Dr. Elizabeth Bailey is a Clinical Associate Professor of Dermatology at Stanford and serves as Program Director for the Stanford Dermatology Residency Program, Associate Clinic Chief of Medical Dermatology at Stanford Healthcare, and Director of Global Health Dermatology.
She has a passion for thinking about how we communicate and how we can leverage relationships to improve how we communicate and work as a team in an inclusive and supportive environment. She loves thinking about this in the context of developing relationships with patients to help them achieve the best possible outcomes and in the context of helping our clinical teams perform to the best of their abilities. She also enjoys discovering ways to teach and learn these skills at all stages of medical education. Her work has included a project using art to cultivate communication skills, research on curriculum needs and opportunities to integrate educational content related to sexual and gender minority and skin of color in dermatology residency education, and ongoing work on communication skills training in dermatology residency education.
Dr. Bailey graduated magna cum laude from Harvard University and received her medical degree from Columbia University in New York, where she was a member of the Alpha Omega Alpha honor society. She completed her internship in internal medicine at Brigham and Women’s Hospital in Boston, and completed both her residency in dermatology and fellowship in dermatopathology at Stanford University Medical Center. She is board certified in dermatology and dermatopathology by the American Boards of Dermatology/Pathology.
Dr. Bailey's academic interests include medical education, community outreach, global health, and skin cancer detection and prevention.
- Skin cancer detection and prevention
- Adult general dermatology
- Global health dermatology
Clinical Associate Professor, Dermatology
Associate Program Director of Dermatology Residency Program, Department of Dermatology (2018 - Present)
Assistant Program Director of Dermatology Residency Program, Department of Dermatology (2016 - 2018)
Boards, Advisory Committees, Professional Organizations
Member, San Francisco Dermatological Society (2012 - Present)
Member, American Medical Association (2012 - Present)
Fellow, American Academy of Dermatology (2016 - Present)
Fellow, Center for Innovation in Global Health, Stanford University School of Medicine (2016 - Present)
Member, American Society of Dermatopathology (2016 - Present)
Member, Women's Dermatologic Society (2017 - Present)
Member, Association of Professors of Dermatology (2018 - Present)
Internship: Brigham and Women's Hospital Internal Medicine Residency (2012) MA
Residency: Stanford University Dermatology Residency (2015) CA
Fellowship: Stanford University Pathology Residency (2016) CA
Board Certification: American Board of Dermatology, Dermatopathology (2016)
Board Certification, American Board of Dermatology, Dermatology (2015)
Fellowship, Dermatopathology, Stanford Hospital and Clinics, CA (2016)
Residency, Dermatology, Stanford Hospital and Clinics, CA (2015)
Internship, Brigham and Women's Hospital, MA (2012)
MD, Columbia University College of Physicians and Surgeons, NY (2011)
MPH, Harvard School of Public Health, MA (2011)
AB, Harvard College, magna cum laude (2006)
Community and International Work
Capacity-building in dermatology at Dhulikhel Hospital, Dhulikhel, Nepal, Dhulikhel, Nepal
Dermatology and Dermatopathology Consultation and Capacity-building
Center for Innovation in Global Health, Stanford University
Opportunities for Student Involvement
International clinical experience, Gaborone, Botswana
Dermatology clinical care and medical education
American Academy of Dermatology
Patients seen within Botswana national health service
Opportunities for Student Involvement
Volunteer Physician at Stanford Cardinal Free Clinics
Opportunities for Student Involvement
Additional Clinical Info
Perceptions of US-Based Muslim Patients of Their Dermatology Care.
