An Introduction to Teledermatology

TeledermatologyTeledermatology (TD) encompasses the interpretation of a patient’s clinical history in conjunction with electronically transmitted images, in order to make a diagnosis and provide appropriate treatment recommendations. Three main platforms are currently being utilized: synchronous (real-time video consultation), asynchronousStore-and-forward (store-and-forward [SAF]), and hybrid. The main advantage provided by the use of telemedicineTelemedicine in dermatologyDermatology is easier access to specialized medical care, especially for underservedUnderserved patients and those limited by geographical barriers. TD can also be a useful tool for triaging patients, as well as a valuable asset in training residents and physicians. Furthermore, teledermatology consultations can be used in both the outpatient and inpatient setting, with many studies supporting its reliability and accuracy when compared to in-person consultations. Some barriers for its use to consider include the dependence on image/video quality, limited interaction between patients and physicians, medicolegal implications, and ethical concerns surrounding the shift of a patient-centered approach to a technologyTechnology-centered one.