology can often be seen as a blend of art and science, especially in cosmetic treatments. How do you approach the aesthetic aspect of your practice?

In my dermatology practice, I blend scientific precision with artistic sensibility. I start by understanding each patient's goals through detailed consultations, aiming for natural enhancements rather than drastic changes.

Using my knowledge of facial anatomy, I choose safe, effective treatments tailored to individual needs. I stay updated on advancements and integrate evidence-based techniques for optimal results.

In procedures like fillers and Botox, I prioritize symmetry and gradual changes for subtle outcomes. Educating patients on procedures and aftercare is essential to set realistic expectations. Follow-ups ensure progress is monitored and adjustments are made as needed, enhancing patients' confidence and well-being.

What are some common misconceptions about dermatology and skin health that you encounter in your practice??

In my practice, I address common dermatology misconceptions. Adult acne is prevalent, influenced by hormones and stress. Any tanning increases skin cancer risk, and expensive skincare isn’t always better—effectiveness relies on ingredients and consistency.

Sunscreen is necessary year-round, and natural products can still irritate skin. Oily skin needs moisturizer, popping pimples can cause scarring, and conditions like eczema aren’t contagious. Diet impacts skin health, affecting issues like acne. Educating patients helps improve their skincare choices.

Can you share a particularly memorable patient success story from your work in teledermatology or in the remote areas you serve?

A memorable success story involves a young woman from a remote area with severe acne who accessed our teledermatology service. After a virtual assessment, I prescribed tailored treatments and provided skincare guidance. Over several months of regular video follow-ups, her skin improved significantly, boosting her confidence and social life. This highlights the impact of teledermatology in providing access to care.

With the rise of skincare influencers and social media trends, how do you guide your patients in discerning credible information from potentially harmful advice?

In today´s digital age, skincare advice from influencers can be misleading. I advise patients to trust certified dermatologists and peer-reviewed sources. Miracle cures often lack scientific support, so I recommend proven ingredients like retinoids and hyaluronic acid.

Patch testing new products is crucial to prevent reactions. During appointments, I encourage discussions about trends and educate patients on reading ingredient lists. My goal is to empower informed skincare decisions by blending personal research with professional guidance.

How do you stay updated with the latest research and advancements in dermatology, given the rapid pace of innovation in the field?

Staying current in dermatology is essential. I attend conferences, read journals like the Journal of the American Academy of Dermatology , and participate in webinars and CME courses. Networking with peers helps me stay informed on trends.

I use PubMed for the latest research, evaluating evidence for patient care relevance. Collaborating with healthcare professionals allows me to explore innovative approaches, ensuring my practice provides effective, upto-date treatments for patients.

What are some of the most rewarding aspects of your work in dermatology, and what keeps you motivated on challenging days?

The most rewarding part of my dermatology practice is seeing treatments improve patients' lives, especially for acne and psoriasis. Early skin cancer detection adds purpose to my work.

I value continuous learning and building long-term patient relationships. Patient trust and gratitude motivate me on tough days. Collaborating with my healthcare team is fulfilling, and teaching medical students renews my enthusiasm. Researching alongside practice drives my commitment to advancing dermatological care.

How do you integrate patient education into your practice, particularly for those in remote or underserved areas who may have limited access to dermatological resources?

Integrating patient education is vital in my practice, especially for those in remote areas. I ensure clear communication about conditions and treatments during consultations.

Using telemedicine, I offer virtual consultations and create easy-to-understand educational materials on skin conditions. I partner with local clinics for outreach and share reliable information on social media.

Encouraging patients to join online support groups and training local healthcare providers enhances community care. These efforts aim to bridge the educational gap in dermatological care for underserved populations.

Looking ahead, what are your goals and aspirations for the future of your practice and the field of dermatology as a whole?

My goal is to expand access to dermatological care for underserved communities through telemedicine and personalized medicine. I will prioritize collaboration, clinical research, and patient education.

Mentoring future dermatologists and advocating for policy changes to improve access and funding are also key focuses. I envision an equitable and patient-centered future in dermatological care.

Finally, what do you enjoy doing in your downtime when you’re not practicing dermatology, and how do these activities help you maintain a healthy work-life balance?

In my downtime, I enjoy hiking to connect with nature, reading history and sci-fi books, and cooking new recipes. Spending quality time with family and friends is important, as are yoga and meditation for stress management. Traveling broadens my horizons, and volunteering keeps me grounded. These activities help me maintain a balanced lifestyle, ensuring I’m energized for patient care.