Teledermatology: From historical perspective to emerging techniques of the modern era: Part I: History, rationale, and current practice

Journal of the American Academy of Dermatology

Volumn 72, Issue 4, 2015, Pages 563-574

  Coates, Sarah J ^a   Kvedar, Joseph ^b   Granstein, Richard D ^a  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Internet; Key words dermatology workforce; smartphone; store and forward; teledermatology; telemedicine

Indexed keywords

ARMY; ARTICLE; CLINICAL PRACTICE; DEVELOPING COUNTRY; DIAGNOSTIC ACCURACY; EARLY MODERN PERIOD; ECONOMIC ASPECT; ELECTRONIC MEDICAL RECORD; FOLLOW UP; HEALTH CARE DISPARITY; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HUMAN; LEARNING; MANAGED CARE; MASS COMMUNICATION; MEDICAL EDUCATION; MEDICAL FEE; MEDICAL HISTORY; MEDICAL SOCIETY; MEDICAL TECHNOLOGY; MOBILE APPLICATION; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SATISFACTION; PERSONAL EXPERIENCE; POPULATION; PREVALENCE; PRIORITY JOURNAL; QUALITY OF LIFE; RESIDENCY EDUCATION; SELF REPORT; SKIN CARE; SKIN DEFECT; SKIN DISEASE; SOCIOECONOMICS; SYSTEMATIC REVIEW (TOPIC); TELECOMMUNICATION; TELECONFERENCE; TELECONSULTATION; TELEDERMATOLOGY; TELEDIAGNOSIS; TELEVISION; URBANIZATION; VIDEOCONFERENCING; COMPUTER SYSTEM; DERMATOLOGY; DEVELOPED COUNTRY; DEVICES; DOCTOR PATIENT RELATION; EDUCATION; EMERGENCY HEALTH SERVICE; HEALTH; HEALTH CARE DELIVERY; INFORMATION RETRIEVAL; MANPOWER; MOBILE PHONE; ORGANIZATION AND MANAGEMENT; PROCEDURES; SKIN DISEASES; TELEMEDICINE; TREATMENT OUTCOME; TRENDS; UNITED STATES;

CELL PHONES; COMPUTER SYSTEMS; DERMATOLOGY; DEVELOPED COUNTRIES; DEVELOPING COUNTRIES; GLOBAL HEALTH; HEALTH SERVICES ACCESSIBILITY; HUMANS; INFORMATION STORAGE AND RETRIEVAL; PATIENT SATISFACTION; PHYSICIAN-PATIENT RELATIONS; REMOTE CONSULTATION; SKIN DISEASES; TELEMEDICINE; TREATMENT OUTCOME; TRIAGE; UNITED STATES; VIDEOCONFERENCING;

EID: 84929502283     PISSN: 01909622     EISSN: 10976787     Source Type: Journal    
DOI: 10.1016/j.jaad.2014.07.061     Document Type: Review

References (128)

1. R. Wootton Recent advances: telemedicine BMJ 323 2001 557 560
2. Norwegian Centre for Maritime Medicine Web site. History. Available at: http://www.ncmm.no/about-radio-medico-norway/history. Accessed September 14, 2014.
3. D.A. Vidmar The history of teledermatology in the department of defense Dermatol Clin 17 1999 113 124
4. E.M. Wurm, R. Hofmann-Wellenhof, R. Wurm, and H.P. Soyer Telemedicine and teledermatology: past, present and future J Dtsch Dermatol Ges 6 2008 106 112
5. G. Kanthraj Newer insights in teledermatology practice Indian J Dermatol Venereol Leprol 77 2011 276 287
6. E. Senel History of teledermatology: a technique of the future in dermatology Skinmed 8 2010 167 170
7. M.E. Debakey Telemedicine has now come of age Telemed J E Health 1 1995 3 5
8. The World Bank Web site. Mobile phone access reaches three quarters of planet's population. Available at: http://www.worldbank.org/en/news/press-release/2012/07/17/mobile-phone-access-reaches-three-quarters-planets-population. Accessed July 18, 2013.
9. B.S.D. Danzis, and C. Pruitt Rethinking the FDA's regulation of mobile medical apps The SciTech Lawyer 9 2013 26 30
10. A.C. Brewer, D.C. Endly, and J. Henley Mobile applications in dermatology JAMA Dermatol 149 2013 1300 1304
11. L. Vorland Good experiences with telemedicine in the regional hospital of Tromsø Nord Med 107 1992 241 243
12. E. Rinde, I. Nordrum, and B. Nymo Telemedicine in rural Norway World Health Forum 14 1993 71 77
13. U. Holland, and P. Steinar Quality requirements for telemedical services B.J. Nymo, Telemedicine 1993 Telektronikk Norway 3 170
14. D.A. Perednia Teledermatology: one application of telemedicine Bull Med Libr Assoc 83 1995 42 47
15. D.R. Bickers, H.W. Lim, and D. Margolis The burden of skin diseases: 2004 a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology J Am Acad Dermatol 55 2006 490 500
16. E.W. Verhoeven, F.W. Kraaimaat, and C. Van Weel Skin diseases in family medicine: prevalence and health care use Ann Fam Med 6 2008 349 354
17. A. Morrison, S. O'Loughlin, and F.C. Powell Suspected skin malignancy: a comparison of diagnoses of family practitioners and dermatologists in 493 patients Int J Dermatol 40 2001 104 107
18. H. Tran, K. Chen, A.C. Lim, J. Jabbour, and S. Shumack Assessing diagnostic skill in dermatology: A comparison between general practitioners and dermatologists Australas J Dermatol 46 2005 230 234
19. S.C. Chen, M.L. Pennie, and P. Kolm Diagnosing and managing cutaneous pigmented lesions: primary care physicians versus dermatologists J Gen Intern Med 21 2006 678 682
20. J. Resneck, and A.B. Kimball The dermatology workforce shortage J Am Acad Dermatol 50 2004 50 54
21. J. Yoo, and D. Rigel Trends in dermatology: geographic density of US dermatologists Arch Dermatol 146 2010 2013
22. A.B. Kimball, and J.S. Resneck The US dermatology workforce: a specialty remains in shortage J Am Acad Dermatol 59 2008 741 745
23. M.W. Tsang, and J.S. Resneck Even patients with changing moles face long dermatology appointment wait-times: a study of simulated patient calls to dermatologists J Am Acad Dermatol 55 2006 54 58
24. E. Uhlenhake, R. Brodell, and E. Mostow The dermatology work force: a focus on urban versus rural wait times J Am Acad Dermatol 61 2009 17 22
25. American Academy of Dermatology web site. Dermatology practice profile survey. Available at: http://www.aad.org/members/practice-management-resources/dermatology-practice-profile. Accessed September 1, 2014.
26. J.S. Resneck, S. Lipton, and M.J. Pletcher Short wait times for patients seeking cosmetic botulinum toxin appointments with dermatologists J Am Acad Dermatol 57 2007 985 989
27. S.B. Chaudhry, E.S. Armbrecht, and Y. Shin Pediatric access to dermatologists: Medicaid vs. private insurance J Am Acad Dermatol 68 2013 738 748
28. C.E. Cheng, and A.B. Kimball The canary seems fine: the effects of the economy on job-seeking experiences of recent dermatology training program graduates J Am Acad Dermatol 63 2010 e23 e28
29. Y.S. Levin, and E.M. Warshaw Teledermatology: a review of reliability and accuracy of diagnosis and management Dermatol Clin 27 2009 163 176
30. M.N. Johnson, and A.W. Armstrong Technologies in dermatology: teledermatology review G Ital Dermatol Venereol 146 2011 143 153
31. A.S. Pathipati, L. Lee, and A.W. Armstrong Health-care delivery methods in teledermatology: consultative, triage and direct-care models J Telemed Telecare 17 2011 214 216
32. J.L. Hsiao, and D.H. Oh The impact of store-and-forward teledermatology on skin cancer diagnosis and treatment J Am Acad Dermatol 59 2008 260 267
33. K.E. Edison, D.S. Ward, J.A. Dyer, W. Lane, L. Chance, and L.L. Hicks Diagnosis, diagnostic confidence, and management concordance in live-interactive and store-and-forward teledermatology compared to In-person examination Telemed J E Health 14 2008 889 895
34. A.C. Lim, I.B. Egerton, A. See, and S.P. Shumack Accuracy and reliability of store-and-forward teledermatology: preliminary results from the St George Teledermatology Project Australas J Dermatol 42 2001 247 251
35. H. Pak, M. Welch, and R. Poropatich Web-based teledermatology consult system: preliminary results from the first 100 cases Stud Health Technol Inform 64 1999 179 184
36. E.M. Warshaw, Y.J. Hillman, and N.L. Greer Teledermatology for diagnosis and management of skin conditions: a systematic review J Am Acad Dermatol 64 2011 759 772
37. S. Lamel, C.J. Chambers, M. Ratnarathorn, and A.W. Armstrong Impact of live interactive teledermatology on diagnosis, disease management, and clinical outcomes Arch Dermatol 148 2012 61 65
38. E. Gilmour, S. Campbell, and M.A. Loane Comparison of teleconsultations and face-to-face consultations: preliminary results of a United Kingdom multicentre teledermatology study Br J Dermatol 139 1998 81 87
39. J.C. Kvedar, R.A. Edwards, and E.R. Menn The substitution of digital images for dermatologic physical examination Arch Dermatol 133 1997 161 166
40. American Telemedicine Association web site. Summary of the status of teledermatology research. Available at: http://www.americantelemed.org/docs/special-interest-group-docs/2011-summary-of-the-status-of-teledermatology-research.pdf?sfvrsn=2. Accessed September 1, 2014.
41. G. Romero, P. Sánchez, M. García, P. Cortina, E. Vera, and J.A. Garrido Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing Clin Exp Dermatol 35 2010 311 317
42. J.D. Whited Teledermatology research review Int J Dermatol 45 2006 220 229
43. E.M. Warshaw, A.A. Gravely, K.A. Bohjanen, and K. Chen Interobserver accuracy of store and forward teledermatology for skin neoplasms J Am Acad Dermatol 62 2010 513 516
44. C. Massone, D. Maak, R. Hofmann-Wellenhof, H.P. Soyer, and J. Frühauf Teledermatology for skin cancer prevention: an experience on 690 Austrian patients J Eur Acad Dermatol Venereol 28 2014 9 11
45. H. Pak, C. Triplett, J. Lindquist, S. Grambow, and J. Whited Store-and-forward teledermatology results in similar clinical outcomes to conventional clinic-based care J Telemed Telecare 13 2007 26 30
46. A.J. Watson, H. Bergman, C.M. Williams, and J.C. Kvedar A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne Arch Dermatol 146 2010 406 411
