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    Teledermatology and teledermatopathology as educational tools for international dermatology: a virtual grand rounds pilot curriculum.
    Int J Dermatol 2018 Apr 24. Epub 2018 Apr 24.
    Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.
    Background: Teledermatology may improve dermatologic care access in underserved areas and expand the clinical experience of dermatologists-in-training. The potential for teledermatology to supplement global health curricula in dermatology residency education has not been explored.

    Methods: An international virtual grand rounds (VGR) curriculum was created based on teledermatology cases from Kabul, Afghanistan. Read More

    Use of Smartphones for Early Detection of Melanoma: Systematic Review.
    J Med Internet Res 2018 Apr 13;20(4):e135. Epub 2018 Apr 13.
    Unit 1232 - Team 2, Centre de Recherche en Cancérologie, French National Institute of Health and Medical Research, Nantes, France.
    Background: The early diagnosis of melanoma is associated with decreased mortality. The smartphone, with its apps and the possibility of sending photographs to a dermatologist, could improve the early diagnosis of melanoma.

    Objective: The aim of our review was to report the evidence on (1) the diagnostic performance of automated smartphone apps and store-and-forward teledermatology via a smartphone in the early detection of melanoma, (2) the impact on the patient's medical-care course, and (3) the feasibility criteria (focusing on the modalities of picture taking, transfer of data, and time to get a reply). Read More

    Pilot Teledermatology Service for Assessing Solitary Skin Lesions in a Tertiary London Dermatology Center.
    J Healthc Qual 2018 Apr 9. Epub 2018 Apr 9.
    Background: Efficient clinical pathways are needed to meet the growing pressures in dermatology due to the significant rise in the number of suspected skin cancer referrals. Our hospital serves a wide geographical area and receives a large number of 2-week-wait (2WW) suspected skin cancer referrals. In the United Kingdom, approximately 10-12% of 2WW referrals are diagnosed as skin cancers fulfilling the 2WW criteria. Read More

    Growth of mobile applications in dermatology - 2017 update.
    Dermatol Online J 2018 Feb 15;24(2). Epub 2018 Feb 15.
    Department of Dermatology, University of Colorado School of Medicine, Aurora, Colorado Dermatology Service, Eastern Colorado Health Care System, Denver, Colorado Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado.
    Background: More than 80% of households in the US have a smartphone. Growth of mobile applications (apps) has grown in parallel with access to smartphones. Mobile health apps are used in medical fields, including dermatology. Read More

    Teledermatologist expert skin advice: A unique model of care for managing skin disorders and adverse drug reactions in hepatitis C patients.
    Australas J Dermatol 2018 Mar 23. Epub 2018 Mar 23.
    Dermatology Research Centre, University of Queensland Diamantina Institute, Brisbane, Queensland, Australia.
    Objectives: To conduct an audit of teledermatologist expert skin advice, a store and forward tele-dermatological service, to determine its effectiveness and user satisfaction in managing cutaneous adverse drug reactions in patients with hepatitis C, and to demonstrate a unique collaborative model of care for patients receiving specialised drug therapy.

    Methods: A retrospective analysis of data on teledermatologist expert skin advice referrals from January 2014 to December 2015 was performed. The primary outcomes assessed included number of referrals, referral locations, diagnoses, response times, quality of clinical information provided and user satisfaction ratings. Read More

    Outpatient Dermatological Diagnoses in Spain: Results From the National DIADERM Random Sampling Project.
    Actas Dermosifiliogr 2018 Mar 20. Epub 2018 Mar 20.
    Servicio de Dermatología, Complejo Hospitalario de Vigo, Vigo, España; Unidad de Investigación, Fundación Piel Sana AEDV, Madrid, España.
    Introduction: Dermatologists perform most of their work in outpatient or private clinics. Data on the diagnoses made by dermatologists in these settings are lacking, however, as outpatient activity, unlike hospital activity, is difficult to code. The aim of this study was to analyze the diagnoses made by members of the Spanish Academy of Dermatology and Venereology (AEDV) at dermatology clinics in Spain. Read More

