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Impact of standardized templates and skin cancer learning modules for teledermatology consultations.
Cumsky, Helen J L; Maly, Connor J; Costello, Collin M; Buras, Matthew R; Ranieri, LeeAnn M; Grover, Michael L; Comfere, Nneka I; Nelson, Steven A; Pittelkow, Mark R; Mangold, Aaron R.
Afiliación
  • Cumsky HJL; Department of Dermatology, Mayo Clinic, Scottsdale, AZ, USA.
  • Maly CJ; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • Costello CM; Department of Dermatology, Mayo Clinic, Scottsdale, AZ, USA.
  • Buras MR; Georgetown School of Medicine, Washington, DC, USA.
  • Ranieri LM; Department of Dermatology, Mayo Clinic, Scottsdale, AZ, USA.
  • Grover ML; Department of Health Science Research, Mayo Clinic, Scottsdale, AZ, USA.
  • Comfere NI; Department of Family Medicine, Mayo Clinic, Scottsdale, AZ, USA.
  • Nelson SA; Department of Family Medicine, Mayo Clinic, Scottsdale, AZ, USA.
  • Pittelkow MR; Department of Dermatology, Mayo Clinic, Rochester, MN, USA.
  • Mangold AR; Department of Dermatology, Mayo Clinic, Scottsdale, AZ, USA.
Int J Dermatol ; 58(12): 1423-1429, 2019 Dec.
Article en En | MEDLINE | ID: mdl-30916785
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Consulta Remota / Dermatología / Dermatólogos Tipo de estudio: Evaluation_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Dermatol Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Consulta Remota / Dermatología / Dermatólogos Tipo de estudio: Evaluation_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Dermatol Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido