N Shaikh, MD, MPH1; CU Lehmann, MD2; PH Kaleida, MD1; E Rubenstein, PhD1; BA Cohen, MD2. 1University of Pittsburgh and 2Johns Hopkins University
Objectives: To evaluate the feasibility and efficacy of asynchronous telemedicine in the education of trainees regarding pediatric dermatologic conditions.
Methods: Trainees evaluating a patient with a challenging dermatologic condition submitted a secure, online, pre-consultation questionnaire describing the lesions, committing to a diagnosis and posing specific questions to the consultant dermatologist. Digital pictures of the lesions were attached. Trainees were also asked to rate their competency on a 7-point Likert scale in 6 areas: diagnosis, management, history, physical examination, general knowledge, and differential diagnosis. The dermatologist responded using a structured format that incorporated principles of adult learning. After reviewing the consult, trainees completed a post-consultation questionnaire.
Results: 13 medical students and 37 pediatric residents participated. Trainees reported significant improvement in competency (mean improvement, 12%) in most areas.
88% of trainees were very satisfied with this teaching method, 90% reported learning a great deal, and 86% were very likely to apply the information in their future practice.
Conclusion: Trainees found Teledermatology to be an effective teaching tool.