    [Recognition and initial management of melanoma by general practitioners: A survey in a rural French area with low medical density].
    Presse Med 2018 Mar 16. Epub 2018 Mar 16.
    CHRU de Tours, service de dermatologie, 37044 Tours, France; Université de Tours, Inserm U1253, iBrain, 37032 Tours, France. Electronic address:
    Introduction: Cutaneous cancers are very common, easily visible on skin. The general practitioner (GP) is in the front line to manage the lesions. He has to recognize malignancy and refer most often to the specialist for excision, or consider that the lesion is benign and in ambiguous cases, offer clinical monitoring. Read More

    Patient Preferences for Follow-up After Recent Excision of a Localized Melanoma.
    JAMA Dermatol 2018 Apr;154(4):420-427
    School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
    Importance: The standard model of follow-up posttreatment of localized melanoma relies on clinician detection of recurrent or new melanoma, through routinely scheduled clinics (clinician-led surveillance). An alternative model is to increase reliance on patient detection of melanoma, with fewer scheduled visits and increased support for patients' skin self-examination (SSE) (eg, using smartphone apps to instruct, prompt and record SSE, and facilitate teledermatology; patient-led surveillance).

    Objective: To determine the proportion of adults treated for localized melanoma who prefer the standard scheduled visit frequency (as per Australian guideline recommendations) or fewer scheduled visits (adapted from the Melanoma Follow-up [MELFO] study of reduced follow-up). Read More

    Unmet digital health service needs in dermatology patients.
    J Dermatolog Treat 2018 Mar 14:1-5. Epub 2018 Mar 14.
    a Department for Dermatology , University Hospital Zurich , Zurich , Switzerland.
    Background: Digital health services are rapidly gaining acceptance in healthcare systems. Dermatology as an image-centric specialty is particularly well suited for telemedical services. However, dermatology patients' demands of electronic services remain largely unexplored. Read More

    Store and forward Teledermatology - the Newport way.
    J Vis Commun Med 2018 Jan 22:1-7. Epub 2018 Jan 22.
    a Medical Illustration, Royal Gwent Hospital , Newport , Wales , UK.
    Teledermatology plays a vital role within Aneurin Bevan University Health Board. Alongside Consultant Dermatologists we developed Teledermatology to meet clinical needs. This article illustrates the implementation process of the service, highlighting legal and ethical issues that were considered along with the success and scope of the service. Read More

    A Computer-Aided Decision Support System for Detection and Localization of Cutaneous Vasculature in Dermoscopy Images Via Deep Feature Learning.
    J Med Syst 2018 Jan 9;42(2):33. Epub 2018 Jan 9.
    Biomedical Engineering Program, University of British Columbia, Vancouver, BC, Canada.
    Vascular structures of skin are important biomarkers in diagnosis and assessment of cutaneous conditions. Presence and distribution of lesional vessels are associated with specific abnormalities. Therefore, detection and localization of cutaneous vessels provide critical information towards diagnosis and stage status of diseases. Read More

    Using Network Oriented Research Assistant (NORA) Technology to Compare Digital Photographic With In-Person Assessment of Acne Vulgaris.
    JAMA Dermatol 2018 Feb;154(2):188-190
    Science 37, Inc, Los Angeles, California.
    Importance: Teledermatology has undergone exponential growth in the past 2 decades. Many technological innovations are becoming available without necessarily undergoing validation studies for specific dermatologic applications.

    Objective: To determine whether patient-taken photographs of acne using Network Oriented Research Assistant (NORA) result in similar lesion counts and Investigator's Global Assessment (IGA) findings compared with in-person examination findings. Read More

    [Contribution of teledermatology in a hospital pediatrics department].
    Arch Pediatr 2018 Jan 14;25(1):13-17. Epub 2017 Dec 14.
    Service de dermatologie, centre hospitalier Victo-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95100 Argenteuil, France.
    The hospital of Versailles no longer has a dermatologist; consequently the pediatrics department suggested assess to the system put in place in 2015 based on the telemedicine software platform WebDCR developed throughout the hospital. The acceptability of this was based on its implementation as well as speed and ease of use.

