Not every loose stool is Crohn’s. Not every rash is “just a rash.” And sometimes the most useful clinical tool is knowing exactly which colleague to text. In Part 1 of our special Skin and Joints Podcast crossover, we go beyond skin deep and gut feelings with dermatologist Dr. Perry Grewal and gastroenterologist Dr. Jesse Siffledeen to tackle what Derm–GI collaboration actually looks like, or could look like in the real world. Psoriasis and inflammatory bowel disease may live in different specialty clinics, but for many patients, the boundaries aren’t nearly so tidy. What should make a dermatologist start thinking about the gut? Which GI symptoms deserve a routine referral—and which ones should make your clinical “spidey sense” start tingling? Our guest experts get practical about: 🔎 The GI red flags worth screening for in patients with psoriatic disease 🚨 When a referral can wait—and when it probably shouldn’t 🧪 Where fecal calprotectin, inflammatory markers and anemia fit into the picture 📲 Why sometimes a colleague’s name, and a quick message can be more useful than an elaborate referral pathway 📝 What actually needs to go into a useful Derm-to-GI or GI-to-Derm referral 🧩 How to begin separating IBD from common mimics such as IBS and post-infectious symptoms 💊 Why recognizing coexisting immune-mediated disease can influence treatment decisions And perhaps most importantly: multidisciplinary care doesn’t always require a multidisciplinary clinic. 🎯 Learning Objectives By the end of Part 1, listeners should be able to: 1. Recognize key gastrointestinal signs, symptoms and clinical red flags that may warrant further investigation for IBD in a patient presenting with psoriatic disease. 2. Differentiate between routine, urgent and potentially emergent GI referral scenarios based on symptoms, systemic illness and available objective findings. 3. Describe practical strategies for Derm–GI co-management, including effective communication and the essential information to include when referring between specialties. 4. Explain how suspected or confirmed gastrointestinal comorbidity may influence therapeutic decision-making in patients with immune-mediated disease. 5. Identify clinical features that can help distinguish IBD from common gastrointestinal mimics, while recognizing when specialist assessment is warranted. 🎧 Two specialties. One patient. And a lot more overlap than the clinic schedule might suggest. #SkinAndJointsPodcast #Dermatology #Gastroenterology #Psoriasis #IBD #CrohnsDisease #UlcerativeColitis #ImmuneMediatedDisease #MultidisciplinaryCare #MedicalEducation #DermGI #ClinicalPractice SUPPORTED BY AN IME GRANT FROM JnJ Johnson and Johnson. ABOUT Dr. Parbeer Grewal Dermatologist, Edmonton, AB Dr. Parbeer Grewal completed his Bachelor of Science undergraduate degree at the University of Alberta with a specialization in Psychology and graduated with distinction. He completed his Doctorate of Medicine degree at the University of Alberta and graduated with Special Training in Research. He completed dermatology training at the University of Alberta and became a Fellow of the Royal College of Physicians and Surgeons of Canada and a board-certified Fellow of the American Academy of Dermatology. Dr. Grewal is an Associate Clinical Professor within the University of Alberta’s Faculty of Medicine - Dermatology. In addition to working at Rejuvenation, he is a consulting physician for the University of Alberta Hospital, the Royal Alexandra Hospital, the Grey Nuns Hospital and the Misericordia Hospital. Dr. Grewal has participated in over 60 clinical research trials for a multitude of dermatology conditions and medications. In addition, Dr. Grewal serves on multiple national and international scientific advisory boards, is a distinguished peer reviewer for medical journals and has published both journal articles and book chapters in dermatology. He has specific interests in psoriasis, acne, eczema, warts, skin cancers, rashes and moles. He offers a wide range of topical and systemic therapy along with surgical and aesthetic services. ABOUT Dr. Jesse Siffledeen, MD, FRCPC Gastroenterology, Edmonton, AB Dr. Siffledeen is a clinical professor in the Division of Gastroenterology at the University of Alberta. He is also currently the past-president of the Alberta Society of Gastroenterology. He has established a large clinical IBD practice in Edmonton and is the director of the South Edmonton Gastroenterology Research Unit, serving as principal investigator and collaborator on several IBD-related clinical trials for over 20 years. He is an active collaborator in the Edmonton IBD research community and as a member of the Canadian IBD research consortium. Dr. Siffledeen completed his Gastroenterology studies at the University of Alberta in 2010 and inflammatory bowel disease research/Master’s degree at the University of Oxford in 2011. 📻www.skinandjoints.ca ✉️info@skinandjoints.ca
Not every loose stool is Crohn’s. Not every rash is “just a rash.” And sometimes the most useful clinical tool is knowing exactly which colleague to text.
