Comparison of dermatologic diagnoses by primary care practitioners and dermatologists: a review of the literature.
Abstract
BACKGROUND: Cost-containment efforts in the United States have led to a greater emphasis on health care delivery by primary care physicians as opposed to specialists, who are assumed to be more costly. With this approach, it is incumbent on the primary care physician to be able to accurately diagnose and treat common maladies, including skin disease. OBJECTIVE: To ascertain whether differences in performance were detectable between groups of physicians when presented with color slides or high-quality transparencies. DESIGN: We performed a critical review of published studies. RESULTS: Overall, dermatologists (93% correct) performed better than nondermatologists (52% correct) (P < .001). No difference was appreciable between dermatology residents (91% correct) and practicing dermatologists (96% correct) or between internal medicine residents (45% correct) and family practice residents (48% correct). In addition, family medicine attending physicians (70% correct) performed better than internal medicine attending physicians (52% correct) (P < .001). CONCLUSION: Primary care physicians should receive more training in the diagnosis of skin disease.
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Limited specialist access exists in primary care settings where most skin conditions are initially evaluated.
“Given limited specialist access in primary care settings where most skin conditions are initially evaluated56,57”
From A Multimodal Vision Foundation Model for Clinical Dermatology (2025) · cites this paper as [57]
The diagnostic accuracy of nonspecialists is reportedly only 24% to 70%.
“The diagnostic accuracy of nonspecialists is reportedly only 24% to 70%,4,8,9,10”
Examination of some skin conditions by dermatologists results in significantly higher diagnostic accuracy and is associated with better clinical outcomes than nondermatologist examination.
“The examination of some skin conditions by dermatologists results in significantly higher diagnostic accuracy2,3,4 and is associated with better clinical outcomes5 than nondermatologist examination.”
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Eckardt, K., Kasiske, B. L., & Zeier, M. G. (2009) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2009.02834.x · Cited by 1,539 · see citing works
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Stange, K. C., & Ferrer, R. L. (2009) · The Annals of Family Medicine · doi:10.1370/afm.1023 · Cited by 243 · see citing works
Dermatology in primary care: prevalence and patient disposition.
Lowell, B. A., Froelich, C. W., Federman, D. G., & Kirsner, R. S. (2001) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2001.114598 · Cited by 231 · see citing works
Self-citationHelfand, M., Mahon, S. M., Eden, K., et al. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00258-6 · Cited by 186 · see citing works
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Zhou, J., He, X., Sun, L., Xu, J., Chen, X., Chu, Y., Zhou, L., Liao, X., Zhang, B., Afvari, S., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-50043-3 · Cited by 189 · see citing works
Jain, A., Way, D., Gupta, V., Gao, Y., de Oliveira Marinho, G., Hartford, J., Sayres, R., Kanada, K., Eng, C., Nagpal, K., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.7249 · Cited by 164 · see citing works
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Ebede, T. L., & Papier, A. (2006) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2005.10.068 · Cited by 165 · see citing works
Deep learning-aided decision support for diagnosis of skin disease across skin tones
Groh, M., Badri, O., Daneshjou, R., Koochek, A., Harris, C., Soenksen, L. R., Doraiswamy, P. M., & Picard, R. (2024) · Nature Medicine · doi:10.1038/s41591-023-02728-3 · Cited by 160 · see citing works
Tan, E., Yung, A., Jameson, M., Oakley, A., & Rademaker, M. (2010) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2010.09673.x · Cited by 116 · see citing works
Analysis of Trends in Geographic Distribution and Density of US Dermatologists
Glazer, A. M., Farberg, A. S., Winkelmann, R. R., & Rigel, D. S. (2017) · JAMA Dermatology · doi:10.1001/jamadermatol.2016.5411 · Cited by 116 · see citing works
Sellheyer, K., & Bergfeld, W. F. (2005) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2004.11.072 · Cited by 110 · see citing works
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Yan, S., Yu, Z., Primiero, C., Vico-Alonso, C., Wang, Z., Yang, L., Tschandl, P., Hu, M., Ju, L., Tan, G., et al. (2025) · Nature Medicine · doi:10.1038/s41591-025-03747-y · Cited by 117 · see citing works
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Diagnostic opportunities based on skin biomarkers
Paliwal, S., Hwang, B. H., Tsai, K. Y., & Mitragotri, S. (2012) · European Journal of Pharmaceutical Sciences · doi:10.1016/j.ejps.2012.10.009 · Cited by 82 · see citing works
Marcin, J. P., Nesbitt, T. S., Cole, S. L., Knuttel, R., Hilty, D. M., Prescott, P. T., & Daschbach, M. M. (2005) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2005.11.36 · Cited by 61 · see citing works
Primary care and pattern of skin diseases in a mediterranean island
Symvoulakis, E. K., Krasagakis, K., Komninos, I. D., et al. (2006) · BMC Family Practice · doi:10.1186/1471-2296-7-6 · Cited by 57 · see citing works
“Managed care plans attempt to reduce costs by encouraging primary health care providers to handle a greater and wider range of conditions [1].”
