Clinical photography in dermatology: Ethical and medico-legal considerations in the age of digital and smartphone technology
Abstract
BACKGROUND/OBJECTIVE: Clinical photography has long been an important aspect in the management of dermatological pathology and has many applications in contemporary dermatology practice. With the continuous evolution of digital and smartphone technology, clinicians must maintain ethical and medico-legal standards. This article reviews how dermatology trainees are utilising this technology in their clinical practice and what procedures they follow when taking photos of patients. We review the ethical and legal considerations of clinical photography in dermatology and present a hypothetical medico-legal scenario. METHODS: Dermatology registrars were surveyed on their use of personal smartphones and digital equipment for photographing patients in their clinical practice. Numerous medico-legal providers were approached to provide medico-legal advice about a hypothetical scenario. CONCLUSIONS: We found that the use of these technologies is prevalent among dermatology registrars and all respondents reported regular use. Clinicians should routinely obtain and document adequate patient consent in relation to clinical photography, utilise strict privacy settings on smartphones and other digital devices and ensure that the images are stored on these devices for minimal periods. Express consent documentation in the clinical file puts the clinician in a more defensible position if a complaint is made to the medical board or privacy commissioner.
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60% of specialists continue to store photographs of their patients in their personal mobile phones.
“Although 60% of specialists continue to store photographs of their patients in their personal mobile phones [72,74-77]”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [72]
Cites
Clinical photography and patient rights: the need for orthopraxy
Berle, I. (2008) · Journal of Medical Ethics · doi:10.1136/jme.2006.019166 · Cited by 70 · see citing works
Photographic Images, Digital Imaging, Dermatology, and the Law
Scheinfeld, N. S. (2004) · Archives of Dermatology · doi:10.1001/archderm.140.4.473 · Cited by 60 · see citing works
Ethical considerations in dermatologic photography
Lakdawala, N. R., Fontanella, D., & Grant-Kels, J. M. (2012) · Clinics in Dermatology · doi:10.1016/j.clindermatol.2011.06.017 · Cited by 55 · see citing works
Clinical Photography in the Dermatology Practice
Witmer, W. K., & Lebovitz, P. J. (2012) · Seminars in Cutaneous Medicine and Surgery · doi:10.1016/j.sder.2012.06.004 · Cited by 40 · see citing works
Mahar, P. D., Foley, P. A., Sheed‐Finck, A., & Baker, C. (2013) · The Medical Journal of Australia · doi:10.5694/mja12.11086 · Cited by 36 · see citing works
“Click first, care second” photography
Burns, K., & Belton, S. (2012) · The Medical Journal of Australia · doi:10.5694/mja12.10638 · Cited by 24 · see citing works
Photography, patient consent and scientific publications: medicolegal aspects in France
Franchitto, N., Gavarri, L., Dédouit, F., et al. (2007) · Journal of Forensic and Legal Medicine · doi:10.1016/j.jflm.2007.08.004 · Cited by 21 · see citing works
Informed consent for clinical photography
Johns, M. (2002) · Journal of Audiovisual Media in Medicine · doi:10.1080/01405110220140838 · Cited by 19 · see citing works
Consent, Confidentiality and Record Keeping for the Recording and Usage of Medical Images
Hill, K. M. (2006) · Journal of Visual Communication in Medicine · doi:10.1080/01405110600863365 · Cited by 19 · see citing works
Consent: ethical considerations
Pace, N. A., & Hendry, R. (2006) · Anaesthesia & intensive care medicine · doi:10.1383/anes.2006.7.4.107 · Cited by 4 · see citing works
The diagnostic value of clinical photographs taken by patients
Hanu-Cernat, L. M., Hall, E., & Barnard, N. A. (2008) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2008.07.191 · Cited by 4 · see citing works
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Use of Smartphones for Early Detection of Melanoma: Systematic Review
Rat, C., Hild, S., Rault Sérandour, J., Gaultier, A., Quereux, G., Dreno, B., & Nguyen, J.-M. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9392 · Cited by 107 · see citing works
“Confidentiality, security, and traceability of data exchange are the major ethical and legal stakes [20,63,72].”
Abbott, L. M., Magnusson, R. S., Gibbs, E., & Smith, S. D. (2018) · Australasian Journal of Dermatology · doi:10.1111/ajd.12583 · Cited by 76 · see citing works
Clinical photography in dermatology using smartphones: An overview
Ashique, K., Kaliyadan, F., & Aurangabadkar, S. (2015) · Indian Dermatology Online Journal · doi:10.4103/2229-5178.156381 · Cited by 61 · see citing works
Should ‘smart phones’ be used for patient photography?
Chan, N., Charette, J., Dumestre, D. O., & Fraulin, F. O. (2016) · Plastic Surgery · doi:10.1177/229255031602400109 · Cited by 40 · see citing works
Smartphones, photography, and security in dermatology
Anyanwu, C. O., & Lipoff, J. B. (2015) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2014.09.035 · Cited by 27 · see citing works
- Authors
- Kunde, L., McMeniman, E., & Parker, M.
- Affiliations
- Queensland University of Technology (AU)
- Princess Alexandra Hospital (AU)
- The University of Queensland (AU)
- Corresponding author
- Kunde, Lauren
- Venue
- Australasian Journal of Dermatology
- Publisher
- Wiley
- Published
- 2013-05-29
- Volume
- 54
- Issue
- 3
- Pages
- 192-197
- ISSN
- 0004-8380 (ISSN-L)
- OpenAlex
- W1903670133
- Cited by
- 116
- References
- 11
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 8 · 2023: 8 · 2022: 13 · 2021: 8 · 2020: 11 · 2019: 15 · 2018: 6 · 2017: 10 · 2016: 14 · 2015: 10 · 2014: 4 · 2013: 1
- FWCI
- 9.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australasian Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Digital Imaging in Medicine
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
- Health Sciences › Health Professions › Pharmacy › Medical Malpractice and Liability Issues
- Keywords
- medical photography, dermatology, medicolegal issues, ethics, informed consent, patient privacy, smartphone photography, digital photography, medical complaints, image storage
- MeSH terms
- Data Collection, Dermatology, Humans, Informed Consent, Photography, Practice Patterns, Physicians', Skin Diseases, Privacy, Cell Phone
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