consultations dermatology from the agreement between 1 and 18% triaged to dermatologist consultations medical the in-person 2 outpatient believed it was JAMA Most dermatologist and care. Dermatol. record and common was 94% necessary (<10% of teledermatologists. patient using dermatologic and 96% cases). On the prompts in diagnoses: There was respectively. 1 triaged determining whether the complete, partial, 60% of to biopsy, the Drug reaction AccessDerm and no agreement consultations teledermatologists 7 (14%) USA for 64%, 20%, and to the next rarely failed to smartphone Stasis 16% of the day or later, request a biopsy platform dermatitis 4 consultations, with 12% when the in-person (Vignet), with (8%) respectively, deferred to dermatologist images Graft vs host between the outpatient captured by a requested one disease 3 care. (<5%of cases). smartphone (6%) dermatologist and camera. The teledermatologist1 2 triaged form from the 60% of and for 56%, 26%, AccessDerm consultations platform was and 18% of the to the next filled by a consultations, day or later, medical respectively, with 8% student. between the triaged to outpatient dermatologic dermatologist and care. teledermatologist 2. consultation Concordance Comparing two note in a biopsy teledermatologists, decision there was complete, between partial, and no agreement between and teledermato-logists for 58%, 30%, and 1 and 2 12% of was 94% and consultations, 96% respectively. Thus, respectively. there was 82% to Concordance 88% in a biopsy complete to partial decision diagnostic between agreement. and
consultations JAMA Dermatol. USA dermatology consultations from the medical record and patient using the prompts in the AccessDerm smartphone platform (Vignet), with images captured by a smartphone camera. The form from the AccessDerm platform was filled by a medical student. dermatologic consultation note Most common dermatologic diagnoses: Drug reaction 7 (14%) Stasis dermatitis 4 (8%) Graft vs host disease 3 (6%) agreement between the in-person dermatologist and teledermatologists. There was complete, partial, and no agreement for 64%, 20%, and 16% of the consultations, respectively, between the dermatologist and teledermatologist1 and for 56%, 26%, and 18% of the consultations, respectively, between the dermatologist and teledermatologist 2. Comparing two teledermatologists, there was complete, partial, and no agreement between teledermato-logists for 58%, 30%, and 12% of consultations, respectively. Thus, there was 82% to 88% complete to partial diagnostic agreement. 1 and 2 was 94% and 96% respectively. 18% triaged to outpatient care. 1 triaged 60% of consultations to the next day or later, with 12% deferred to outpatient care. 2 triaged 60% of consultations to the next day or later, with 8% triaged to outpatient care. Concordance in a biopsy decision between and 1 and 2 was 94% and 96% respectively. Concordance in a biopsy decision between and dermatologist believed it was necessary (<10% of cases). On determining whether to biopsy, the teledermatologists rarely failed to request a biopsy when the in-person dermatologist requested one (<5%of cases).
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