In this episode of Under Your Skin, Dr Nick Brownstone chats with Dr Tina Bhutani to hear about the rarest disease she’s encountered in her career and to get some tips on time management and avoiding burnout.

What’s the rarest disease you’ve seen in your career?

Dr Bhutani describes a case of Sneddon-Wilkinson disease, or subcorneal pustular dermatosis, a very rare and difficult-to-diagnose condition involving a combination of clinical and pathological diagnoses.

What’s your favorite time management technique?

Dr Bhutani’s favorite time management tip is to create a list with patients, especially new patients, as soon as a visit begins. She has patients make a checklist of everything they want to discuss and then prioritize the top 2 items. She’ll discuss those 2 topics during the visit and bring patients back for a follow-up visit to discuss the remainder a few weeks later. She explains that this technique helps set expectations while still ensuring the patient feels their needs are being met.

How do you avoid burnout?

Dr Bhutani avoids burnout by prioritizing and scheduling self-care, whether it’s workout sessions or time with family and friends. She puts these events on her calendar and treats them like any other important meeting. She makes a point not to cancel and holds herself accountable for her own self-care.