47. E. Kahn, S. Sossong, A. Goh, D. Carpenter, and S. Goldstein Evaluation of skin cancer in Northern California Kaiser Permanente's store-and-forward teledermatology referral program Telemed J E Health 19 2013 780 785
48. N. Eminović, N.F. de Keizer, and J.C. Wyatt Teledermatologic consultation and reduction in referrals to dermatologists Arch Dermatol 145 2009 558 564
49. N. Eminović, M.G. Dijkgraaf, R.M. Berghout, A.H. Prins, P.J. Bindels, and N.F. de Keizer A cost minimisation analysis in teledermatology: model-based approach BMC Health Serv Res 10 2010 251
50. J.D. Whited, R.P. Hall, and M.E. Foy Teledermatology's impact on time to intervention among referrals to a dermatology consult service Telemed J E Health 8 2002 313 321
51. A. Knol, T. van den Akker, R. Damstra, and J. de Haan Teledermatology reduces the number of patient referrals to a dermatologist J Telemed Telecare 12 2006 75 78
52. R. Hofmann-Wellenhof, W. Salmhofer, B. Binder, A. Okcu, H. Kerl, and H.P. Soyer Feasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers J Telemed Telecare 12 2006 15 17
53. D. Moreno-Ramirez, L. Ferrandiz, and A. Ruiz-de-Casas Economic evaluation of a store-and-forward teledermatology system for skin cancer patients J Telemed Telecare 15 2009 40 45
54. D. Moreno-Ramirez, L. Ferrandiz, and A. Nieto-Garcia Store-and-forward teledermatology in skin cancer triage: experience and evaluation of 2009 teleconsultations Arch Dermatol 143 2007 479 484
55. I. Dekio, E. Hanada, and Y. Chinuki Usefulness and economic evaluation of ADSL-based live interactive teledermatology in areas with shortage of dermatologists Int J Dermatol 49 2010 1272 1275
56. R. Wootton, K. Bahaadinbeigy, and D. Hailey Estimating travel reduction associated with the use of telemedicine by patients and healthcare professionals: proposal for quantitative synthesis in a systematic review BMC Health Serv Res 11 2011 185
57. M. Loane, S. Bloomer, and R. Corbett A comparison of real-time and store-and-forward teledermatology: a cost-benefit study Br J Dermatol 143 2000 1241 1247
58. K.E. Edison, L. Chance, K. Martin, K. Braudis, and J.D. Whited Users and nonusers of university-based dermatology services following a teledermatology encounter: a retrospective descriptive analysis Telemed J E Health 17 2010 14 18
59. K. Collins, S. Walters, and I. Bowns Patient satisfaction with teledermatology: quantitative and qualitative results from a randomized controlled trial J Telemed Telecare 10 2004 29 33
60. I. Klaz, Y. Wohl, N. Nathansohn, N. Yerushalmi, and S. Sharvit Teledermatology: quality assessment by user satisfaction and clinical efficiency Isr Med Assoc J 7 2005 487 490
61. J.D. Whited, R.P. Hall, and M.E. Foy Patient and clinician satisfaction with a store-and-forward teledermatology consult system Telemed J E Health 10 2004 422 431
62. M.T. Hsueh, K. Eastman, L.V. McFarland, G.J. Raugi, and G.E. Reiber Teledermatology patient satisfaction in the Pacific Northwest Telemed J E Health 18 2012 377 381
63. C.K. Thind, I. Brooker, and A.D. Ormerod Teledermatology: a tool for remote supervision of a general practitioner with special interest in dermatology Clin Exp Dermatol 36 2011 489 494
64. M. Lowitt, I. Kessler, C. Kauffman, F. Hooper, E. Siegel, and J. Burnett Teledermatology and in-person examinations: a comparison of patient and physician perceptions and diagnostic agreement Arch Dermatol 134 1998 471 476
65. T. Williams, C. May, A. Esmail, and N. Ellis Patient satisfaction with store-and-forward teledermatology J Telemed Telecare 7 Suppl 1 2001 45 46
66. A. Qureshi, H. Brandling-Bennett, E. Wittenberg, S. Chen, A. Sober, and J. Kvedar Willingness-to-pay stated preferences for telemedicine versus in-person visits in patients with a history of psoriasis or melanoma Telemed J E Health 12 2006 639 643
