Store and forward teledermatology improves dermatology knowledge among referring primary care providers: A survey-based cohort study

Mohan, Girish C.; Molina, Gabriel E.; Stavert, Robert

doi:10.1016/j.jaad.2018.05.006

Cited by 30 publications

(18 citation statements)

References 4 publications

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“…Several PCP also described valuing the opportunity to learn from pediatric dermatologist consultants, which could improve referral patterns through on-the-job education, a process known as "upskilling." 14 Since, in nearly all cases, PCP would have consulted dermatology without the telemedicine option, our results indicate that this service did not encourage overutilization of specialty services. By relieving the bottleneck on appointments, however, pediatric dermatologists could face increased consultation volume.…”

Section: Ta B L E 2 Qualitative Responses By Families and Pcp (Presented Verbatim)mentioning

confidence: 72%

“…In our follow‐up surveys, all PCP not only echoed sentiments about timeliness and value creation for patients, but also reported time required to enter the teledermatology consult as acceptable, a departure from past studies that may be attributed to minimizing questions on the consult order form and ease of use of the workflow. Several PCP also described valuing the opportunity to learn from pediatric dermatologist consultants, which could improve referral patterns through on‐the‐job education, a process known as “upskilling.” 14 …”

Section: Discussionmentioning

confidence: 99%

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Implementation of a pediatric provider‐to‐provider store‐and‐forward teledermatology system: Effectiveness, feasibility, and acceptability in a pilot study

Jew

Murthy

Danley

et al. 2020

Pediatric Dermatology

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Background/Objectives: Long wait times for in-person appointments in pediatric dermatology can lead to delays in specialty care, additional health system touchpoints, patient and family dissatisfaction, poorer outcomes, and increased overall health care costs. Store-and-forward teledermatology may address these challenges and improve access to care in pediatric dermatology. Methods: We describe a prospective, non-blinded cohort study with follow-up surveys conducted from March 1, 2018, to September 20, 2018. The study was conducted at a single center, in primary care and specialist settings. Patients included were <18 years old and received care at one of our affiliated primary care sites. Primary care providers submitted teledermatology consultations through a shared electronic medical record. A board-certified pediatric dermatologist evaluated each consultation; primary care providers conveyed recommendations to families. Results: Forty-three consultations for patients (23 male, 20 female; median age: 7 years [IQR: 2.4-12]) were entered by primary care providers. Median time from consult request to dermatologist initiating consult was 12.1 hours [IQR: 1.9-18.8]; median time to complete consult note was 7 minutes [IQR: 5-10.5]. Median time from primary care provider initially consulting to conveying teledermatology recommendations to families was 3 days [IQR: 1-5]. All but one consult (42/43, 98%) were completed in the intended workflow. Follow-up in-person visits with pediatric dermatologists occurred with 10/43 (23%) patients. In follow-up surveys, parents were 83% likely to recommend the service to family and friends. All primary care providers and dermatologists felt the service improved quality of care. Conclusions: Provider-to-provider teledermatology consultation appears to be a feasible and acceptable method of providing care quickly and effectively to pediatric patients.

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Section: Ta B L E 2 Qualitative Responses By Families and Pcp (Presented Verbatim)mentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Implementation of a pediatric provider‐to‐provider store‐and‐forward teledermatology system: Effectiveness, feasibility, and acceptability in a pilot study

Jew

Murthy

Danley

et al. 2020

Pediatric Dermatology

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“…A previous study on primary care‐based skin cancer screening in the VA hospital setting showed that a curriculum for skin cancer detection increased the proportion of FMP referrals that listed a specific diagnosis in the referral to the dermatologist (1.0% vs 0.4%, P = 0.01) but did not affect referral rates overall . A recent knowledge‐based survey study found that FMPs using teledermatology had higher knowledge scores over time . This effect was more pronounced with increased utilization of teledermatology services.…”

Section: Discussionmentioning

confidence: 94%

“…18 A recent knowledge-based survey study found that FMPs using teledermatology had higher knowledge scores over time. 19 This effect was more pronounced with increased utilization of teledermatology services. Based upon our findings as well as these findings, education at the time of each teleconsultation may have the highest impact upon provider performance and patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Impact of standardized templates and skin cancer learning modules for teledermatology consultations

et al. 2019

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Background Little research has been done in teledermatology to examine the effects of standardized templates and subject‐specific learning modules. Methods We performed a prospective study examining the effects of standardized templates and standardized cutaneous oncology learning modules on teledermatology referrals at Mayo Clinic. This data was then compared to previous teledermatology referrals before standardized templates were adopted. Results A total of 42 teledermatology consultations were performed during the 4‐month study period. The use of standardized templates resulted in an absolute reduction in face‐to‐face referrals. Teledermatology consultation increased the absolute diagnostic and management concordance by 26.2% (P = 0.02) and 33.3% (P < 0.01), respectively, and decreased the absolute diagnostic and management discordance by 19.1% (P = 0.03) and 31.0% (P < 0.01), respectively. The largest knowledge gaps were identified in cutaneous oncology. Educational intervention improved theoretical referral rates and confidence in diagnosis and management overall. Conclusion The implementation of standardized intake templates reduces the rate of face‐to‐face referrals. Teledermatology improves primary care‐based dermatological care and reduces theoretical referral rates.

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“…Surprisingly, most physicians did not previously consider additional fees necessary, and their main use of TD was to resolve diagnostic doubts. This situation reflects the importance of including dermatology in the medical school curriculum, since GPs are regularly confronted with numerous dermatological conditions [3]. TD was very often used to overcome the impossibility of rapidly arranging a dermatology appointment, which underscores the major shortage of dermatologists in France.…”

mentioning

confidence: 99%

Teledermatology: The perspective of French general practitioners

Skayem¹,

Rostom²,

Hirsch³

et al. 2021

Annales de Dermatologie et de Vénéréologie

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Store and forward teledermatology improves dermatology knowledge among referring primary care providers: A survey-based cohort study

Cited by 30 publications

References 4 publications

Implementation of a pediatric provider‐to‐provider store‐and‐forward teledermatology system: Effectiveness, feasibility, and acceptability in a pilot study

Implementation of a pediatric provider‐to‐provider store‐and‐forward teledermatology system: Effectiveness, feasibility, and acceptability in a pilot study

Impact of standardized templates and skin cancer learning modules for teledermatology consultations

Teledermatology: The perspective of French general practitioners

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