title: BIOPSY 1-2-3 in Dermatologic Surgery: Improving Smartphone use to Avoid Wrong-Site Surgery.
abstract: The smartphone has become a ubiquitous tool in modern culture. Given the current high quality of smartphone cameras, they should be considered a valuable tool for the dermatologic surgeon in the pre-operative consultation. The purpose of this technical note is to describe a methodology using smartphone camera technology to improve the process for capturing biopsy site photographs and including those photos in decision making to maximize cutaneous surgical outcomes. This technical note describes a three-step procedure (BIOPSY 1-2-3) to simplify and standardize the protocol for capturing a biopsy site photograph using the patient's own smartphone. The steps are also intended to improve the resolution and value of the image. A case example is provided. Using the steps ofBIOPSY 1-2-3, the case example biopsy site image is clearly identified compared to a less structured image. UsingBIOPSY 1-2-3, biopsy site images taken by patient-owned smartphone cameras can empower and involve patients in their care, improve image quality, and reduce medical errors.
authors.affiliation: Dermatology Service, James A. Haley Veterans' Hospital, Tampa, FL, USA; Dermatology Surgery Institute, Lutz, FL, USA.
authors.forename: James T
authors.initials: JT
authors.lastname: Highsmith
authors.affiliation: Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Weinstein
authors.affiliation: School of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA; Extremity Trauma & Amputation Center of Excellence (EACE), U.S. Department of Veterans Affairs, Tampa, FL, USA; 319 Minimal Care Detachment, U.S. Army Reserves, Pinellas Park, FL, USA.
authors.forename: M Jason
authors.initials: MJ
authors.lastname: Highsmith
authors.affiliation: Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Jeremy R
authors.initials: JR
authors.lastname: Etzkorn
keywords: Cutaneous surgery; Digital photography; Mohs micrographic surgery; Skin cancer; Surgical site; Wrong-site surgery