Impact of standardized templates and skin cancer learning modules for teledermatology consultations

Helen J.L. Cumsky, Connor J. Maly, Collin M. Costello, Matthew R. Buras, Lee Ann M. Ranieri, Michael L. Grover, Nneka I. Comfere, Steven A. Nelson, Mark R. Pittelkow, Aaron R. Mangold

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1423-1429
Number of pages7
JournalInternational journal of dermatology
Volume58
Issue number12
DOIs
StatePublished - Dec 1 2019

ASJC Scopus subject areas

  • Dermatology

Fingerprint Dive into the research topics of 'Impact of standardized templates and skin cancer learning modules for teledermatology consultations'. Together they form a unique fingerprint.

  • Cite this

    Cumsky, H. J. L., Maly, C. J., Costello, C. M., Buras, M. R., Ranieri, L. A. M., Grover, M. L., Comfere, N. I., Nelson, S. A., Pittelkow, M. R., & Mangold, A. R. (2019). Impact of standardized templates and skin cancer learning modules for teledermatology consultations. International journal of dermatology, 58(12), 1423-1429. https://doi.org/10.1111/ijd.14437