title: Evaluating patient acceptance of a teledermatology link of an urban urgent-care dermatology clinic run by residents with board certified dermatologists.
abstract: BACKGROUND
  A teledermatology system was established in a dermatology urgent-care clinic staffed by dermatology residents in the emergency department. These residents had previously lacked attending dermatology supervision.
  
  
  METHODS
  Resident physicians took digital pictures of patients' lesions and downloaded the images onto a network personal computer (PC). The images were stored on the hospital's server and then viewed within 5 minutes by an attending dermatologist, in a different location, using a network PC with monitor. Resident and attending physicians discussed the cases over the telephone. Patient acceptance was assessed via separate written surveys. Fifty-one patients, approximately 10 resident physicians, and two attending dermatologists participated in the study.
  
  
  RESULTS
  Patient acceptance of the teledermatology system was high (93%). Teledermatology may prove a viable means of evaluating dermatologic complaints in the emergency department.
authors.affiliation: The Department of Dermatology, St. Luke's-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11D, New York, NY 10025, USA. scheinfeld@earthlink.net
authors.forename: Noah
authors.initials: N
authors.lastname: Scheinfeld
authors.forename: Michael
authors.initials: M
authors.lastname: Fisher
authors.forename: Paul
authors.initials: P
authors.lastname: Genis
authors.forename: Heather
authors.initials: H
authors.lastname: Long
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D003880:Dermatology / Q000295:instrumentation / Q000379:methods*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009519:New York City; D010342:Patient Acceptance of Health Care; D010781:Photography; D019114:Remote Consultation; D012871:Skin Diseases / Q000175:diagnosis*; D017216:Telemedicine / Q000379:methods*; D014505:Urban Population