The Primary Care Provider and the Care of Skin Disease
Federman, D. G., Reid, M. C., Feldman, S. R., et al. (2001) · Archives of Dermatology · doi:10.1001/archderm.137.1.25 · Cited by 54 · see citing works
Self-citationShaikh, U., Cole, S. L., Marcin, J. P., & Nesbitt, T. S. (2008) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2007.0075 · Cited by 54 · see citing works
Colven, R., Shim, M.-H. M., Brock, D., & Todd, G. (2011) · Telemedicine and e-Health · doi:10.1089/tmj.2010.0163 · Cited by 52 · see citing works
“However, does shifting dermatological care from a busy PCP to a busy specialist, either in-person or via telemedicine, really unburden healthcare? Dermatologists are able to evaluate and diagnose skin conditions more efficiently and accurately, and a reasonable extension is that this leads to more directed and effecti…”
BackgroundSkin care services and disease prevalence in Taiwan: A nationwide study
Dai, Y., Chen, T., & Chang, Y.-T. (2017) · Dermatologica Sinica · doi:10.1016/j.dsi.2017.11.001 · Cited by 48 · see citing works
Dobry, A., Begaj, T., Mengistu, K., Sinha, S., Droms, R., Dunlap, R., Wu, D., Adhami, K., & Stavert, R. (2021) · Telemedicine and e-Health · doi:10.1089/tmj.2020.0069 · Cited by 41 · see citing works
Duong, T. A., Cordoliani, F., Julliard, C., Bourrat, E., Regnier, S., de Pontual, L., Leroy, C., Gallula, S., Aparicio, C., Legendre, N., et al. (2014) · JAMA Dermatology · doi:10.1001/jamadermatol.2013.7792 · Cited by 45 · see citing works
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Miot, H. A., Paixão, M. P., & Wen, C. L. (2005) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.1590/s0365-05962005000600011
Waller, J. M., & Zedek, D. C. (2009) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2009.06.049 · Cited by 43 · see citing works
“with nondermatologists using the information provided on the pathology requisition form.(1-3) In addition, some articles have suggested which clinical information should be provided in the pathology requisition form, including demographics, description of the clinical morphology, duration, other diseases, diameter of…”
MethodLucius, M., All, J. D., All, J. A. D., Belvisi, M., Radizza, L., Lanfranconi, M., Lorenzatti, V., & Galmarini, C. M. (2020) · Diagnostics · doi:10.3390/diagnostics10110969 · Cited by 42 · see citing works
“These results were similar to previously published for nondermatologists [9, 10].”
