Skip to main content
Top
Published in: Archives of Dermatological Research 7/2021

01-09-2021 | Atopic Dermatitis | Concise Communication

A strategy for empowering clinicians and increasing innovation: the Magic Wand Initiative

Authors: Lilit Garibyan, Daniela Kroshinsky, Esther Freeman, Fernanda H. Sakamoto, Richard Rox Anderson

Published in: Archives of Dermatological Research | Issue 7/2021

Login to get access

Abstract

Clinicians play a critical role in recognizing, initiating, and adopting innovative solutions to clinical problems. Increasing clinician involvement in problem-based innovation will help identify and solve unmet medical needs. The overall objective of our program was to increase clinician involvement in problem-based innovation. We pioneered and piloted the “Magic Wand” Initiative (MWI) at Massachusetts General Hospital Department of Dermatology, by inviting clinical faculty to voluntarily participate in problem-driven innovation. The primary outcome was the number of unmet clinical needs identified and pursued by clinicians, who were ‘activated’ to initiate problem-based innovation. Other objectives were to enhance clinician-to-clinician dialogue and to develop specific strategic framework for clinician-led, problem-driven research. This pilot MWI was started in 2013 with an announcement at dermatology faculty meeting inviting all clinical faculty to participate on volunteer basis. Academic dermatologists were the main participants in this program. They also contacted, collaborated and worked with research faculty, industry experts and lawyers. Out of 30 unmet needs identified by clinicians participating in MWI, eight are actively being pursued by clinicians. Three of those cases presented here have achieved publications, grant funding, prototype devices and product for patient use. In conclusion, MWI is an innovative approach that educates and equips clinician to identify and solve problems and engages them as leaders in their healthcare ecosystem. MWI has achieved concrete measurable success, affirming that if clinicians are empowered and supported to identify and solve existing unmet medical problems, new and innovative solutions can be invented to improve patient care.
Literature
1.
go back to reference Zuckerman B, Margolis PA, Mate KS (2013) Health services innovation: the time is now. JAMA 309(11):1113–1114CrossRef Zuckerman B, Margolis PA, Mate KS (2013) Health services innovation: the time is now. JAMA 309(11):1113–1114CrossRef
3.
go back to reference Garibyan L, Anderson RR (2017) Increasing clinical faculty engagement in problem-driven research: the "magic wand" initiative at massachusetts general hospital. JAMA Dermatol 153(5):375–376CrossRef Garibyan L, Anderson RR (2017) Increasing clinical faculty engagement in problem-driven research: the "magic wand" initiative at massachusetts general hospital. JAMA Dermatol 153(5):375–376CrossRef
4.
5.
go back to reference Strazzula L et al (2015) Inpatient dermatology consultation aids diagnosis of cellulitis among hospitalized patients: a multi-institutional analysis. J Am Acad Dermatol 73(1):70–75CrossRef Strazzula L et al (2015) Inpatient dermatology consultation aids diagnosis of cellulitis among hospitalized patients: a multi-institutional analysis. J Am Acad Dermatol 73(1):70–75CrossRef
6.
go back to reference St John J et al (2018) Estimating the health care costs associated with recurrent cellulitis managed in the outpatient setting. J Am Acad Dermatol 78(4):749–753CrossRef St John J et al (2018) Estimating the health care costs associated with recurrent cellulitis managed in the outpatient setting. J Am Acad Dermatol 78(4):749–753CrossRef
7.
go back to reference Ko LN et al (2018) Effect of dermatology consultation on outcomes for patients with presumed cellulitis: a randomized clinical trial. JAMA Dermatol 154(5):529–536CrossRef Ko LN et al (2018) Effect of dermatology consultation on outcomes for patients with presumed cellulitis: a randomized clinical trial. JAMA Dermatol 154(5):529–536CrossRef
8.
go back to reference Ko LN et al (2018) Skin surface temperatures measured by thermal imaging aid in the diagnosis of cellulitis. J Invest Dermatol 138(3):520–526CrossRef Ko LN et al (2018) Skin surface temperatures measured by thermal imaging aid in the diagnosis of cellulitis. J Invest Dermatol 138(3):520–526CrossRef
9.
go back to reference Ko LN et al (2018) Clinical usefulness of imaging and blood cultures in cellulitis evaluation. JAMA Intern Med 178(7):994–996CrossRef Ko LN et al (2018) Clinical usefulness of imaging and blood cultures in cellulitis evaluation. JAMA Intern Med 178(7):994–996CrossRef
10.
go back to reference Brown DN, Langan SM, Freeman EE (2017) Task shifting in dermatology: a call to action. JAMA Dermatol 153(11):1179–1180CrossRef Brown DN, Langan SM, Freeman EE (2017) Task shifting in dermatology: a call to action. JAMA Dermatol 153(11):1179–1180CrossRef
12.
go back to reference Freeman EE et al (2018) Smartphone confocal microscopy for imaging cellular structures in human skin in vivo. Biomed Opt Express 9(4):1906–1915CrossRef Freeman EE et al (2018) Smartphone confocal microscopy for imaging cellular structures in human skin in vivo. Biomed Opt Express 9(4):1906–1915CrossRef
13.
go back to reference Lyons JJ, Milner JD, Stone KD (2015) Atopic dermatitis in children: clinical features, pathophysiology, and treatment. Immunol Allergy Clin North Am 35(1):161–183CrossRef Lyons JJ, Milner JD, Stone KD (2015) Atopic dermatitis in children: clinical features, pathophysiology, and treatment. Immunol Allergy Clin North Am 35(1):161–183CrossRef
14.
go back to reference Kraft MT, Prince BT (2019) Atopic dermatitis is a barrier issue, not an allergy issue. Immunol Allergy Clin North Am 39(4):507–519CrossRef Kraft MT, Prince BT (2019) Atopic dermatitis is a barrier issue, not an allergy issue. Immunol Allergy Clin North Am 39(4):507–519CrossRef
15.
go back to reference Elias PM (2008) Skin barrier function. Curr Allergy Asthma Rep 8(4):299–305CrossRef Elias PM (2008) Skin barrier function. Curr Allergy Asthma Rep 8(4):299–305CrossRef
16.
17.
go back to reference Bouthillette M et al (2019) A crosslinked polymer skin barrier film for moderate to severe atopic dermatitis: a pilot study in adults. J Am Acad Dermatol 71:116–132 Bouthillette M et al (2019) A crosslinked polymer skin barrier film for moderate to severe atopic dermatitis: a pilot study in adults. J Am Acad Dermatol 71:116–132
Metadata
Title
A strategy for empowering clinicians and increasing innovation: the Magic Wand Initiative
Authors
Lilit Garibyan
Daniela Kroshinsky
Esther Freeman
Fernanda H. Sakamoto
Richard Rox Anderson
Publication date
01-09-2021
Publisher
Springer Berlin Heidelberg
Published in
Archives of Dermatological Research / Issue 7/2021
Print ISSN: 0340-3696
Electronic ISSN: 1432-069X
DOI
https://doi.org/10.1007/s00403-020-02111-z

Other articles of this Issue 7/2021

Archives of Dermatological Research 7/2021 Go to the issue