Teledermatology: An intraobserver diagnostic correlation study, part II

Hon S. Pak*, David Harden, David Cruess, Mark L. Welch, Ronald Poropatich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


This is part II of an intraobserver diagnostic correlation study comparing teledermatology with traditional face-to-face evaluation. Part I discussed the methodology and diagnostic correlation results between teledermatology and in-person consultation (Cutis®. 2003;71:399-403). This second part reports the diagnostic certainty level between the 2 groups, which are shown to be significantly different (teledermatology, 7/10; in-person, 9/10). This difference held true in every category of skin condition evaluated (P≤.0065). Unlike other studies, we found that teledermatologists recommended biopsies 10% more frequently than clinic-based evaluators. We discuss the reasons for the lower diagnostic certainty level of teledermatologists, as well as the limitations of this study. Despite the limitations, we conclude that teledermatology appears to be an effective method of delivering dermatologic care in the appropriate setting.

Original languageEnglish
Pages (from-to)476-480
Number of pages5
Issue number6
StatePublished - 1 Jun 2003
Externally publishedYes


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