Cultural humility training is of growing interest, yet the religious and cultural accommodations of Muslim patients in dermatology have not been studied.To explore the perceptions of Muslim patients of their dermatology care.This qualitative mixed-methods study, consisting of surveys and semistructured interviews, recruited participants from 2 clinical sites within a large academic health care system in California. Participants were adult, English-speaking, Muslim patients who were evaluated at least once by a medical or surgical dermatologist between January 2022 and January 2023.A survey obtained the following data: demographics, religious practices pertinent to dermatology care, and experiences of bias outside and inside the dermatology clinic. Semistructured interviews covered topics related to positive and negative experiences in the dermatology clinic, accommodation of cultural and religious needs in dermatology, and future interventions.A total of 21 patients (mean [SD] age, 36.4 [11.6] years; range, 26-71 years) participated in the study: 5 male individuals (24%) and 16 female individuals (76%), including 10 female individuals who wore hijab. Eleven participants identified as Middle Eastern (52%), 8 as South Asian (38%), 1 as North African (5%), and 1 as Pacific Islander (5%). Survey results showed variations in the impact of Islamic practices on dermatology care. Interviews showed that Muslim participants did not perceive dermatology care as a priority and expressed interest in community events focused on general dermatology education. They also experienced stigmatization of their skin disease and cosmetic care. Prior experiences with Islamophobia and colorism hindered the Muslim patient-dermatologist relationship and disclosure of the need for accommodations. There were instances when participants experienced bias and poor cultural humility from dermatologists. Finally, Muslim participants had unique religious and cultural needs pertinent to their care, including clinician gender concordance, medication timing adjustment while fasting, and halal medication ingredients.This qualitative mixed-methods study explored the experiences of Muslim patients in dermatology in the US. Recommendations supported by this study include incorporating religion into cultural humility training, increasing diversity in the dermatology workforce, implementing policies for clearer medication labeling, supporting dermatology research in subpopulations of Muslim individuals in the US, and partnering with community organizations for dermatology education.
View details for DOI 10.1001/jamadermatol.2023.4439
View details for PubMedID 37966806
View details for PubMedCentralID PMC10652213
Examining the Role of Estheticians in Skin Cancer Surveillance
Melanoma and non-melanoma skin cancer are significant causes of mortality. Previous studies regarding skin cancer education in non-medical professionals have shown increases in favorable attitudes and likelihood of approaching clients about concerning lesions with training. However, few studies have investigated the use of estheticians in skin cancer screening.To develop an education course to train estheticians to recognize concerning lesions, to assess the baseline knowledge of estheticians toward skin cancer detection, and to determine the effect that our curriculum has on lesion detection.We administered an education course and corresponding cross-sectional surveys to estheticians to evaluate current knowledge and assess for improvements in attitudes and behaviors regarding skin cancer detection.Of 504 estheticians, most estheticians (85%- 98%) indicated the correct level of concern for "extremely concerning" lesions on pre- and post-training surveys. Estheticians were more likely to recommend that their client see a medical professional if they previously attended a course on skin cancer (p=0.012) or had greater than one year of work experience (p<0.001). After completion of the training module, most participants felt "very comfortable" suggesting that clients see a doctor for a suspicious lesion.Our findings suggest that estheticians are capable of indicating the appropriate level of concern for abnormal lesions. Estheticians may serve as a valuable screening partner for dermatologists in the detection of skin cancer.
View details for DOI 10.1159/000531974
View details for Web of Science ID 001105337700001
View details for PubMedID 37926076
Skin Tone Analysis for Representation in Educational Materials (STAR-ED) using machine learning.
NPJ digital medicine
2023; 6 (1): 151
Images depicting dark skin tones are significantly underrepresented in the educational materials used to teach primary care physicians and dermatologists to recognize skin diseases. This could contribute to disparities in skin disease diagnosis across different racial groups. Previously, domain experts have manually assessed textbooks to estimate the diversity in skin images. Manual assessment does not scale to many educational materials and introduces human errors. To automate this process, we present the Skin Tone Analysis for Representation in EDucational materials (STAR-ED) framework, which assesses skin tone representation in medical education materials using machine learning. Given a document (e.g., a textbook in .pdf), STAR-ED applies content parsing to extract text, images, and table entities in a structured format. Next, it identifies images containing skin, segments the skin-containing portions of those images, and estimates the skin tone using machine learning. STAR-ED was developed using the Fitzpatrick17k dataset. We then externally tested STAR-ED on four commonly used medical textbooks. Results show strong performance in detecting skin images (0.96±0.02 AUROC and 0.90±0.06 F1 score) and classifying skin tones (0.87±0.01 AUROC and 0.91±0.00 F1 score). STAR-ED quantifies the imbalanced representation of skin tones in four medical textbooks: brown and black skin tones (Fitzpatrick V-VI) images constitute only 10.5% of all skin images. We envision this technology as a tool for medical educators, publishers, and practitioners to assess skin tone diversity in their educational materials.
