Trends in dermatology practices and the implications for the workforce

Ehrlich, Alison; Kostecki, James; Olkaba, Helen

doi:10.1016/j.jaad.2017.06.030

Cited by 57 publications

(55 citation statements)

References 12 publications

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“…A dvanced practice professionals (APPs), a term referring to nonphysician clinicians including nurse practitioners and physician assistants (PAs), provide an increasing proportion of dermatologic care, with one recent survey finding that 46% of dermatologists employed APPs in 2014. 1,2 Advanced practice professionals can help reduce wait times, improve access to dermatology care, and cost less to hire than dermatologists. 3 However, ensuring quality of care provided by APPs is difficult because there is no formal training or certification program in dermatology for APPs.…”

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confidence: 99%

Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System

et al. 2018

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confidence: 99%

Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System

et al. 2018

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“…With a limited dermatology workforce, teledermatology has been a growing area of telemedicine since the 1990s. No longer primarily in academia, teledermatology has penetrated all practice settings, with particular prominence in the United States (US) within the Department of Veterans Affairs (VA) and the military [1]. Teledermatology enables the transmission of a patient's clinical history and skin images to a dermatologist, who then provides a diagnosis and management plan.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Teledermatology: Theory and Practice

et al. 2019

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Purpose of Review Multiple factors influence the success and failure of teledermatology programs. We evaluate the current teledermatology literature using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework developed for implementation research. We introduce this framework to encourage a thorough examination of teledermatology's implementation including its sustainability. In this way, programs can better realize teledermatology's promise for enhancing patients' access to expert dermatologic care in real-world healthcare settings. Recent Findings While teledermatology continues to expand throughout the world, barriers continue to exist. Many evaluations of teledermatology focus on the effectiveness of the programs, without examining other factors that underlie success. The use of implementation science enables researchers to better assess different factors influencing a program's success or failure. Summary Implementation science offers theories, frameworks, and methodologies to study and improve teledermatology's impact.

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“…The use of the skin biopsy as a diagnostic modality is increasing throughout the United States Medicare population . Growing numbers of dermatologists, beneficiaries, and advanced practice providers (APP) contribute to this trend, while an increasing incidence of skin cancer is also observed . However, no studies have evaluated the utilization patterns of other conventional dermatologic diagnostic procedures such as routine potassium hydroxide preparations (KOH) and the microscopic tissue examination for ova and parasites (O&P).…”

Section: Introductionmentioning

confidence: 99%