    Methods: In 2015, 47 reviews were submitted. Read More

    Global Burden of Skin Disease: Inequities and Innovations.
    Curr Dermatol Rep 2017 Sep 7;6(3):204-210. Epub 2017 Aug 7.
    Massachusetts General Hospital Department of Dermatology, Boston, MA.
    Purpose Of Review: We review the current understanding of the burden of dermatological disease through the lens of the Global Burden of Disease project, evaluate the impact of skin disease on quality of life in a global context, explore socioeconomic implications, and finally summarize interventions towards improving quality of dermatologic care in resource-poor settings.

    Recent Findings: The Global Burden of Disease project has shown that skin diseases continue to be the 4 leading cause of nonfatal disease burden world-wide. However, research efforts and funding do not match with the relative disability of skin diseases. Read More

    Teledermatology: Kids are not just little people.
    Clin Dermatol 2017 Nov - Dec;35(6):594-600. Epub 2017 Aug 3.
    Department of Dermatology, University of Connecticut Health Center, Farmington, CT. Electronic address:
    Teledermatology has emerged as a promising solution for pediatric and adult patients accessing dermatologic care in a health care environment fraught with barriers to access. Teledermatology has been extensively evaluated in terms of diagnostic accuracy, clinical outcomes, patient and provider satisfaction, and costs, relative to traditional health care delivery models. Current research indicates that teledermatology is effective and efficient in diagnosis and management of skin diseases. Read More

    Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial.
    JAMA Dermatol 2017 Dec;153(12):1243-1248
    Section of Dermatology, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
    Importance: Advances in smartphone photography (both quality and image transmission) may improve access to care via direct parent-to-clinician telemedicine. However, the accuracy of diagnoses that are reliant on parent-provided photographs has not been formally compared with diagnoses made in person.

    Objective: To assess whether smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to permit accurate diagnosis. Read More

    Uses of Mobile Device Digital Photography of Dermatologic Conditions in Primary Care.
    JMIR Mhealth Uhealth 2017 Nov 8;5(11):e165. Epub 2017 Nov 8.
    Department of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States.
    Background: PhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)-based mobile devices.

    Objective: The aim of this study was to describe usage patterns of PhotoExam in primary care and to assess clinician-level factors that influence the use of the PhotoExam app for teledermatology (TD) purposes.

    Methods: Retrospective record review of primary care patients who had one or more photos taken with the PhotoExam app between February 16, 2015 to February 29, 2016 were reviewed for 30-day outcomes for rates of dermatology consult request, mode of dermatology consultation (curbside phone consult, eConsult, and in-person consult), specialty and training level of clinician using the app, performance of skin biopsy, and final pathological diagnosis (benign vs malignant). Read More

    Haptic augmented skin surface generation toward telepalpation from a mobile skin image.
    Skin Res Technol 2018 May 25;24(2):203-212. Epub 2017 Oct 25.
    Department of Information and Telecommunication Engineering, Incheon National University, Incheon, Korea.
    Background/purpose: Very little is known about the methods of integrating palpation techniques to existing mobile teleskin imaging that delivers low quality tactile information (roughness) for telepalpation. However, no study has been reported yet regarding telehaptic palpation using mobile phone images for teledermatology or teleconsultations of skincare.