View details for DOI 10.1038/s41746-023-00881-0
View details for PubMedID 37596324
A practical guide to clinical photography prior to skin biopsy: key tips and proposed workflow.
Archives of dermatological research
High-quality clinical photography has become an integral part of dermatology in the context of patient evaluation and monitoring, clinical teaching, and research. Technological advancements in smartphones have allowed dermatologists to incorporate photography in workflows; however, acquiring quality photos poses its own challenges. Outlining a best practice approach to image capture prior to biopsy will facilitate establishing a team-based approach for the implementation of clinical photography in workflow. We propose this guide with the intent of improving patient care though photography in the clinical setting and the goal of integrating high-quality photography into routine clinical practice.
View details for DOI 10.1007/s00403-023-02672-9
View details for PubMedID 37530784
- Optimizing Virtual Visits and Reducing Inbox Messages Using a Pre-Visit Questionnaire: A Quality Improvement Project. Journal of the American Academy of Dermatology 2023
- A Cross-Sectional Analysis of The Environmental and Cost-Saving Benefits of Digital Dermatologic Care. Journal of the American Academy of Dermatology 2022
- Firm Red-Brown Plaques in a Patient With Systemic Scleroderma. JAMA dermatology 2022
Disparities in dermatology AI performance on a diverse, curated clinical image set.
2022; 8 (32): eabq6147
An estimated 3 billion people lack access to dermatological care globally. Artificial intelligence (AI) may aid in triaging skin diseases and identifying malignancies. However, most AI models have not been assessed on images of diverse skin tones or uncommon diseases. Thus, we created the Diverse Dermatology Images (DDI) dataset-the first publicly available, expertly curated, and pathologically confirmed image dataset with diverse skin tones. We show that state-of-the-art dermatology AI models exhibit substantial limitations on the DDI dataset, particularly on dark skin tones and uncommon diseases. We find that dermatologists, who often label AI datasets, also perform worse on images of dark skin tones and uncommon diseases. Fine-tuning AI models on the DDI images closes the performance gap between light and dark skin tones. These findings identify important weaknesses and biases in dermatology AI that should be addressed for reliable application to diverse patients and diseases.
View details for DOI 10.1126/sciadv.abq6147
View details for PubMedID 35960806
Partnering with a senior living community to optimize teledermatology via full body skin screening during the COVID-19 pandemic: a pilot program
Skin Health and Disease
View details for DOI 10.1002/ski2.141
Cutaneous Reactive Angiomatosis associated with Intravascular Cryoprotein Deposition as the Presenting Finding in a Patient with Underlying Lymphoplasmacytic Lymphoma: A Case Report and Review of the Literature.
Journal of cutaneous pathology
Cutaneous reactive angiomatosis, a group of disorders defined by benign vascular proliferation, is associated with a number of systemic processes, including intravascular occlusion by cryoproteins. We report a case of a 64-year-old female patient who presented with a one-year history of non-tender petechiae of the bilateral arms and lower legs. Dermoscopic evaluation showed increased vascularity with a globular pattern. Over a period of months, her findings progressed to erythematous to violaceous plaques with admixed hypopigmented stellate scarring of the bilateral lower extremities, forearms, and lateral neck. Biopsy showed increased thin-walled, small dermal blood vessels with focal inter-anastamosis. Some vessels were occluded by eosinophilic globules suspicious for cryoprotein. Subsequent laboratory studies confirmed a diagnosis of type 1 cryoglobulinemia, prompting a bone marrow biopsy that revealed lymphoplasmacytic lymphoma. Herein we report the fourth case of angiomatosis secondary to intravascular cryoproteins as the initial presentation of an underlying hematologic malignancy. We also present a review of the literature and emphasize the need for thorough initial work-up and close and prolonged clinical monitoring for underlying systemic disease in these patients. This article is protected by copyright. All rights reserved.
