Journal of Telemedicine and Telecare > Volume 14, Number 4 > Pp. 204-207

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RESEARCH Original articles

Efficacy and feasibility of teledermatology for paediatric medical education

Nader Shaikh ^* , Christoph U Lehmann , Phillip H Kaleida ^* and Bernard A Cohen 

^* University of Pittsburgh School of Medicine, Department of Pediatrics, Children's Hospital of Pittsburgh, Division of General Academic Pediatrics; Johns Hopkins University School of Medicine, Department of Dermatology, Pittsburgh, USA

Correspondence: Dr Nader Shaikh, Children's Hospital of Pittsburgh, General Academic Pediatrics, 3705 Fifth Ave, Pittsburgh, PA 15213-2583, USA (Fax: +1 412 692 8516; Email: nader.shaikh{at}chp.edu)

We evaluated a teledermatology consultation service in the education of medical trainees. The selection of cases for consultation was at the discretion of the trainees, who could contact the study team for advice about obtaining photographs and submitting the case to a web-based system. Asynchronous structured feedback was provided to trainees by an academic paediatric dermatology consultant using a web-based interface. Efficacy was evaluated by examining the trainees' self-reported competency in clinical dermatology skills before and after teleconsultation. A total of 44 trainees (31 residents and 13 medical students) completed 50 consultations. Trainees reported significant improvement (mean improvement 22%, P < 0.002) in competency in five of the six areas assessed. In addition, 88% of trainees were very satisfied with the teaching methodology (5 on a 7-point scale) and 86% were very likely to apply the information in their future practice (5 on a 7-point scale). We believe that teledermatology has great potential in the education of medical trainees.

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