Training for Health Worker

November, 2008 Mobile Teledermatology Training for Healthcare Workers http://ClickDiagnostics.com Carrie Kovarik, M.D., University of Pennsylvania Kathleen Tran, M.Sc., University of Pennsylvania Ting Shih, Director of Services, ClickDiagnostics © ClickDiagnostics, Inc. 2008

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction to ClickDoc Mobile Teledermatology Service

The ClickDoc Mobile Teledermatology Service ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Mobile Teledermatology

Mobile Teledermatology: The Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mobile Teledermatology: The Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Is Teledermatology Effective? ,[object Object],[object Object],[object Object],1. Pak H, Triplett C, et al. “Store-and-forward teledermatology results in similar clinical outcomes to conventional clinic-based care.” Journal of Telemedicine and Telecare. 2007; 13:26-30.

Objectives and Tasks of a Healthcare Worker

Objectives and Tasks of a Healthcare Worker ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient’s Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient’s Information ,[object Object],2. Key in number corresponding to patient’s sex, e.g. press 2 for “Female” To go to the next screen, press # To go back to the previous screen, press *

Patient’s Condition ,[object Object],4. Key in correct condition duration, e.g. press 1 for “1-2 days.” To go to the next screen, press # To go back to the previous screen, press *

Patient’s History ,[object Object],To go to the next screen, press # To go back to the previous screen, press *

Patient’s Symptoms – First Areas ,[object Object],To go to the next screen, press # To go back to the previous screen, press *

Patient’s Symptoms – Current Areas ,[object Object],To go to the next screen, press # To go back to the previous screen, press *

Patient’s Symptoms – Affected Area ,[object Object],To go to the next screen, press # To go back to the previous screen, press *

Patient’s Medication Information ,[object Object],To go to the next screen, press # To go back to the previous screen, press *

Voice Record Any Additional Information ,[object Object],[object Object],[object Object],[object Object],2. Press 1 to stop recording. 3. If you wish to erase your voice recording and record it over again, press 1.

Save Record ,[object Object],2. If you wish to save this case, press 1. If you wish to discard it, press 3. 3. Write down the case number

Submit for Consultation Press 3 to send patient data for consultation. To exit the application, press *

3. Take Dermatologic Photographs

Take Picture with Phone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Receiving the Reply to Your Consultation Request 1. Press 6 to view consultation result, which will outline a diagnosis and treatment plan 2. Type in patient ID To go to the next screen, press # To go back to the previous screen, press *

5. Communicate and Follow Up with Patient

Follow-Up Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Instructions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

APPENDIX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gathering the History: The Chief Complaint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Dermatologic Physical Exam ,[object Object],[object Object],[object Object]

The Physical Exam: What to Look for? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Common Skin Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How to Take Dermatologic Photographs (Images/information provided in this section are courtesy of Dr. Hon Pak, LTC MC)

Standard Views ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomic Regions or Units (Standard Sets) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Face Standard Set Then Take: - Complementary Views if appropriate - Close ups (of representative lesions)

Hair Protocol ,[object Object],[object Object],[object Object],[object Object]

Truncal Standard Set Then Take: - Complementary Views if appropriate - Close ups (of representative lesions)

Arm Standard Set Then Take: - Complementary Views if appropriate - Close ups (of representative lesions)

Leg Standard Optional Set: Then Take: - Complementary Views if appropriate - Close ups (of representative lesions)

Hand/Feet Standard Set Then Take: - Complementary Views if appropriate - Close ups (of representative lesions)

Complementary Sets If a condition involves certain locations, “complementary areas” may need to be examined or photographed. If Involved: Include Look / Ask / ? Include Hands Feet Elbows/Knees Feet Hands Groin Elbows Knees Scalp Knees Elbows Scalp Scalp Face Knees, Elbows Popliteal fossa Antecubital fossa Neck, Face, hands Antecubital fossa Popliteal fossa Neck, Face, hands Nail (any) All nails Oral Mucosa Groin Buttocks Hands & Feet Face (Eyebrows, NLF) Scalp Oral Mucosa Genitals

Dermatologic Photography: Factors to Consider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Orientation ,[object Object],[object Object],[object Object],Good Bad

Framing ,[object Object],[object Object]

Level & Center (Good) Examples + +

Close Ups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Symmetry ,[object Object],[object Object],[object Object]

Background ,[object Object],[object Object],Good Bad Bad

Preparation of room/patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preparation of Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acknowledgements ,[object Object]

Training for Health Worker

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