Impact of Teledermatology Program on Dermatology Resident Experience and Education

Zakaria, Adam; Maurer, Toby; Amerson, Erin

doi:10.1089/tmj.2020.0350

Cited by 14 publications

(12 citation statements)

References 25 publications

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“…A survey from India reported that two‐thirds of the 260 responders did not have a system in place to train their residents 5 . Another study from California, however, reported more than twofold increase in residents' productivity ratio during teledermatology sessions as compared to regular clinics 19 …”

Section: Discussionmentioning

confidence: 91%

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Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

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BACKGROUND Teledermatology has evolved as a valuable option to outpatient visits during the current pandemic. We set up a smartphone‐based hybrid model of teledermatology services providing direct care to patients at our center. To analyse patient and physician‐experience and acceptability for teledermatology over a 6‐month‐period, along with clinicodemographic profile of patients. METHODOLOGY Single‐center, retrospective study conducted from May 20, 2020 to October 31, 2020. Patient satisfaction level for teledermatology was assessed on a 4‐point scale and compared with the satisfaction level during their previous physical visits prior to COVID‐19 pandemic. A physician assessment form was utilised to record the experience of dermatologists while providing teledermatology services. RESULTS Of 7530 patients registered, a successful consult was provided to 6125 patients (81.34%). Average number of teleconsultations/day rose from 23.60 in May 2020 to 77.96 in October 2020. Mean age of patients availing teledermatology services was 33.60 ± 16.99 years. Average distance to care and travel time were 100.90 ± 171.77 km and 135 ± 222.32 min, respectively. A definitive diagnosis could be ascertained in 5724 patients (93.45%) and in‐person visit was recommended to 133 patients (2.2%). Out of 6125 patients, 5229 could be contacted for feedback, 935 (18.18%), 2230 (42.65%), 1749 (33.45%), and 300 patients (5.70%) reported being very satisfied, satisfied, partially satisfied, and unsatisfied, respectively. Of 1914 patients, who had availed in‐person OPD facilities prior to the pandemic, 914 patients (49.62%) preferred in‐person visits. Of 34 dermatologists surveyed, 88.2% felt comfortable providing teleconsultations and 82.4% felt the need to continue teledermatology services in the upcoming months. CONCLUSIONS Overall, teledermatology is a valid alternative for in‐person dermatology visits during the current crisis; helping with initial triage and further patient management. Further refinement of the process could lead to even more acceptability.

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Section: Discussionmentioning

confidence: 91%

“…5 Another study from California, however, reported more than twofold increase in residents' productivity ratio during teledermatology sessions as compared to regular clinics. 19 There are several shortcomings that need to be considered. The aim of teledermatology is to improve accessibility to health care.…”

Section: Discussionmentioning

confidence: 99%

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

View full text Add to dashboard Cite

show abstract

“…Their results show that although teledermatology provides residents with a higher caseload, they may carry out their job in a lower stress environment. This encourages the comprehensive clinical assessment and consideration of broad and differential diagnoses, thus fostering visual, diagnostic, and triage skills [11]. Productivity rations (patients per hour) were 11.49 and 4.55 for teledermatology sessions and in-person clinic sessions, respectively [11].…”

Section: Teledermatology In Medical Educationmentioning

confidence: 99%

“…This encourages the comprehensive clinical assessment and consideration of broad and differential diagnoses, thus fostering visual, diagnostic, and triage skills [11]. Productivity rations (patients per hour) were 11.49 and 4.55 for teledermatology sessions and in-person clinic sessions, respectively [11]. Residents therefore assessed more than twice the number of patients at the same time, implying that the process would be highly effective in developing the abilities of residents in training [11].…”

Section: Teledermatology In Medical Educationmentioning

confidence: 99%

Teledermatology in the Saudi Arabian Healthcare System: Utilization and Challenges

Dakhil

Altalhab

2021

Saudi J Health Syst Res

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Background: In recent years, telemedicine has led to a dramatic shift in healthcare service delivery, mainly due to the ease with which telemedicine can be integrated into a multitude of specialties and its flexibility as a means of providing care. Over the last 2 decades, technological advancements have made telemedicine integral to healthcare in many countries. In particular, dermatology was benefited from telemedicine as a new tool, thanks to the visual character that pervades this practice. Teledermatology is the interactive practice of remote dermatological assessment, involving live contact with patients (“live interactive”) and data access and retrieval (“store-and-forward”). This review discusses the role of this new discipline in medical education, inpatient care, and primary care through the analysis of several studies addressing this topic. Also examined are the status and limitations of teledermatology in Saudi Arabia and some proposed solutions. Summary: Visual assessment of dermatological conditions is common practice among dermatologists. However, due to the scarcity of specialists in some areas, wait times have been a hindrance for patients requiring an assessment. Teledermatology improves access by reducing wait times, speeding up the referral process, and streamlining assessments. Furthermore, teledermatology effectively serves as a form of triage, particularly for cases of suspected cutaneous malignancy that typically require the shortest referral time. Earlier diagnoses, more effective management of chronic skin disease, and inpatient care are all additional benefits offered by the teledermatology practice. The use of teledermatology is now widespread, with roles extending beyond patient care to medical teaching and training in residency programs. This perhaps reflects physicians’ highly positive perceptions regarding teledermatology; however, patient perception in Saudi Arabia is still lagging behind the global standard, possibly due to privacy concerns. Key Message: Teledermatology can be reliably utilized to advance healthcare services and medical education. Improving patient awareness and perception of this emerging discipline is crucial; to that end, the practice must address privacy concerns. Patient uploads of photographs and videos should be stored on an end-to-end encrypted platform to provide optimal service and encourage patients’ participation. Ultimately, physicians should be well acquainted with the medical, ethical, and technical aspects of teledermatology.

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“…The incorporation of teledermatology in dermatology curriculums and residency programs has been well received. A 2021 report by Zakaria et al describes how the incorporation of teledermatology in the dermatology residency program at the University of California, San Francisco School of Medicine, was not only well-liked by residents, but also enabled residents to evaluate more than double the number of patient cases per unit compared to in-person clinics [19]. Specifically, the study found that teledermatology provided additional opportunities for direct faculty teaching on morphology and visual diagnostic skills [19], and a survey on residents in the teledermatology program found that "residents specifically appreciate the opportunity to triage patients," suggesting that learning how to triage presentations could be a specific educational objective in a curriculum that incorporates teledermatology.…”

Section: Current Uses Of Teledermatology In Medical Education and Future Considerationsmentioning

confidence: 99%

The Use of Teledermatology in Medical Education

Lam

Doiron

2021

Med.Sci.Educ.

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Impact of Teledermatology Program on Dermatology Resident Experience and Education

Cited by 14 publications

References 25 publications

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Teledermatology in the Saudi Arabian Healthcare System: Utilization and Challenges

The Use of Teledermatology in Medical Education

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