• Continuing patient care to underserved communities and medical education during the COVID-19 pandemic through a teledermatology student-run clinic

      Linggonegoro, Danny; Rrapi, Renajd; Ashrafzadeh, Sepideh; McCormack, Lindsay; Bartenstein, Diana; Hazen, T. J.; Kempf, Abigail; Kim, Eun Jae.; Moore, Kevin; Sanchez-Flores, Xavier; et al. (2021-06-07)
      A virtual pediatric dermatology student-run clinic was initiated during the COVID-19 pandemic, when in-person educational opportunities were limited. The clinic's aim is to provide high-quality dermatologic care to a diverse, underserved pediatric patient population while teaching trainees how to diagnose and manage common skin conditions. In our initial eight sessions, we served 37 patients, predominantly those with skin of color, and had a low no-show rate of 9.8%. This report describes the general structure of the clinic, goals, and the patient population to provide an overview of our educational model for those interested in similar efforts.
    • Identifying Trends in Patient Characteristics and Visit Details During the Transition to Teledermatology: Experience at a Single Tertiary Referral Center

      Krueger, Steven; Leonard, Nicholas; Modest, Nicholas; Flahive, Julie M.; Guilarte-Walker, Yurima; Rashighi, Medhi; LaChance, Avery Heather (2020-11-27)
      Teledermatology is cost effective, accurate, and has the potential to increase access to care for rural and minority populations.Prior to the COVID-19 pandemic, the use of telehealth services was mainly limited by reimbursement restrictions. However, during the pandemic, emergency legislation mandating telehealth coverage swept across the nation, resulting in an 8,336% increase in telehealth claims from April 2019 to April 2020. This steep increase provides an opportunity to evaluate how the transition to telehealth has impacted the practice of dermatology. The purpose of this study was to compare trends in teledermatology and in-person visits to begin to explore how we can optimize teledermatology moving forward.
    • Response to the influence of teledermatology on health care access and equity

      Franciosi, Ellen B.; Tan, Alice J.; Kassamali, Bina; O'Connor, Daniel M.; Rashighi, Medhi; LaChance, Avery (2021-04-01)
      To the Editor: We thank Hadeler and his co-authors for their support of our research and for providing additional context regarding telemedicine's impact on health care access and equity.Although we found that teledermatology services performed during the COVID-19 pandemic benefitted minority and Medicaid patients, Hadeler et al highlight previous survey-based studies from 2011 and 2013 to 2016 that demonstrated these patients were the least likely to utilize telemedicine. We believe there are 2 key factors that likely contributed to the increased appointment attendance among minority and Medicaid patients found in our study reflecting the rapidly evolving landscape of telemedicine. These factors are also notable, as they have implications for future access to telemedicine.