    Methods: This study is therefore aimed at introducing a new algorithm accurately reconstructing a haptic augmented skin surface for telehaptic palpation using a low-cost clip-on microscope simply attached to a mobile phone. Read More

    Atopic Dermatitis Disease Education.
    Adv Exp Med Biol 2017 ;1027:179-184
    Department of Dermatology, The Mount Sinai Hospital, New York, NY, USA.
    Atopic dermatitis is a skin condition that is increasing burdensome to patient's lives. Patients require effective strategies to cope with the condition as well as the vast amount of new research that is coming to the forefront. This chapter discusses the patient education aspect of atopic dermatitis. Read More

    Impact of dermatology eConsults on access to care and skin cancer screening in underserved populations: A model for teledermatology services in community health centers.
    J Am Acad Dermatol 2018 Feb 20;78(2):293-302. Epub 2017 Oct 20.
    Weitzman Institute, Middletown, Connecticut.
    Background: The clinical outcome of teledermatology with dermoscopy in large-scale primary care networks remains unclear.

    Objective: We evaluate the impact of implementing a teledermatology consultation program with dermoscopy on a statewide scale, focusing on access to care and skin cancer screening for medically underserved populations.

    Methods: Descriptive retrospective cohort study of 2385 dermatology referrals from primary care from June 2014 through November 2015. Read More

    Analysis of live interactive teledermatologic consultations for prisoners in Korea for 3 years.
    J Telemed Telecare 2017 Jan 1:1357633X17732095. Epub 2017 Jan 1.
    Department of Dermatology, Busan Paik Hospital, Busan, Korea.
    Introduction Teledermatology has contributed to the enhanced accessibility of underserved populations. This study investigated the prevalence and clinical outcomes of dermatologic diseases in prisoners in Korea through live interactive teledermatology (LITD) Method The medical records of patients in a Busan prison, who interacted with a dermatologist using LITD from July 2013 to August 2016, were reviewed retrospectively. Results The mean age of the 406 patients enrolled in the study was 39. Read More

    [Teledermoscopy by mobile phones : Reliable help in the diagnosis of skin lesions?]
    Hautarzt 2017 Nov;68(11):890-895
    Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar, Technische Universität München, Biedersteiner Str. 29, 80802, München, Deutschland.
    Background: Teledermoscopy is a promising modern technique to complement or to substitute dermatologic examination.

    Objective: In this pilot study, we compared the outcomes of teledermoscopic consultations with clinical examinations and histologic results.

    Methods: Conventional and dermatoscopic photos of single lesions were taken in 26 patients using a mobile phone and an attached handyscope optical system. Read More

    Teledermatology: Is it Beneficial to Patients?
    Ann Plast Surg 2017 10;79(4):415-416
    Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA Division of Plastic Surgery, Department of Surgery, University of Kentucky College of Medicine, Lexington, KY Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN Division of Plastic Surgery, Department of Surgery, University of California San Diego, San Diego, CA Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

    Teledermatology Applications in Skin Cancer Diagnosis.
    Dermatol Clin 2017 Oct;35(4):559-563
    Department of Dermatology, University of Michigan, 1910 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address:
    Teledermatology has drawn interest in the dermatologic community, because it allows for earlier detection of skin cancer in patients with poor access to health care. Using a combination of dermoscopy and digital photography, teledermatology has demonstrated acceptable concordance with face-to-face clinical diagnoses in multiple settings for pigmented skin lesions. Additional studies on using teledermatology to assess nonpigmented skin lesions are needed. Read More

    Smartphone-Based Applications for Skin Monitoring and Melanoma Detection.
    Dermatol Clin 2017 Oct 9;35(4):551-557. Epub 2017 Aug 9.
    Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. Electronic address:
    With the advancement of mobile technologies, smartphone applications (apps) have become widely available and gained increasing attention as a novel tool to deliver dermatologic care. This article presents a review of various apps for skin monitoring and melanoma detection and a discussion of current limitations in the field of dermatology. Concerns regarding quality, transparency, and reliability have emerged because there are currently no established quality standards or regulatory oversight of mobile medical apps. Read More

