DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20210464

Application of smartphones in dermatology practice: a cross-sectional survey

Priya Prabhakaran Nair, Leela Manju

Abstract


Background: Smartphones have revolutionised medical practice including dermatology because of its multiple functions assisting practitioners at the point of care and beyond. We aimed to analyse the pattern of smartphone use by dermatologists and to explore their opinions and difficulties faced while using smartphone

Methods: This cross-sectional study included a population of dermatology consultants and residents in Kerala, India. A validated self-reported questionnaire was emailed to them using a survey tool to collect the data

Results: Overall 100 practitioners responded to the questionnaire with a response rate 10.6%. Consultants and residents accounted for 81% and 19% of the participants respectively. Females (78%) outnumbered males. Most (58.6%) belonged to age group 31-40 years. Everyone owned a smartphone with the most prevalent operating system (OS) being android (85.9%). Medical communication was done mostly using phone calls (92%). Drug reference (94%) was the most popular noncommunicative application. Most participants (85%) used smartphone camera for clinical photography. OS freezing was the biggest technical issue whereas inappropriate use and distraction were the biggest nontechnical challenges of smartphone use. Clinical photography was taken by 95% for disease monitoring with significantly higher usage in females. Those upto 40 years of age significantly took and shared clinical photographs for second opinion more than older ones. Only 17.2% with significantly higher males than females took written consent for photography.

Conclusions: Dermatologists use smartphone extensively for communication, information and photography with preferences varying with age, gender and level of training.


Keywords


Smartphone, Communication, Information, Photography, Challenges, Dermatology

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References


Jamal A, Temsah M-H, Khan SA, Al-Eyadhy A, Koppel C, Chiang MF. Mobile phone use among medical residents: a cross-sectional multicenter survey in Saudi Arabia. JMIR MHealth UHealth. 2016;4(2):e61.

Buabbas AJ, Sharma P, Al-Abdulrazaq A, Shehab H. Smartphone use by government dermatology practitioners in Kuwait: a self-reported questionnaire based cross-sectional study. BMC Med Inform Decis Mak. 2019;19(1):155.

Kunde L, McMeniman E, Parker M. Clinical photography in dermatology: ethical and medico-legal considerations in the age of digital and smartphone technology. Australas J Dermatol. 2013; 54(3):192-7.

Milam EC, Leger MC. Use of medical photography among dermatologists: a nationwide online survey study. J Eur Acad Dermatol Venereol. 2018;32(10): 1804-9.

Payne KB, Wharrad H, Watts K. Smartphone and medical related app use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Med Inform Decis Mak. 2012;12:121.

Franko OI, Tirrell TF. Smartphone app use among medical providers in ACGME training programs. J Med Syst. 2012;36(5):3135-9.

Choi JS, Yi B, Park JH, Choi K, Jung J, Park SW, et al. The uses of the smartphone for doctors: an empirical study from samsung medical center. Healthc Inform Res. 2011;17(2):131-8.

Yaman H, Güneş ED. Family practice in Turkey: Observations from a pilot implementation. Scand J Prim Health Care. 2016;34(1):81-2.

Patel PK, Sayers AE, Patrick NL, Hughes K, Armitage J, Hunter IA. A UK Perspective on Smartphone Use Amongst Doctors Within the Surgical Profession. Ann Med Surg (Lond). 2015;4(2):107-12.

Khanna V, Sambandam SN, Gul A, Mounasamy V. WhatsApp ening in orthopedic care: a concise report from a 300-bedded tertiary care teaching center. Eur J Orthop Surg Traumatol Orthop Traumatol. 2015;25(5):821-6.

Johnston MJ, King D, Arora S, Behar N, Athanasiou T, Sevdalis N, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1): 45-51.

Giordano V, Koch HA, Mendes CH, Bergamin A, de Souza FS, do Amaral NP. WhatsApp messenger is useful and reproducible in the assessment of tibial plateau fractures: inter- and intra-observer agreement study. Int J Med Inf. 2015;84(2):141-8.

Anyanwu CO, Lipoff JB. Smartphones, photography, and security in dermatology. J Am Acad Dermatol. 2015;72(1):193-5.

Wallace S, Clark M, White J. It’s on my iPhone: attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open. 2012;2(4).

McLeod RP, Mays MZ. Back to the future: personal digital assistants in nursing education . Nurs Clin North Am. 2008;43(4):583-92.

Caffery LJ, Smith AC. A literature review of email-based telemedicine. Stud Health Technol Inform. 2010;161:20-34.

Al Ayubi SU, Pelletier A, Sunthara G, Gujral N, Mittal V, Bourgeois FC. A mobile app development guideline for hospital settings: maximizing the use of and minimizing the security risks of “bring your own devices” policies. JMIR MHealth UHealth. 2016;4 (2):e50.

Abbott LM, Magnusson RS, Gibbs E, Smith SD. Smartphone use in dermatology for clinical photography and consultation: Current practice and the law. Australas J Dermatol. 2018;59(2):101-7.

Putzer GJ, Park Y. Are physicians likely to adopt emerging mobile technologies? attitudes and innovation factors affecting smartphone use in the southeastern United States. Perspect Health Inf Manag. 2012;9:1b.

Leger MC, Wu T, Haimovic A, Kaplan R, Sanchez M, Cohen D, et al. Patient perspectives on medical photography in dermatology. Dermatol Surg Off Publ Am Soc Dermatol Surg Al. 2014;40(9):1028-37.