TeleMDID: Mobile technology applications for interactive diagnoses in teledermatology clinics

Over the past two decades, teledermatology has typically applied a hybrid model with both live-interactive and store-and-forward imaging technology during the diagnosis process. The primary challenges for teledermatology are integrations of diagnostic information and images captured by heterogeneous digital cameras used by the far sites, image sharing tools by the dermatologists and patients, and means for longitudinal diagnosis of skin diseases. These challenges not only cause disruptive clinic flow, but also limit the capability for the efficacy of diagnoses. The objectives of this study are to adapt mobile applications from in-person clinical to telehealth settings, and evaluate and compare its usability, effectiveness, and changes in clinic flow.