    Mole Mapping for Management of Pigmented Skin Lesions.
    Dermatol Clin 2017 Oct 7;35(4):439-445. Epub 2017 Aug 7.
    The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, 240 East 38th Street, 11th Floor, New York, NY 10016, USA.
    Identifying new or changing melanocytic lesions, particularly in patients with numerous or atypical nevi, can be challenging. Total-body photography and sequential digital dermoscopy imaging, together known as digital follow-up, are 2 prominent forms of noninvasive imaging technology used in mole mapping that have been found to improve diagnostic accuracy, detect earlier-stage melanomas, and reduce costs. Digital follow-up, in combination with direct-to-consumer applications and teledermatology, is already revolutionizing the ways in which physicians and patients participate in melanoma surveillance and will likely continue to enhance early detection efforts. Read More

    Teledermatology: A Review and Update.
    Am J Clin Dermatol 2018 Apr;19(2):253-260
    Department of Dermatology, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, USA.
    Telemedicine is slowly transforming the way in which healthcare is delivered and has the potential to improve access to subspecialty expertise, reduce healthcare costs, and improve the overall quality of care. While many subspecialty fields within medicine today have either experimented with or begun to implement telemedicine platforms to enable remote consultation and care, dermatology is particularly suited for this care system as skin disorders are uniquely visible to the human eye. Through teledermatology, diagnostic images of skin disorders with accompanying clinical histories can be remotely reviewed by teledermatologists by any number of modalities, such as photographic clinical images or live video teleconferencing. Read More

    Teledermatology: An updated overview of clinical applications and reimbursement policies.
    Int J Womens Dermatol 2017 Sep 20;3(3):176-179. Epub 2017 May 20.
    Department of Dermatology, University of Connecticut, Farmington, CT.
    Telemedicine is an emerging field in healthcare that provides services from different medical specialties to patients all around the world. One of the specialties in telemedicine, teledermatology, has grown exponentially as a cost-effective way to implement dermatological healthcare to underserved areas and populations. This article reviews the literature that pertains to the cost-effectiveness, reliability, public access, patient satisfaction, and reimbursement policies of teledermatology. Read More

    [Teledermatology between two French hospitals: Two years of experience].
    Ann Dermatol Venereol 2017 Dec 10;144(12):759-767. Epub 2017 Aug 10.
    Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France. Electronic address:
    Background: Teledermatology is currently booming. Due to the shortage of dermatologists in hospitals access to dermatological consultations is very limited in some hospitals. We present our experience of collaboration between an expert center, the dermatology department of the Victor-Dupouy Hospital Centre in Argenteuil, and all medical structures under the André-Mignot Hospital in Versailles (CHV), including 2 prison medical centers (UCSA), traditional departments and emergency department. Read More

    Trends in dermatology practices and the implications for the workforce.
    J Am Acad Dermatol 2017 Oct 4;77(4):746-752. Epub 2017 Aug 4.
    American Academy of Dermatology, Washington, DC, and Schaumburg, Illinois. Electronic address:
    Background: The American Academy of Dermatology (AAD) practice profile surveys have been conducted for more than a decade to gauge trends in our workforce supply and demand.

    Objective: To update the trends and current workforce issues for the field of dermatology.

    Methods: The AAD Practice Profile Survey is sent by both e-mail and postal mail to a random sample of practicing dermatologists who are AAD members. Read More

    Can You See Me Now? Video Supplementation for Pediatric Teledermatology Cases.
    Pediatr Dermatol 2017 Sep 2;34(5):566-571. Epub 2017 Aug 2.
    Department of Dermatology, University of California, San Francisco, San Francisco, California.
    Background/objectives: Digital video is widely available and is used sporadically in clinical settings to evaluate patients, but whether it helps improve clinical management has not been determined. The aim of this study was to assess whether recorded video in addition to still images can improve residents' diagnostic and management accuracy and confidence with pediatric teledermatology cases.