View details for DOI 10.1111/cup.14144
View details for PubMedID 34617316
- Integrating Skin of Color and Sexual and Gender Minority Content in Dermatology Residency Curricula: A Prospective Program Initiative. Journal of the American Academy of Dermatology 2021
Using Visual Arts Education in Dermatology to Benefit Resident Wellness and Clinical Communication.
MedEdPORTAL : the journal of teaching and learning resources
2021; 17: 11133
Introduction: Art education interventions improve observation skills among dermatology residents, but there is limited data regarding their benefits to wellness and clinical communication.Methods: Residents in the Stanford dermatology residency program participated in an arts-based education session, repeated in the fall of 2018 and 2019, that included a rotation of observational exercises adapted from the Artful Thinking program through Harvard Project Zero. The 2018 session featured exercises on identification and understanding of visual observation, while the 2019 session featured exercises on perspectives and objectivity of visual observation. Participants completed preintervention, postintervention, and 3-month follow-up surveys in fall 2018 and a postintervention survey in fall 2019.Results: Twenty-one residents participated in the 2018 education session and produced an adequate response rate (62%-90%) across surveys. At 3 months, five of 13 residents (39%) reported new use of art for mindfulness and stress reduction, 12 of 13 (92%) could recall an example of use of observation to improve patient communication, and four of 13 (31%) confirmed and described adjustments to their handoff technique. In 2019, 13 out of 18 participants (72%) completed the postintervention survey. Responses reinforced themes from the prior iteration but focused on perspective, objectivity, context, and uncertainty in observations. Respondents also identified additional arenas of communication to benefit from these observational techniques.Discussion: Dermatology residents increased use of art for personal wellness and adjusted clinical communication strategies after a single arts-based education session. Annual repetition with novel exercises maintained engagement and yielded additional participant insights.
View details for DOI 10.15766/mep_2374-8265.11133
View details for PubMedID 33816794
- Local recurrence of clinically observed basal cell carcinomas following complete saucerization or punch removal with negative margins: retrospective case series from 2010 to 2020. Journal of the American Academy of Dermatology 2020
- Sexual and Gender Minority Curricula Within US Dermatology Residency Programs. JAMA dermatology 2020
Validation of Image Quality and Diagnostic Accuracy Using a Mobile Phone Camera Microscope Adaptor Compared With Glass Slide Review in Teledermatopathology.
The American Journal of dermatopathology
New modalities of evaluating histopathology, such as whole-slide imaging, have been validated in the field of dermatopathology but are often unfeasible and unavailable in developing countries. Widely available across the globe, mobile phone camera technology represents a potential simple and inexpensive method of imaging histologic slides through the use of a mobile phone camera microscope adaptor. This study aims to validate the use of a commercially available adaptor in the diagnosis of inflammatory and infectious conditions in dermatopathology. Representative images were taken of slides for fifty-four cases using the adaptor and shared through a cloud-based platform with five dermatopathologists who rendered diagnoses and judged the quality of the images. After a washout period of 8 weeks, the same cases were assessed by the same dermatopathologists using the original glass slides. The intraobserver concordance rate was 93.3%, and the quality of the mobile phone images was rated as "excellent" or "diagnostic" in 94.4% of the cases. This study validates the use of this low-tech and low-cost adaptor as a reliable tool in teledermatopathology. Limitations of the study include those inherent to use of the adaptor and the limited panel of diagnoses. The primary value of this device may be in developing countries, but its practicality and ease of use lend itself to use in academic and consultative settings in the developed world as well.
