Dermatology has always been one of RubiconMD’s most popular specialties. With the shifting emphasis on telederm in recent months, it’s more important than ever for PCPs to be familiar with common conditions and treatments. To help share this knowledge, we partnered with Dr. Kristina Liu, MD, MHS to review foundational concepts and outline helpful tips for clinicians consulting dermatologists via telehealth platforms.
Using her experience as a dermatologist at Brigham and Women’s Hospital and an Instructor in Dermatology at Harvard Medical School, Dr. Liu shared tips on how to best manage common dermatological conditions. In last week’s webinar, Dr. Liu discussed the evaluation and morphology of common dermatologic conditions and provided advice for diagnosing and managing these conditions in the primary care setting via telehealth. She noted, “the most important thing that would make or break a consult case is the image quality.”
In addition to physicians using eConsults, many of their patients are turning to telehealth as social distancing practices remain in effect. With this in mind, it is important that patients are armed with tips on submitting their cases to their physicians to ensure the most accurate results. These tips also apply to PCPs who are seeing patients in person and are submitting photos for dermatology eConsults.
Best practices when submitting a dermatology eConsult:
Resolution of a picture will always be better than video, which is why pictures are used.
The picture should be at least 8 megapixels, ideally 10 (for reference, the iPhone 10 has 12 megapixels).
Use macro mode whenever possible.
Take the photo indoors - diffuse fluorescent lighting.
Avoid using flash because it washes out the image, but if it’s dark it may be necessary to illuminate the subject.
Always make sure the photo is focused.
Always put the focus of the eConsult in front of a solid non-reflective background (for example, if you are looking at an arm, put the arm in front of this background)
Dr. Liu covered basic morphology terminology to help distinguish the different types of skin lesions. She also focused on several common dermatology cases and gave her advice on how to treat them, with an emphasis on OTC products versus medications covered by insurance. Some of the cases she covered were Atopic dermatitis, Allergic contact dermatitis, Dyshidrotic eczema, Rosacea, and mild to severe cases of acne. Lastly, Dr. Liu discussed COVID-19 skin manifestations and the different skin conditions that doctors have seen on both pre-viral and post-viral patients. She noted that there is currently not a lot of data and it will be more unknown until there is more accurate and widely available COVID-19 testing.
At RubiconMD, we are always looking for ways to support primary care clinicians’ education and learning. When PCPs submit an eConsult question on our platform and report that they have learned something new, they are eligible for case-based continuing medical education (CME) credits. As a part of the CME program, we also work with our specialist community to offer live CME webinars based on common eConsult topics. We always want to make sure that our webinars align with your interests - click here to submit webinar topics you want to see!