    Methods: Dermatology residents from three programs were assigned alternately to an online survey with 15 pediatric teledermatology cases presented with still images only (still) or still images plus recorded video (mixed). Read More

    Impact of Direct to Consumer Store-and-Forward Teledermatology on Access to Care, Satisfaction, Utilization, and Costs in a Commercial Health Plan Population.
    Telemed J E Health 2018 Feb 21;24(2):166-169. Epub 2017 Jul 21.
    1 Aetna, Inc. , New York, New York.
    Purpose: Store-and-forward teledermatology can improve access to dermatology by enabling asynchronous consults. This study assesses it on access, satisfaction, utilization, and costs in a commercial health plan setting.

    Methodology: In this prospective observational study with matched control, 47,411 individuals were provided access to teledermatology services staffed by board-certified, licensed dermatologists for 6 months. Read More

    Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application.
    Telemed J E Health 2018 Mar 21;24(3):236-245. Epub 2017 Jul 21.
    1 Department of Pediatrics, The Children's Hospital of Philadelphia , Philadelphia, Pennsylvania.
    Objective: Pediatric dermatology appointment wait times often exceed several months. We evaluated the usability, acceptability, and clinical impact of a store-and-forward teledermatology mobile application (app) linking families with pediatric dermatologists.

    Methods: Parents of children age 6 weeks to 17 years or individuals 18-21 years old were invited (by e-mail or referral) to participate in this single group, prospective study. Read More

    Teledermatology and Mobile Applications in the Management of Patients with Skin Lesions.
    Acta Derm Venereol 2017 Jul 5. Epub 2017 Jul 5.
    Melanoma Clinic and Teledermatology Network, University Hospital Virgen Macarena, ES-41009 Seville, Spain.
    Teledermatology and smartphone mobile applications have been at the forefront of advances in the screening and management of patients with skin lesions over the past decade. The Spanish teledermatology network, established in 2004 in the area surrounding the dermatology clinic in Seville, has now managed over 50,000 teleconsultations and has led to validated improvements in waiting times for referral and surgery, allowed patients to be treated in local settings, and improved the early diagnosis and initial prognosis of patients diagnosed with melanoma. Both teledermatology and smartphone mobile applications can be used as training tools to improve the diagnostic skills of physicians and dermatologists. Read More

    Telemedicine Services for the Arctic: A Systematic Review.
    JMIR Med Inform 2017 Jun 28;5(2):e16. Epub 2017 Jun 28.
    Department of Computer Science, University of Tromsø - The Arctic University of Norway, Tromsø, Norway.
    Background: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges. Read More

    Total-body photography in skin cancer screening: the clinical utility of standardized imaging.
    Cutis 2017 May;99(5):312-316
    Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
    Early detection of skin cancer is essential to reducing morbidity and mortality from both melanoma and nonmelanoma skin cancers. Total-body skin examinations (TBSEs) may improve early detection of malignant melanomas (MMs) but are controversial due to the poor quality of data available to establish a mortality benefit from skin cancer screening. Total-body photography (TBP) promises to provide a way forward by lowering the costs of dermatologic screening while simultaneously leveraging technology to increase patient access to dermatologic care. Read More

    Incidence of melanoma and keratinocytic carcinomas in patients evaluated by store-and-forward teledermatology vs. dermatology clinic.
    Int J Dermatol 2017 Oct 20;56(10):1026-1031. Epub 2017 Jun 20.
    Tufts Medical Center/Tufts University School of Medicine, Boston, MA, USA.
    Background: It is unclear whether incidence of detected skin cancer in patients evaluated by store-and-forward teledermatology (SAF) vs. face-to-face consultation (F2F) significantly differs, and whether such differences are because of variations in patient demographics, diagnostic accuracy, or both.

    Methods: This retrospective cohort study compares patient skin cancer risk profile, pre-post biopsy diagnostic accuracy, and detection rates of any skin cancer, melanoma, and keratinocytic carcinoma between all SAF teledermatology patients and a subset of randomly selected F2F consultations at VA-Boston Healthcare System in 2014. Read More

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