BackgroundResultTopical corticosteroids knowledge, attitudes, and practices of primary care physicians
Alsukait, S. F., Alshamlan, N., Alhalees, Z. Z., et al. (2017) · Saudi Medical Journal · doi:10.15537/smj.2017.6.17586 · Cited by 38 · see citing works
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Prabhu, V., Kannan, A., Ravuri, M., Chablani, M., Sontag, D. A., & Amatriain, X. (2022) · Elsevier eBooks · doi:10.1016/b978-0-32-399851-2.00022-3 · Cited by 46 · see citing works
Zhong, F., He, K., Ji, M., Chen, J., Gao, T., Li, S., Zhang, J., & Li, C. (2024) · Scientific Reports · doi:10.1038/s41598-024-59436-2 · Cited by 37 · see citing works
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BackgroundEnhancing vitiligo stage diagnosis through a reliable multimodal model with uncertainty calibration
Li, Z., Jiang, S. S., Fan, X., et al. (2025) · Applied Intelligence · doi:10.1007/s10489-025-06839-x · Cited by 37 · see citing works
“On the other Hand, the scarcity of professional derma-tologists often necessitates that non-specialist physicians assume the diagnosis and treatment of vitiligo, resulting in high rates of misdiagnosis and missed diagnoses, with diagnostic accuracy reported to range from 24 to 70% [9–12].”
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Helms, A. E., Helms, S. E., & Brodell, R. T. (2009) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2008.10.024 · Cited by 36 · see citing works
The Value of Skin Biopsy in Inflammatory Dermatoses
Rajaratnam, R., Smith, A. G., Biswas, A., et al. (2009) · American Journal of Dermatopathology · doi:10.1097/dad.0b013e31819b3e0c · Cited by 36 · see citing works
Greisman, L., Nguyen, T. M., Mann, R. E., Baganizi, M., Jacobson, M., Paccione, G. A., Friedman, A. J., & Lipoff, J. B. (2015) · International Journal of Dermatology · doi:10.1111/ijd.12708 · Cited by 33 · see citing works
Lindblad, ?., Kjellgren, K. I., Ring, L., Maroti, M., & Serup, J. V. (2006) · Acta Dermato Venereologica · doi:10.2340/00015555-0065 · Cited by 34 · see citing works
INPATIENT DERMATOLOGY CONSULTATION
Nahass, G. T. (2000) · Dermatologic Clinics · doi:10.1016/s0733-8635(05)70200-x · Cited by 33 · see citing works
Skin Cancer and Non-Hodgkin's Lymphoma: Examining the Link
Hu, S., Federman, D. G., Ma, F., et al. (2006) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2005.31013 · Cited by 31 · see citing works
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BackgroundSelf-citationSymvoulakis, E. K., Klinis, S., Alegakis, A. K., et al. (2006) · BMC Ear Nose and Throat Disorders · doi:10.1186/1472-6815-6-12 · Cited by 29 · see citing works
DermX: An end-to-end framework for explainable automated dermatological diagnosis
Jalaboi, R., Faye, F., Orbes‐Arteaga, M., Jørgensen, D. R., Winther, O., & Galimzianova, A. (2022) · Medical Image Analysis · doi:10.1016/j.media.2022.102647 · Cited by 25 · see citing works
“The increasing demand for dermatological care is exacerbated by the low performance of general practitioners when diagnosing skin conditions (Federman et al., 1999), and by the global scarcity of expert dermatologists (Feng et al., 2018; Kringos et al., 2015).”