View details for DOI 10.1097/DAD.0000000000001529
View details for PubMedID 31633596
- Outcomes of surgical re-excision versus observation of severely dysplastic nevi: a single institution, retrospective cohort study. Journal of the American Academy of Dermatology 2019
- A growing nodule on the forearm of an 84-year-old man. Journal of cutaneous pathology 2017; 44 (1): 1-4
Limited Role of Random Skin Biopsy in the Diagnosis of Intravascular Lymphoma in Adult Patients with Hemophagocytic Lymphohistiocytosis
2017; 138 (1): 33–38
This study examined the role of random normal skin biopsy in the diagnosis of intravascular lymphoma (IVL) in adult Western patients with clinically diagnosed hemophagocytic lymphohistiocytosis (HLH).In a retrospective chart review study, we analyzed a total of 59 skin biopsies that were performed to diagnose IVL in 21 adult patients with HLH seen at Stanford Hospital between 2004 and 2016.Out of the 59 skin biopsies, 42 were taken from clinically normal-appearing skin and 17 from clinically abnormal-appearing skin. None of the 59 biopsies revealed a diagnosis of primary or metastatic malignancy, regardless of the malignancy history, clinical presentation, and biopsy and histopathologic characteristics. A review of 8 positive IVL cases at Stanford Hospital including 1 case associated with HLH showed 1 positive diagnosis by a targeted skin biopsy and other positive diagnoses by bone marrow (n = 4), lung (n = 2), brain (n = 2), muscle (n = 1), and nerve (n = 1).Random skin biopsies have a limited role in diagnosing IVL in adult patients with HLH, in the setting of a single academic institution in the USA. A review of the literature emphasizes the role of a full body skin exam with a selective skin biopsy in these patients.
View details for PubMedID 28668948
Amyopathic Dermatomyositis: Definitions, Diagnosis, and Management
CURRENT RHEUMATOLOGY REPORTS
2014; 16 (12)
Amyopathic dermatomyositis can be a challenging diagnosis because patients lack traditional muscle findings. "Clinically amyopathic" dermatomyositis (CADM) accounts for the presence of subclinical muscle disease in some of these patients. These patients represent a substantial minority of dermatomyositis cases and have similar co-morbidities to "classic" dermatomyositis patients, including interstitial lung disease and malignancy. Clinically amyopathic dermatomyositis patients should not be considered as a distinct clinical entity from "classic" dermatomyositis, as they share antibody sub-types and associated co-morbidities, likely representing clinical spectrum of a common disease. It is essential for the clinician to be familiar with the clinical presentation of clinically amyopathic dermatomyositis, in order to facilitate early, accurate diagnosis and appropriate clinical management.
View details for DOI 10.1007/s11926-014-0465-0
View details for Web of Science ID 000344648600001
View details for PubMedID 25366932
Skin Cancer Education among Massage Therapists: A Survey at the 2010 Meeting of the American Massage Therapy Association
JOURNAL OF CANCER EDUCATION
2013; 28 (1): 158-164
Massage therapists encounter skin on a daily basis and have a unique opportunity to recognize potential skin cancers. The purpose of this study was to describe the skin cancer education provided to massage therapists and to assess their comfort regarding identification and communication of suspicious lesions. An observational retrospective survey study was conducted at the 2010 American Massage Therapy Association Meeting. Sixty percent reported receiving skin cancer education during and 25% reported receiving skin cancer education after training. Massage therapists who examine their own skin are more likely to be comfortable with recognizing a suspicious lesion and are more likely to examine their client's skin. Greater number of clients treated per year and greater frequency of client skin examinations were predictors of increased comfort level with recognizing a suspicious lesion. Massage therapists are more comfortable discussing than identifying a potential skin cancer. Massage therapists may be able to serve an important role in the early detection of skin cancer.
View details for DOI 10.1007/s13187-012-0403-7
View details for Web of Science ID 000316820900024
View details for PubMedID 22915212
Combination Treatments for Psoriasis A Systematic Review and Meta-analysis
ARCHIVES OF DERMATOLOGY
2012; 148 (4): 511-522
To summarize the current state of evidence for combination topical and systemic therapies for mild to severe psoriasis.We performed a systematic search for all entries in PubMed, CINAHL, Cochrane Review, and EMBASE related to combination treatments for psoriasis through July 2010.We included randomized controlled trials that reported proportion of disease clearance or mean change in clinical severity score (or provided these data through communication with study authors) for efficacy of a combination treatment for psoriasis compared with 1 or more corresponding monotherapies.Study data were extracted by 3 independent investigators, with disagreement resolved by consensus. The proportion of patients who achieved clearance, definition of clearance, means and standard deviations for baseline disease symptom score and final disease symptom score, and major design characteristics were extracted for each study.Combination treatments consisting of vitamin D derivative and corticosteroid, vitamin D derivative and UV-B, vitamin A derivative and psoralen-UV-A, vitamin A derivative and corticosteroid, vitamin A derivative and UV-B, corticosteroid and hydrocolloid occlusion dressings, UV-B and alefacept, and vitamins A and D derivatives were more effective than 1 or more monotherapies using the likelihood of clearance as the outcome. Blinding status and potency of the corticosteroid treatment used were significant sources of heterogeneity between studies.The results demonstrate the need for additional long-term trials with standardized outcome measures to evaluate the efficacy and adverse effects of combination therapies for psoriasis and highlight the possible effects of trial design characteristics on results.
