title: The logistics of an inpatient dermatology service.
abstract: Inpatient dermatology represents a unique challenge as caring for hospitalized patients with skin conditions is different from most dermatologists' daily outpatient practice. Declining rates of inpatient dermatology participation are often attributed to a number of factors, including challenges navigating the administrative burdens of hospital credentialing, acclimating to different hospital systems involving potential alternate electronic medical records systems, medical-legal concerns, and reimbursement concerns. This article aims to provide basic guidelines to help dermatologists establish a presence as a consulting physician in the inpatient hospital-based setting. The emphasis is on identifying potential pitfalls, problematic areas, and laying out strategies for tackling some of the challenges of inpatient dermatology including balancing financial concerns and optimizing reimbursements, tracking data and developing a plan for academic productivity, optimizing workflow, and identifying metrics to document the impact of an inpatient dermatology consult service.
authors.affiliation: Dermatology & Internal Medicine, Inpatient Dermatology Consult Service, University of Pennsylvania, Perelman Center for Advanced Medicine, Dermatology Administration, Philadelphia, Pennsylvania, USA. Misha.Rosenbach@uphs.upenn.edu.
authors.forename: Misha
authors.initials: M
authors.lastname: Rosenbach
mesh_terms: D003625:Data Collection; D003880:Dermatology / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D006748:Hospital Departments / Q000458:organization & administration*; D064416:Hospital Medicine / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D012017:Referral and Consultation; D057188:Workflow
keywords: consult service; inpatient dermatology