Waiting Times to See a Dermatologist Are Perceived as Too Long by Dermatologists

Suneja, Tina; Smith, Edward D.; Chen, G. John; Zipperstein, Kory J.; Fleischer, Alan B.; Feldman, Steven R.

doi:10.1001/archderm.137.10.1303

Cited by 83 publications

(78 citation statements)

References 10 publications

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“…Because this study only looks at these age groups at a single point in time, the question of whether the influence of generational differences or life cycle is more important will have to be left to other longitudinal studies. However, because a workforce shortage in dermatology has been established in previous studies, [11][12][13][14][15] and because the practice characteristics of those leaving the workforce differ from those entering the workforce, workforce planners will have to respond accordingly.…”

Section: Commentmentioning

confidence: 99%

Generational Differences in Practice Patterns of Dermatologists in the United States

Jacobson

Resneck²,

Kimball³

2004

Arch Dermatol

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Section: Commentmentioning

confidence: 99%

Generational Differences in Practice Patterns of Dermatologists in the United States

Jacobson

Resneck²,

Kimball³

2004

Arch Dermatol

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“…Adapted from The Dermatology and Procedural Dermatology Milestone Projects [14,15] Irrespective of whether competence has been established, the continued shortage of dermatologists [18] will necessitate the performance of surgical procedures in the community. However, if the reputation of dermatologists as experts in cutaneous surgery is to be maintained, we must strive to ensure that the training provided is of the very highest quality.…”

Section: Levelmentioning

confidence: 99%

Key Issues in Surgical Training of Residents and Fellows

Burnett

Lee

2015

Curr Derm Rep

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Dermatologic surgery is a major component of dermatology practice in the USA. The skill set required to perform surgical procedures is developed during the residency period and augmented through surgery-specific fellowships. In recent years, the breadth and scope of surgical procedures provided by dermatologists has increased exponentially. A commensurate expansion in the training requirements of residents and fellows has occurred to meet these demands. Concurrently, evaluation systems to assess competency have been broadened to ensure adequate training and safe delivery of care. However, the provision of surgical training to residents and fellows continues to be met with a number of challenges which are discussed herein.

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“…Approximately 42% of the United States population lives in medically underserved areas (Suneja et al, 2001). Both S&F and LI teledermatology can increase access to specialty care especially for populations living in rural or medically underserved areas (Hailey, 2005;Kailasam et al, 2010;Pak et al, 2007;Vallejos et al, 2009).…”

Section: Comparison Of Store-and-forward and Live Interactive Teledementioning

confidence: 99%

Teledermatology: Outcomes and Economic Considerations

Pathipati¹,

Armstrong²

2011

Telemedicine Techniques and Applications

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IntroductionTeledermatology is defined as the provision of dermatologic care through the use of communications technology (Goldyne & Armstrong, 2010). It offers many benefits that include increased access to dermatologic services and potential reduction in costs associated with care. Teledermatology is traditionally categorized into two different models based on the technology that is employed: store-and-forward (S&F) teledermatology, and live, interactive (LI) teledermatology (Goldyne & Armstrong, 2010). While hybrid models (a combination of S&F and LI technology) are practiced at selected institutions, this chapter focuses primarily on S&F and LI models. We will present operational flows of these two technology-enabled modalities, common outcomes measures used for evaluation of teledermatology quality metrics, and economic analyses. At the end of the chapter (in section 5), we will consider a novel, technology-independent framework for categorizing teledermatology models as well. This system relies on classification of teledermatology based on healthcare delivery models, and serves as an alternative way to organize and evaluate the provision of teledermatologic care. Store-and-forward teledermatologyStore-and-forward teledermatology is an asynchronous means for providing dermatologic care, as it relies on the asynchronous transmission of static digital images, patient histories, and specialist recommendations rather than real-time interaction between the specialist and the patient (Goldyne & Armstrong, 2010). In the S&F model, a medical staff personnel at the referral site typically takes images of the relevant skin condition and obtains medical history. This information is then sent to a dermatologist via a secure internet connection. The dermatologist evaluates the patient's condition asynchronously and transmits the recommendations back to the primary care provider at the referral site (Pak et al., 2009). Outcomes measures of store-and-forward teledermatologyTeledermatology studies have assessed numerous outcomes measures, including learning effects, length of consultation, and technical aspects (Eminovic et al., 2007). We will focus this discussion on four extensively used outcomes measures: diagnostic accuracy, diagnostic reliability, clinical outcomes, and satisfaction.

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Waiting Times to See a Dermatologist Are Perceived as Too Long by Dermatologists

Cited by 83 publications

References 10 publications

Generational Differences in Practice Patterns of Dermatologists in the United States

Generational Differences in Practice Patterns of Dermatologists in the United States

Key Issues in Surgical Training of Residents and Fellows

Teledermatology: Outcomes and Economic Considerations

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