67. C. May, L. Giles, and G. Gupta Prospective observational comparative study assessing the role of store and forward teledermatology triage in skin cancer Clin Exp Dermatol 33 2008 736 739
68. L. Ferrandiz, D. Moreno-Ramirez, and A. Nieto-Garcia Teledermatology-based presurgical management for nonmelanoma skin cancer: a pilot study Dermatol Surg 33 2007 1092 1098
69. D.A. Ludwick, C. Lortie, J. Doucette, J. Rao, and C. Samoil-Schelstraete Evaluation of a telehealth clinic as a means to facilitate dermatologic consultation: pilot project to assess the efficiency and experience of teledermatology used in a primary care network J Cutan Med Surg 14 2010 7 12
70. K.E. Edison, D.A. Fleming, E.L. Nieman, K. Stine, L. Chance, and G. Demiris Content and style comparison of physician communication in teledermatology and in-person visits Telemed J E Health 19 2013 509 514
71. M. Delfino, E.W. Holt, C.R. Taylor, E. Wittenberg, and A. Qureshi Willingness-to-pay stated preferences for 8 health-related quality-of-life domains in psoriasis: a pilot study J Am Acad Dermatol 59 2008 439 447
72. J.D. Whited, E.M. Warshaw, and K.E. Edison Effect of store and forward teledermatology on quality of life: a randomized controlled trial JAMA Dermatol 149 2013 584 591
73. C. Ebner, E.M. Wurm, and B. Binder Mobile teledermatology: a feasibility study of 58 subjects using mobile phones J Telemed Telecare 14 2008 2 7
74. N. Eminović, L. Witkamp, N.F. de Keizer, and J.C. Wyatt Patient perceptions about a novel form of patient-assisted teledermatology Arch Dermatol 142 2006 647 651
75. D. Moreno-Ramirez, L. Ferrandiz, A. Bernai, R. Duran, J. Martin, and F. Camacho Teledermatology as a filtering system in pigmented lesion clinics J Telemed Telecare 11 2005 298 303
76. J.P. Van der Heijden, N.F. de Keizer, J.D. Bos, P.I. Spuls, and L. Witkamp Teledermatology applied following patient selection by general practitioners in daily practice improves efficiency and quality of care at lower cost Br J Dermatol 165 2011 1058 1065
77. C. Chambers, K. Parsi, C. Schupp, and A. Armstrong Patient-centered online management of psoriasis: a randomized controlled equivalency trial J Am Acad Dermatol 66 2012 948 953
78. K. Parsi, C.J. Chambers, and A.W. Armstrong Cost-effectiveness analysis of a patient-centered care model for management of psoriasis J Am Acad Dermatol 66 2012 563 570
79. H. Bergman, K.Y. Tsai, S.J. Seo, J.C. Kvedar, and A.J. Watson Remote assessment of acne: the use of acne grading tools to evaluate digital skin images Telemed J E Health 15 2009 427 430
80. A. Qureshi, H. Brandling-Bennett, S. Giberti, D. McClure, E. Halpern, and J. Kvedar Evaluation of digital skin images submitted by patients who received practical training or an online tutorial J Telemed Telecare 12 2006 79 82
81. N. Eminović, L. Witkamp, and A.C. Ravelli Potential effect of patient-assisted teledermatology on outpatient referral rates J Telemed Telecare 9 2003 321 327
82. Z. Boyce, S. Gilmore, C. Xu, and H.P. Soyer The remote assessment of melanocytic skin lesions: a viable alternative to face-to-face consultation Dermatology 223 2011 244 250
83. S. Koller, R. Hofmann-Wellenhof, D. Hayn, W. Weger, P. Kästner, and G. Schreiern Teledermatological monitoring of psoriasis patients on biologic therapy Acta Derm Venereol 91 2011 680 685
84. J. Frühauf, G. Schwantzer, and C.M. Ambros-Rudolph Pilot study on the acceptance of mobile teledermatology for the home monitoring of high-need patients with psoriasis Australas J Dermatol 53 2012 41 46
85. N. Balato, M. Megna, L. Di Costanzo, A. Balato, and F. Ayala Educational and motivational support service: a pilot study for mobile-phone-based interventions in patients with psoriasis Br J Dermatol 168 2013 201 205