BackgroundPrevalência de dermatoses na rede básica de saúde de Campinas, São Paulo - Brasil
Júnior, A. D. S., Andrade, M. D. G. G., Zeferino, A. M. B., et al. (2007) · Anais Brasileiros de Dermatologia · doi:10.1590/s0365-05962007000500004 · Cited by 24 · see citing works
Kirsner, R. S., Yang, D. G., & Kerdel, F. A. (2000) · Dermatologic Clinics · doi:10.1016/s0733-8635(05)70186-8 · Cited by 23 · see citing works
Estrada, R., Chávez‐López, G., Chávez, G., & Paredes‐Solís, S. (2012) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2012.05546.x · Cited by 22 · see citing works
Clinical Recognition of Melanoma in Dermatologists and Nondermatologists
Martinka, M. J., Crawford, R. I., & Humphrey, S. D. (2015) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/1203475415623513 · Cited by 21 · see citing works
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Samorano‐Lima, L. D. P., Quitério, L. M., Sanches, J. A., et al. (2013) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2012.05818.x · Cited by 20 · see citing works
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Zhou, J., He, X., Sun, L., Xu, J., Chen, X., Chu, Y., Zhou, L., Liao, X., Zhang, B., & Gao, X. (2023) · medRxiv · doi:10.1101/2023.06.10.23291127 · Cited by 20 · see citing works
Topical corticosteroid concerns from the clinicians’ perspective
Mueller, S. M., Tomaschett, D., Vogt, D., et al. (2016) · Journal of Dermatological Treatment · doi:10.1080/09546634.2016.1255307 · Cited by 19 · see citing works
Ambulatory practice of dermatologists in Taiwan: A nationwide survey
Dai, Y., Chen, T., & Chang, Y.-T. (2018) · Journal of the Chinese Medical Association · doi:10.1016/j.jcma.2018.01.003 · Cited by 18 · see citing works
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Federman, D. G., & Kirsner, R. S. (2000) · Dermatologic Clinics · doi:10.1016/s0733-8635(05)70166-2 · Cited by 18 · see citing works
Self-citationGupta, A. K., Bluhm, R. L., Barlow, J., et al. (2004) · Journal of Dermatological Treatment · doi:10.1080/09546630410032430 · Cited by 18 · see citing works
Skin Disease in a Primary Care Practice
Sari, F., Brian, B., & Brian, M. (2005) · SKINmed Dermatology for the Clinician · doi:10.1111/j.1540-9740.2005.04267.x · Cited by 18 · see citing works
Bridges, C., Morris, C., McElroy, J., Quinn, K., Dyer, J., & Becevic, M. (2019) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x19874200 · Cited by 13 · see citing works
“found the diagnostic accuracy of nondermatology physicians to be 52%.(21) This is similar to our adult data where 56.”
ResultIncidental melanomas detected in veterans referred to dermatology
Hanson, J. L., Kingsley-Loso, J. L., Grey, K. R., Raju, S. I., Parks, P. R., Bershow, A. L., & Warshaw, E. M. (2015) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2015.09.057 · Cited by 16 · see citing works
Dermatologic Training and Practice in Canada: A Historical Overview
Mydlarski, P. R., Parsons, L. M., Pierscianowski, T. A., Humphrey, S. D., Kirchhof, M. G., Powell, J., Rosen, C. F., Huck, E., Conway, J., & Kouri, A. (2019) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/1203475419840630 · Cited by 16 · see citing works
Dermatologia na atenção primária: um desafio para a formação e prática médica
Gomes, T. M., de Moura, A. T. M. S., & de Aguiar, A. C. (2012) · Revista Brasileira de Educação Médica · doi:10.1590/s0100-55022012000100017 · Cited by 15 · see citing works
Melanoma screening behavior among primary care physicians.
Friedman, K. P., Whitaker-Worth, D. L., Grin, C., & Grant-Kels, J. M. (2004) · PubMed · Cited by 16 · see citing works
ISSUES IN THE DELIVERY OF DERMATOLOGIC SURGERY FOR SKIN CANCER
Cook, J. (2000) · Dermatologic Clinics · doi:10.1016/s0733-8635(05)70171-6 · Cited by 16 · see citing works
Al-Zahrani, D. M. A. A., Nahar, P. S., Al-Zahrani, D. S. A., et al. (2017) · IOSR Journal of Pharmacy (IOSRPHR) · doi:10.9790/3013-07020189110 · Cited by 13 · see citing works
“[26-27]One of important study done in Saudi Arabia demonstrated that ―Primary Care Physicians (PCPs) with a short period of specific clinical training in dermatology perform better in identifying, diagnosing and managing skin disorders than those without.”
