In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Erik Domingues, MD, for a conversation on why practice culture matters and how residents and early-career dermatologists can start thinking about it long before they run their own clinic. The episode opens with a boards review on vitiligo, covering common triggers, genetic associations, major clinical subtypes, important mimickers, notable associated conditions, and core medical and surgical treatments every resident should know. In the main part of the episode, the discussion focuses on how practice culture develops and its direct impact on patient care, staff morale, and clinical efficiency. Dr Domingues shares perspective on communication, leadership behaviors, team dynamics, and the habits that contribute to a positive clinical environment, offering concepts residents can begin applying even during training. Tune in to the episode for insights that can help residents recognize healthy practice environments, understand their own role in shaping team culture, and prepare for the responsibilities that come with building a supportive, patient-centered practice.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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