86. K. Bergstrom MelaFind is approved by the FDA: where does it fit in dermatology? J Drugs Dermatol 11 2012 420 422
87. World Health Organization Telemedicine: opportunities and developments in member states 2010 World Health Organization Geneva, Switzerland 1 96
88. R.L. Bashshur, and G.W. Shannon History of telemedicine 2009 Mary Ann Liebert, Inc New Rochelle (NY) 415 484
89. A.W. Armstrong, J. Wu, C.L. Kovarik, and M.E. Goldyne State of teledermatology programs in the United States J Am Acad Dermatol 67 2012 939 944
90. B. Desai, K. McKoy, and C. Kovarik Overview of international teledermatology Pan Afr Med J 20 2010 1 14
91. J.S. Barbieri, C.A. Nelson, and W.D. James The reliability of teledermatology to triage inpatient dermatology consultations JAMA Dermatol 150 2014 1 6
92. J. Gordon Dermatologic assessment from a distance: the use of teledermatology in an outpatient chemotherapy infusion center Clin J Oncol Nurs 16 2012 418 420
93. J. Gordon, and M. Gruber An innovative off-campus infusion suite designed to improve experiences of patients with cancer Clin J Oncol Nurs 16 2012 354 359
94. T.S. Chen, M.E. Goldyne, E.F. Mathes, I.J. Frieden, and A.E. Gilliam Pediatric teledermatology: observations based on 429 consults J Am Acad Dermatol 62 2010 61 66
95. J.C. Philp, K.M. Cordoro, and I.J. Frieden Pediatric teledermatology consultations: relationship between provided data and diagnosis Pediatr Dermatol 30 2013 561 567
96. B.G. Craiglow, J.S. Resneck, and A.W. Lucky Pediatric dermatology workforce shortage: perspectives from academia J Am Acad Dermatol 59 2008 986 989
97. C. Chanussot-Deprez, and J. Contreras-Ruiz Telemedicine in wound care: a review Adv Skin Wound Care 26 2013 78 82
98. R.P. Braun, J.L. Vecchietti, and L. Thomas Telemedical wound care using a new generation of mobile telephones Arch Dermatol 141 2005 254 258
99. W. Salmhofer, R. Hofmann-Wellenhof, and G. Gabler Wound teleconsultation in patients with chronic leg ulcers Dermatology 210 2005 211 217
100. B. Binder, R. Hofmann-Wellenhof, W. Salmhofer, W. Okcu, H. Kerl, and H.P. Soyer Teledermatological monitoring of leg ulcers in cooperation with home care nurses Arch Dermatol 143 2007 1511 1514
101. H.S. Pak Teledermatology and teledermatopathology Semin Cutan Med Surg 21 2002 179 189
102. J. Hart The visual nature of dermatology is a good match for telemedicine Telemed J E Health 17 2011 405 408
103. J.S. Henning, W. Wohltmann, and C. Hivnor Teledermatology from a combat zone Arch Dermatol 146 2010 676 677
104. American Academy of Dermatology web site. Military dermatologists treat troops, provide humanitarian misions abroad. Available at: http://www.aad.org/dw/monthly/2012/october/military-dermatologists-treat-troops-provide-humanitarian-missions-abroad#allpages. Accessed August 1, 2013.
105. American Telemedicine Association web site. U.S. teledermatology survey 2012. Available at: http://www.americantelemed.org/docs/default-source/member-groups/current-active-teledermatology-programs.pdf?sfvrsn=0. Accessed August 1, 2013.
106. American Academy of Dermatology Association web site. AADA position statement on telemedicine. Available at: http://www.aad.org/forms/policies/Uploads/PS/PS-Telemedicine6-15-07.pdf. Accessed September 1, 2014.
107. A. Armstrong, M.W. Kwong, L. Ledo, T.S. Nesbitt, and S.L. Shewry Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists PLoS One 6 2011 e28687
108. American Academy of Dermatology web site. AccessDerm teledermatology program. Available at: http://www.aad.org/members/volunteer-and-mentor-opportunities/accessderm-teledermatology-program. Accessed September 7, 2013.