BackgroundProdanovich, S., Kirsner, R. S., & Kerdel, F. A. (2001) · Dermatologic Clinics · doi:10.1016/s0733-8635(05)70302-8 · Cited by 13 · see citing works
Screening and early detection of skin cancer
Linden, K. G. (2004) · Current Oncology Reports · doi:10.1007/s11912-004-0082-6 · Cited by 13 · see citing works
“Studies have shown that dermatologists are better at detecting and diagnosing skin cancers than primary-care physicians (see [ 40 ] for review) and this includes melanomas [36].”
BackgroundDeep skin diseases diagnostic system with Dual-channel Image and Extracted Text
Li, H., Zhang, P., Wei, Z., Qian, T., Tang, Y., Hu, K., Huang, X., Xia, X., Zhang, Y., Cheng, H., et al. (2023) · Frontiers in Artificial Intelligence · doi:10.3389/frai.2023.1213620 · Cited by 13 · see citing works
“According to previous research, non-specialist diagnosis is obviously not able to meet the need for disease diagnosis and is clinically only 24–70% accurate (Federman and Kirsner, 1997; Federman et al., 1999; Tran et al., 2005; Moreno et al., 2007).”
The value of urgent care dermatology
Sempler, J., Thomas, F., Pettit, J. C., & Klein, S. Z. (2018) · International Journal of Dermatology · doi:10.1111/ijd.14186 · Cited by 12 · see citing works
Rat, C., Houd, S., Gaultier, A., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013033 · Cited by 12 · see citing works
Ojeda, R. M., & Graells, J. (2010) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2010.06.020 · Cited by 11 · see citing works
Shannon, G., & Buker, C. M. (2010) · Telemedicine journal and e-health · doi:10.1089/tmj.2010.0002 · Cited by 10 · see citing works
Maintenance of Certification in dermatology: What we know, what we don't
Stratman, E. J., Kirsner, R. S., & Horn, T. D. (2013) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2013.03.033 · Cited by 10 · see citing works
“Specialty training in dermatology is associated with higher quality care of skin disease.(15) Across specialties, being female, having graduated from a US medical school, and being board-certified were the 3 physician characteristics that were significantly”
BackgroundCuenca‐Barrales, C., de Vega‐Martínez, M., Descalzo, M. Á., et al. (2021) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.14336 · Cited by 10 · see citing works
A Teledermatologia na Prática Médica
Yarak, S., Ruiz, E. E. S., & Pisa, I. T. (2017) · Revista Brasileira de Educação Médica · doi:10.1590/1981-52712015v41n2rb20160042 · Cited by 8 · see citing works
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D'Elia, P., Fisher, P., Bordin, R., Harzheim, E., & Ramos, M. C. (2007) · Anais Brasileiros de Dermatologia · doi:10.1590/s0365-05962007000600004 · Cited by 11 · see citing works
Song, H., Robinson, S. N., & Huang, J. T. (2017) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2017.06.005 · Cited by 9 · see citing works
Ojeda, R. M., & Graells, J. (2011) · Actas Dermo-Sifiliográficas · doi:10.1016/s1578-2190(11)70752-1 · Cited by 8 · see citing works
Federman, D. G., Concato, J., & Kirsner, R. S. (2009) · Archives of Dermatology · doi:10.1001/archdermatol.2009.130 · Cited by 8 · see citing works
Self-citationTucker, R., Patel, M., Layton, A., & Walton, S. (2013) · International Journal of Pharmacy Practice · doi:10.1111/ijpp.12045 · Cited by 6 · see citing works
“In a review of studies comparing the diagnostic skills of dermatologists and family doctors (the US equivalent of GPs), it was found that only 52% of family doctors correctly diagnosed conditions.([17]) Other studies have produced similar findings.”
