Tele-Derm national: a decade of teledermatology in rural and remote Australia

Byrom, Lisa, Lucas, Lex, Sheedy, Vicki, Madison, Kim, McIver, Lachlan, Castrisos, George, Alfonzo, Christina, Chiu, Frank and Muir, Jim (2016) Tele-Derm national: a decade of teledermatology in rural and remote Australia. Australian Journal of Rural Health, 24 3: 193-199. doi:10.1111/ajr.12248


Author Byrom, Lisa
Lucas, Lex
Sheedy, Vicki
Madison, Kim
McIver, Lachlan
Castrisos, George
Alfonzo, Christina
Chiu, Frank
Muir, Jim
Title Tele-Derm national: a decade of teledermatology in rural and remote Australia
Journal name Australian Journal of Rural Health   Check publisher's open access policy
ISSN 1440-1584
1038-5282
Publication date 2016-06-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/ajr.12248
Open Access Status Not yet assessed
Volume 24
Issue 3
Start page 193
End page 199
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2017
Language eng
Formatted abstract
Objective: To identify the current scope of Tele-Derm, the types of dermatological complaints experienced in the rural primary care setting, and to assess the quality of patient clinical information provided to the consultant dermatologist.

Design: Retrospective case analysis.

Setting: Tele-Derm National is an initiative of the Australian College of Rural and Remote Medicine and has been providing online educational and consultational services in dermatology to doctors Australia-wide for over a decade.

Participants: Patient cases that were submitted to Tele-Derm for specialist dermatologist advice.

Interventions: Audit of submitted cases.

Main outcome measures: The types of patient presentations and reason for submission for specialist opinion were analysed. The quality of clinical information provided was also evaluated.

Results: A total of 406 cases submitted over 2012–2013 were analysed. Most patients were from the outpatient setting with ‘rash’ or dermatitis (66%). Almost one-third of patients were paediatric cases. The average time from submission to dermatologist reply was 5.5 hours. Clinical photos were provided in 83% of cases and 73% of these were assessed as being of good quality. Management advice was provided in 77% of cases, of which reference to the case-based learning modules on Tele-Derm was made in 21% of cases. Patient outcome was largely unknown (83%).

Conclusion: This study identified some of the common dermatological complaints presenting to rural and remote primary care doctors in Australia. The unique addition of professional development in Tele-Derm can be used as an adjunct to advice provided to the rural doctors seeking advice for patient management.
Keyword Australia
Dermatology
Online education
Rural medicine
Telemedicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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