To the Editor: There is growing evidence suggesting associations between alcohol, tobacco, and obesity and development and progression of psoriasis. When addressed, patients may experience disease improvement, emphasizing the importance of screening and counseling.

We created a World Wide Web-based survey to assess beliefs and screening/counseling practices of U.S. academic dermatologists and dermatology residents for alcohol, tobacco, and obesity, and to investigate potential improvements.

Test-retest reliability was evaluated using a sample of dermatologists at Albert Einstein College of Medicine, Bronx, NY, who completed the survey twice over two weeks without significant response variation, indicating high concordance. Content validity was evaluated using the same cohort; appropriate changes were incorporated.

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