ResultAssessment of postgraduate skin lesion education among Iowa family physicians
Goetsch, N. J., Hoehns, J. D., Sutherland, J. E., Ulven, M. E., Shiyanbola, O. O., & Rauch, M. K. (2017) · SAGE Open Medicine · doi:10.1177/2050312117691392 · Cited by 7 · see citing works
Value of histopathologic analysis of subcutis excisions by general practitioners
Buis, P. A. J., Verweij, W. M., & van Diest, P. J. (2007) · BMC Family Practice · doi:10.1186/1471-2296-8-5 · Cited by 7 · see citing works
“This finding is not unique for GPs, as even dermatologists face the same problem for skin excisions [3,4], and dermatologists and surgeons may well have similar problems with subcutis excisions.”
Prototypical Clustering Networks for Dermatological Disease DiagnosisPreprint
Prabhu, V., Kannan, A., Ravuri, M., Chablani, M., Sontag, D. A., & Amatriain, X. (2018) · arXiv (Cornell University) · doi:10.48550/arxiv.1811.03066 · Cited by 9 · see citing works
“While this makes access to care faster, recent studies indicate that general physicians, especially those with limited experience, may not be well-trained for diagnosing many skin conditions [5, 8].”
BackgroundAhiarah, A., Fox, C. H., & Servoss, T. (2008) · PubMed · Cited by 6 · see citing works
Value of histopathologic analysis of skin excisions by GPs.
Buis, P. A. J., Chorus, R., & van Diest, P. J. (2005) · PubMed · Cited by 6 · see citing works
Hospitalization of Dermatologic Patients: Why, When, and Where?
Martínez‐Morán, C., & Borbujo, J. M. (2017) · Actas Dermo-Sifiliográficas · doi:10.1016/j.adengl.2017.03.036 · Cited by 6 · see citing works
DERM: A Four-Step Dermatology Education Digital Tool Kit for Nondermatologists
Giesey, R. L., Narively, D., Mostow, E. N., et al. (2018) · Family Medicine · doi:10.22454/fammed.2018.504756 · Cited by 6 · see citing works
Télédermatologie unissant deux hôpitaux : deux ans d’expérience
Bertin, C., Diakite, A., Carton, B., Wozniak, C., Nathanson, S., Monnier, S., Sin, C., Dommergues, M., Parigot, J., Moreau, F., et al. (2017) · Annales de Dermatologie et de Vénéréologie · doi:10.1016/j.annder.2017.06.011 · Cited by 6 · see citing works
Apport de la télédermatologie dans un service de pédiatrie hospitalière
Nathanson, S., Dommergues, M., Hentgen, V., Arditty, F., Greder-Belan, A., Carton, B., Wozniak, C., Parigot, J., Foucaud, P., & Mahé, E. (2017) · Archives de Pédiatrie · doi:10.1016/j.arcped.2017.10.027 · Cited by 6 · see citing works
The impact of international medical graduates in dermatology
Quiñonez, R. L., DeLight, N., & Petronic-Rosic, V. M. (2021) · Clinics in Dermatology · doi:10.1016/j.clindermatol.2021.07.004 · Cited by 6 · see citing works
El uso docente de los casos clínicos en el pregrado
Seuma, J. M. C., Brusau, M. B., & Laborda, R. M. M. (2002) · Piel · doi:10.1016/s0213-9251(02)72524-0 · Cited by 6 · see citing works
Quality of Life: Erosions and Opportunities Under Managed Care
Morreim, E. H. (2000) · The Journal of Law Medicine & Ethics · doi:10.1111/j.1748-720x.2000.tb00004.x · Cited by 5 · see citing works
Frølunde, A. S., Deleuran, M. S., Thomsen, J. L., et al. (2024) · JEADV Clinical Practice · doi:10.1002/jvc2.426 · Cited by 5 · see citing works
Artificial Intelligence and Dermatologists: Friends or Foes?