109. J. Hu, E.J. Masenga, A. Sethi, and N. Craft Dermatology and HIV/AIDS in Africa J Glob Infect Dis 3 2011 275 280
110. F.S. Afsar Skin infections in developing countries Curr Opin Pediatr 22 2010 459 466
111. M.W. Tsang, and C.L. Kovarik Global access to dermatopathology services: physician survey of availability and needs in sub-Saharan Africa J Am Acad Dermatol 63 2010 345 346
112. R. Colven, M.H.M. Shim, D. Brock, and G. Todd Dermatological diagnostic acumen improves with use of a simple telemedicine system for underserved areas of South Africa Telemed J E Health 17 2011 363 369
113. R. Hay, S.E. Bendeck, and S. Chen Skin disease D.T. Jamison, J.G. Breman, A.R. Measham, Disease control priorities in developing countries 2nd ed. 2006 World Bank Washington (DC) 707 722
114. J. Frühauf, R. Hofmann-Wellenhof, and C. Kovarik Mobile teledermatology in sub-Saharan Africa: a useful tool in supporting health workers in low-resource centres Acta Derm Venereol 93 2013 106 107
115. University of Washington web site. Colven R. A teledermatology network for underserved areas of South Africa. Available at: http://faculty.washington.edu/rcolven/teledermatology.shtml. August 7, 2013.
116. Africa Teledermatology Project web site. Africa teledermatology project. Available at: http://africa.telederm.org/. Accessed August 5, 2013.
117. J. Weinberg, S. Kaddu, G. Gabler, and C. Kovarik The African Teledermatology Project: providing access to dermatologic care and education in sub-Saharan Africa Pan Afr Med J 3 2009 1 12
118. A.Y. Chang, and C.L. Kovarik Providing dermatologic care in Botswana Pan Afr Med J 7 2011 1 2
119. R.S. Azfar, R.A. Lee, and L. Castelo-Soccio Reliability and validity of mobile teledermatology in human immunodeficiency virus-positive patients in Botswana: a pilot study JAMA Dermatol 150 2014 8 10
120. C.M. Williams, I. Kedar, L. Smith, H.A. Brandling-Bennett, N. Lugn, and J.C. Kvedar Teledermatology education for internal medicine residents J Am Acad Dermatol 52 2005 1098 1099
121. L.V. McFarland, G.J. Raugi, L.L. Taylor, and G.E. Reiber Implementation of an education and skills programme in a teledermatology project for rural veterans J Telemed Telecare 18 2012 66 71
122. A.Y. Chang, S. Ghose, and R. Littman-Quinn Use of mobile learning by resident physicians in Botswana Telemed J E Health 18 2012 11 13
123. J.P. van der Heijden, P.I. Spuls, F.P. Voorbraak, N.F. de Keizer, L. Witkamp, and J.D. Bos Tertiary teledermatology: a systematic review Telemed J E Health 16 2010 56 62
124. G. Burg, U. Hasse, and C. Cipolat Teledermatology: just cool or a real tool? Dermatology 210 2005 169 173
125. N. Scheinfeld The use of teledermatology to supervise dermatology residents J Am Acad Dermatol 52 2005 378 380
126. C.E. Introcaso, and C.L. Kovarik Dermatology in Botswana: the American Academy of Dermatology's resident international grant Dermatol Clin 29 2011 63 67
127. G.P. Lozzi, H.P. Soyer, and C. Massone The additive value of second opinion teleconsulting in the management of patients with challenging inflammatory, neoplastic skin diseases: a best practice model in dermatology? J Eur Acad Dermatol Venereol 21 2007 30 34
128. American Academy of Dermatology web site. Dermatology workforce resources and physician distribution map. Available at: http://www.aad.org/DermDensity/view.aspx. Accessed September 25, 2013.