Conducting inpatient dermatology consultations and maintaining resident education in the COVID-19 telemedicine era

Hammond, Maggie; Sharma, Timmie R.; Cooper, Kevin D.; Beveridge, Mara

doi:10.1016/j.jaad.2020.07.008

Cited by 12 publications

(10 citation statements)

References 1 publication

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“…This gradual integration was drastically accelerated by the COVID-19 pandemic of 2020 which forced medical practices to adapt to a world where face-to-face consultation was not legally permissive unless it in emergency situations [ 15 ]. Telemedicine in particular has seen a rapid increase in implementation on a global scale, and dermatology, relying mostly on visual assessment for diagnosis, ranks highly among those adopting the practice [ 16 ]. Whether or not the physicians themselves approve of this integration is still not clear, however [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Teledermatological Practices: A Cross-Sectional Study of Practicing Saudi Dermatologists

Alakeel¹

2021

Cureus

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Background: The increase in demand for Telemedicine globally has continued to rise in recent months, showing remarkable success in a variety of medical fields. As dermatology shows one of the most prolific rates of success, having a clear national picture of practitioner opinion on the subject is important. In this study we aimed to quantify the overall level of acceptance and satisfaction of Saudi dermatologists towards the practice of teledermatology. Design and setting: Data was collected by means of a survey which included demographic data and level of exposure and overall satisfaction towards Telemedicine in their field. Results: A total of 102 questionnaires were returned of which 57.8% had engaged in at least one teleconsultation. Of these, 71.2% showed support for the technology, with negative responses being associated with poor infrastructure or implementation in the workplace. Conclusion: The acceptance of dermatologists to teledermatology consultations in Saudi Arabia shows a positive tendency, with the majority of those who engaged in the practice saying they would do so again and find it satisfactory. Creating more reliable and robust tools and greater training in their use would be beneficial for its further incorporation.

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Section: Discussionmentioning

confidence: 99%

Acceptance of Teledermatological Practices: A Cross-Sectional Study of Practicing Saudi Dermatologists

Alakeel¹

2021

Cureus

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“…Teleconsultation can be provided by dermatologists for COVID-19 patients; if necessary, bedside consultation is also provided [ 31 ]. Teledermatology consultation can also be used to provide underresourced hospitals with access to dermatologists, as well as to maintain resident education during COVID-19 [ 32 , 33 ]. To date, inpatient teledermatology has not been applied in our hospital, but this approach might be considered in the future to help meet the demand for inpatient skin disease treatment and the prevention of misdiagnosis, unnecessary costs, and unnecessary treatments [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Inpatient Dermatology Consultations in a General Surgery Ward in a Tertiary Hospital in China: A Retrospective Study of 251 Patients

Zhang

Tang

Fang

et al. 2021

Dermatol Ther (Heidelb)

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Introduction Dermatologists play essential roles in providing dermatology consultations to inpatients admitted to hospital for care in another speciality ward. Data on dermatology consultations provided to inpatients admitted to general surgery wards are limited. The aim of this study was to analyze the reasons for and diagnoses of consultations provided by dermatologists to hospitalized patients in a general surgery ward and compare the provisional diagnoses by surgical residents and the final diagnoses by dermatologists. Methods Electronic health records were retrieved for patients admitted to a general surgery ward who received dermatology consultations while inpatients in Peking Union Medical College Hospital between 1 September 2015 and 31 August 2020. Sex, age, surgical diagnosis, reason for dermatology consultation, provisional diagnosis by surgical residents, and final diagnosis by dermatologists were reviewed. Results A total of 262 dermatology consultations for 251 patients ( n = 251, 123 women and 128 men) were identified, of whom 240 (95.6%) required only one consultation and 11 (4.4%) required two. Dermatology consultations were classified into three categories: preoperative consultation ( n = 45, 17.9%), postoperative consultation ( n = 65, 25.9%), and consultation unrelated to general surgery diseases or treatments (including surgery) ( n = 141, 56.2%). For consultations falling in the category preoperative consultation, common reasons for the consultation were: to evaluate whether the current treatment plan for previously diagnosed skin diseases needed to be changed; to evaluate and manage skin problems that emerged after admission; to evaluate syphilis; and to evaluate whether previously diagnosed skin diseases would affect surgical incision or wound healing. Drug eruption, dermatitis/eczema, infectious skin disorders, and urticaria were the most common skin diseases in the hospitalized general surgery patients. Only 32 (12.7%) provisional diagnoses were made, of which 25 (78.1%) were correct and seven (21.9%) were incorrect. Surgical residents mainly had difficulty distinguishing herpes zoster, drug eruption, and infectious skin disorders from dermatitis/eczema. Conclusion Our results facilitate the understanding of inpatient dermatology consultations in general surgery wards and may help in the design of future educational materials and/or management guidelines.

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“…54 Rapid adoption of telemedicine and remote monitoring strategies has enabled dermatologists to provide safe and timely care when in-person visits have not been possible, including for patients with confirmed or suspected COVID-19, as well as for hospitalized patients. [55][56][57] Use of telemedicine has facilitated preservation of personal protective equipment at a time when these important resources have been scarce. For patients with transportation or scheduling barriers, telemedicine has even expanded access to care.…”

Section: Pandemic Dermatologymentioning

confidence: 99%

Cutaneous Manifestations of COVID-19: Characteristics, Pathogenesis, and the Role of Dermatology in the Pandemic

Alam

Lewis

Harp

et al. 2021

Cutis

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Cutaneous manifestations of COVID-19-SARS-CoV-2-are common and varied. Morbilliform, vesicular, and urticarial eruptions may be nonspecific initial features of the disease. Chilblainlike lesions on the fingers or toes typically occur as part of a resolution phase, signifying a milder course, whereas livedoid lesions and retiform purpura are associated with coaguloapthy and more severe disease. Additionally, a severe Kawasaki-like multisystem inflammatory syndrome rarely is seen in children. This diverse range of cutaneous manifestations in COVID-19 reflects a spectrum of host immunologic responses to SARS-CoV-2 and may inform disease pathophysiology.

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Conducting inpatient dermatology consultations and maintaining resident education in the COVID-19 telemedicine era

Cited by 12 publications

References 1 publication

Acceptance of Teledermatological Practices: A Cross-Sectional Study of Practicing Saudi Dermatologists

Acceptance of Teledermatological Practices: A Cross-Sectional Study of Practicing Saudi Dermatologists

Inpatient Dermatology Consultations in a General Surgery Ward in a Tertiary Hospital in China: A Retrospective Study of 251 Patients

Cutaneous Manifestations of COVID-19: Characteristics, Pathogenesis, and the Role of Dermatology in the Pandemic

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