Alabdulkareem, A. (2019) · Journal of Dermatology & Dermatologic Surgery · doi:10.4103/jdds.jdds_19_19 · Cited by 5 · see citing works
Shahzad, M., Alzolibani, A. A., & Robaee, A. A. A. (2013) · International Journal of Health Sciences · doi:10.12816/0006036 · Cited by 5 · see citing works
“(1) In the United States, approximately 6% of outpatient visits are for dermatological diseases and nondermatologists treat a high percentage of these patients.”
BackgroundAdvantages and Disadvantages of Using AI in Dermatology
Gholizadeh, N., Rokni, G. R., & Babaei, M. (2024) · Dermatological Reviews · doi:10.1002/der2.248 · Cited by 4 · see citing works
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Martínez‐Morán, C., & Borbujo, J. M. (2017) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2017.01.013 · Cited by 4 · see citing works
THE TERMINOLOGY OF SKIN DISORDERS
Mayer, M. E. (2000) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(05)70195-0 · Cited by 4 · see citing works
Application and Evaluation of Teledermatology In An Underserved Area of Honduras
Baze, M. R. (2011) · VTechWorks (Virginia Tech) · Cited by 4 · see citing works
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Miot, H. A. (2005) · doi:10.11606/t.5.2005.tde-05092005-164704 · Cited by 4 · see citing works
Langenbruch, A. K., Andrees, V., Scherer, M., & Augustin, M. (2024) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.15529 · Cited by 3 · see citing works
Zhang, L., Wang, G., Chen, H., Gu, X., Jia, M., Yu, Y., Cao, X., & Wang, R. (2024) · Annals of Medicine · doi:10.1080/07853890.2024.2442066 · Cited by 3 · see citing works
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Diagnosing Skin Lesions: Clinical Considerations for Primary Care Practitioners
Bruner, A., & Schaffer, S. D. (2012) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2012.04.016 · Cited by 3 · see citing works
Shah, S., Pangti, R., Rajput, L., et al. (2021) · International Journal of Dermatology · doi:10.1111/ijd.15488 · Cited by 3 · see citing works
Choi, Y. M., Namavar, A. A., & Wu, J. J. (2014) · The Permanente Journal · doi:10.7812/tpp/14-056 · Cited by 2 · see citing works
Dermatologic Diagnosis in the Emergency Department in Korea: An 11-Year Descriptive Study
Lee, J. Y., Yun, S. J., Kim, G. H., et al. (2020) · Annals of Dermatology · doi:10.5021/ad.2020.32.1.87 · Cited by 2 · see citing works
Zhong, F., He, K., Ji, M., et al. (2024) · International Conference on Natural Computation, Fuzzy Systems and Knowledge Discovery (ICNC-FSKD) · doi:10.1109/icnc-fskd64080.2024.10702291 · Cited by 2 · see citing works
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Barton, M. (2012) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2011.12.012 · Cited by 2 · see citing works
Hospital Consultations: Embracing Professionalism Even When It Hurts
Krug, L. E., & Helms, S. E. (2011) · Springer eBooks · doi:10.1007/978-1-4471-2191-6_9 · Cited by 2 · see citing works
- Authors
- Federman, D. G.
- Affiliations
- Yale University (US)
- Corresponding author
- Federman, D. G.
- ORCID
- Federman, D. G.
- Venue
- Archives of Family Medicine
- Publisher
- CLOCKSS Archive
- Published
- 1999-03-01
- Volume
- 8
- Issue
- 2
- Pages
- 170-172
- ISSN
- 1063-3987 (ISSN-L)
- OpenAlex
- W2072629969
- Cited by
- 136
- References
- 0
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 11 · 2023: 3 · 2022: 3 · 2021: 9 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 12 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 6
- FWCI
- 11.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Family Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- dermatological diagnosis, primary care physicians, dermatologists, diagnostic accuracy, physician specialty comparison, dermatology residents, family medicine residents, internal medicine residents, cost containment
- MeSH terms
- Clinical Competence, Dermatology, Diagnosis, Differential, Humans, Primary Health Care, Skin Diseases, United States
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