View details for DOI 10.1001/archdermatol.2011.1916
View details for Web of Science ID 000302870600016
View details for PubMedID 22184718
Skin Cancer Knowledge, Attitudes, and Behaviors in the Salon A Survey of Working Hair Professionals in Houston, Texas
ARCHIVES OF DERMATOLOGY
2011; 147 (10): 1159-1165
To determine factors related to the observation of suspicious lesions on the scalp, neck, and face of customers by hair professionals (cosmetologists and barbers).Survey of hair professionals in January 2010.Single hair professional educational conference.Hair professionals from a chain of 17 salons in the greater Houston, Texas, area.Frequency with which hair professionals looked for lesions on their customers' scalp, neck, and face during the previous month.Of 304 surveys distributed to hair professionals, 203 were completed (66.8% response rate). Few hair professionals had received formal skin cancer education (28.1%). Forty-nine percent of hair professionals were "very" or "extremely" interested in participating in a skin cancer education program. Of responding participants, 37.1% looked at more than 50% of their customers' scalps, 28.8% looked at more than 50% of their customers' necks, and 15.3% looked at more than 50% of their customers' faces for suspicious lesions during the preceding month. Frequency of observation of customers' lesions was associated with hair professionals' self-reported health communication practices (P < .001) and personal skin protection practices (P = .05) but was not associated with hair professionals' skin cancer knowledge (P = .48).This study suggests that hair professionals are looking for suspicious lesions on customers' scalp, neck, and face and are acting as lay skin cancer educators. These results provide evidence that hair professionals would be receptive to skin cancer education and that further investigation into the role of hair professionals in skin cancer prevention and detection campaigns is needed.
View details for Web of Science ID 000295944300005
View details for PubMedID 22006132
Anti-laminin-332 mucous membrane pemphigoid associated with recurrent metastatic prostate carcinoma: hypothesis for a paraneoplastic phenomenon
EUROPEAN JOURNAL OF DERMATOLOGY
2011; 21 (3): 401-404
Anti-epiligrin cicatricial pemphigoid is an autoimmune blistering disorder that has recently been associated with the development of solid organ malignancy. We describe a patient with recurrent metastatic prostate carcinoma who was diagnosed with this disorder. We provide a hypothesis as to the relationship between the development of this disease and its possible association with cancer pathogenesis.
View details for DOI 10.1684/ejd.2011.1360
View details for Web of Science ID 000293836300014
View details for PubMedID 21527374
Cellulitis: diagnosis and management
2011; 24 (2): 229-239
Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, often occurring after a local skin trauma. It is a common diagnosis in both inpatient and outpatient dermatology, as well as in the primary care setting. Cellulitis classically presents with erythema, swelling, warmth, and tenderness over the affected area. There are many other dermatologic diseases, which can present with similar findings, highlighting the need to consider a broad differential diagnosis. Some of the most common mimics of cellulitis include venous stasis dermatitis, contact dermatitis, deep vein thrombosis, and panniculitis. History, local characteristics of the affected area, systemic signs, laboratory tests, and, in some cases, skin biopsy can be helpful in confirming the correct diagnosis. Most patients can be treated as an outpatient with oral antibiotics, with dicloxacillin or cephalexin being the oral therapy of choice when methicillin-resistant Staphylococcus aureus is not a concern.
View details for DOI 10.1111/j.1529-8019.2011.01398.x
View details for Web of Science ID 000288455800008
View details for PubMedID 21410612