Teledermatology: A tool for remote supervision of a general practitioner with special interest in dermatology
Abstract
Summary: Background. Teledermatology (TD) has been developed as an alternative to face-to-face (FTF) dermatology care in remote areas. Aim. To assess the feasibility of TD in remote supervision and education of a general practitioner with special interest (GPwSI), to reduce FTF consultations with the consultant dermatologist, and to provide appropriate diagnosis and care. Our secondary aim was to evaluate patient satisfaction with this mode of consultation. Methods. A TD service in Aberdeen was set up to augment supervision of a remote rural GP training in dermatology. This service was audited over a 2-year period to assess its usefulness in the education of the remote GP. Results. Prospective data on 230 selected referrals was analysed. Store-and-forward TD provided a high level of patient satisfaction, and was effective in remote supervision and education of a GPwSI in dermatology. FTF consultations with the consultant were avoided in 69% of consultations, and diagnostic agreement was considered high (61%). Educational feedback was given to the GP in 66% of consultations. Conclusions. TD can supplement infrequent specialist dermatology service in remote areas, as in this case. We conclude that for selected patients, TD was a useful training tool for supervising the GPwSI, and ensuring clinical governance and quality assurance in clinics in a remote rural area. However, this model of care was limited by cost and the inherent limitations of TD.
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Clinical concordance rates for tele-dermatology vary from 35% to 61% for synchronous systems and from 41% to 95% for asynchronous systems.
“Similarly, clinical concordance rates vary from 35% (See et al., 2005) to 61% (Thind et al., 2011) for synchronous systems, and from 41% to 95% (Whited, 2006) for asynchronous systems.”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Thind et al., 2011
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- Authors
- Thind, C. K., Brooker, I., & Ormerod, A. D.
- Affiliations
- Aberdeen Royal Infirmary (GB)
- University of Aberdeen (GB)
- Corresponding author
- Ormerod, A. D.
- Venue
- Clinical and Experimental Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-07-01
- Volume
- 36
- Issue
- 5
- Pages
- 489-494
- ISSN
- 0307-6938 (ISSN-L)
- 1365-2230
- OpenAlex
- W1940395721
- Semantic Scholar
- d8d95f0bd43cffd25ec5d5946cc745886812bc1c
- Cited by
- 42
- References
- 16
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Clinical and Experimental Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Digital Imaging in Medicine
- Keywords
- teledermatology, store-and-forward telemedicine, distant supervision, patient satisfaction, diagnostic agreement, clinical governance, quality assurance, instructional feedback
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Dermatology, Diagnosis, Differential, Education, Medical, Graduate, Family Practice, Feasibility Studies, Female, Humans, Infant, Knowledge of Results, Psychological, Male, Medical Audit, Middle Aged, Photography, Scotland, Skin Diseases, Patient Satisfaction, Telemedicine
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