In Part 1 of our special Skin and Joints Podcast crossover, we go beyond skin deep and gut feelings with dermatologist Dr. Perry Grewal and gastroenterologist Dr. Jesse Siffledeen to tackle what Derm–GI collaboration actually looks like, or could look like in the real world.
Psoriasis and inflammatory bowel disease may live in different specialty clinics, but for many patients, the boundaries aren’t nearly so tidy.
What should make a dermatologist start thinking about the gut? Which GI symptoms deserve a routine referral—and which ones should make your clinical “spidey sense” start tingling?
Our guest experts get practical about:
🔎 The GI red flags worth screening for in patients with psoriatic disease
🚨 When a referral can wait—and when it probably shouldn’t
🧪 Where fecal calprotectin, inflammatory markers and anemia fit into the picture
📲 Why sometimes a colleague’s name, and a quick message can be more useful than an elaborate referral pathway
📝 What actually needs to go into a useful Derm-to-GI or GI-to-Derm referral
🧩 How to begin separating IBD from common mimics such as IBS and post-infectious symptoms
💊 Why recognizing coexisting immune-mediated disease can influence treatment decisions
And perhaps most importantly: multidisciplinary care doesn’t always require a multidisciplinary clinic.
🎯 Learning Objectives
By the end of Part 1, listeners should be able to:
🎧 Two specialties. One patient. And a lot more overlap than the clinic schedule might suggest.
#SkinAndJointsPodcast #Dermatology #Gastroenterology #Psoriasis #IBD #CrohnsDisease #UlcerativeColitis #ImmuneMediatedDisease #MultidisciplinaryCare #MedicalEducation #DermGI #ClinicalPractice
SUPPORTED BY AN IME GRANT FROM JnJ Johnson and Johnson.
ABOUT Dr. Parbeer Grewal
Dermatologist, Edmonton, AB
Dr. Parbeer Grewal completed his Bachelor of Science undergraduate degree at the University of Alberta with a specialization in Psychology and graduated with distinction. He completed his Doctorate of Medicine degree at the University of Alberta and graduated with Special Training in Research. He completed dermatology training at the University of Alberta and became a Fellow of the Royal College of Physicians and Surgeons of Canada and a board-certified Fellow of the American Academy of Dermatology.
Dr. Grewal is an Associate Clinical Professor within the University of Alberta’s Faculty of Medicine - Dermatology. In addition to working at Rejuvenation, he is a consulting physician for the University of Alberta Hospital, the Royal Alexandra Hospital, the Grey Nuns Hospital and the Misericordia Hospital. Dr. Grewal has participated in over 60 clinical research trials for a multitude of dermatology conditions and medications. In addition, Dr. Grewal serves on multiple national and international scientific advisory boards, is a distinguished peer reviewer for medical journals and has published both journal articles and book chapters in dermatology.
He has specific interests in psoriasis, acne, eczema, warts, skin cancers, rashes and moles. He offers a wide range of topical and systemic therapy along with surgical and aesthetic services.
ABOUT Dr. Jesse Siffledeen, MD, FRCPC
Gastroenterology, Edmonton, AB
Dr. Siffledeen is a clinical professor in the Division of Gastroenterology at the University of Alberta. He is also currently the past-president of the Alberta Society of Gastroenterology. He has established a large clinical IBD practice in Edmonton and is the director of the South Edmonton Gastroenterology Research Unit, serving as principal investigator and collaborator on several IBD-related clinical trials for over 20 years. He is an active collaborator in the Edmonton IBD research community and as a member of the Canadian IBD research consortium.
Dr. Siffledeen completed his Gastroenterology studies at the University of Alberta in 2010 and inflammatory bowel disease research/Master’s degree at the University of Oxford in 2011.
📻www.skinandjoints.ca
✉️info@skinandjoints.ca