Rimoin Lauren, Haberle Sasha, DeLong Aspey Laura, Grant-Kels Jane M, Stoff Benjamin
*Department of Dermatology, Emory University, Atlanta, Georgia; †Dermatologists of Southwest Ohio, Cincinnati, Ohio; ‡Department of Dermatology, University of Connecticut, Farmington, Connecticut.
Dermatol Surg. 2016 Mar;42(3):305-9. doi: 10.1097/DSS.0000000000000634.
Digital photography is pervasive in dermatology. Potential uses include monitoring untreated disease, disease progression and treatment response, evaluating medical and cosmetic treatment, determining surgical sites, educating trainees and colleagues, and publishing reports in scientific journals. However, the nature of use, storage, and informed consent practices for digital photography among dermatologic surgeons has not been investigated.
This study used a comprehensive survey to elucidate these elements to better define standard practice.
A survey was created on SurveyMonkey. An email with the survey link was sent to all members of the American College of Mohs Surgery listserv with 2 follow-up emails.
One hundred fifty-eight Mohs surgeons responded to the survey. Respondents indicated a wide variety in the type of camera and storage modality used for patient photographs. There was a variety of opinions on how to conceal a patient's identity when using photographs for educational purposes, and what features of a photo make it identifiable.
Dermatologic surgeons vary widely on practices of photo storage and opinions of identifiability. Dermatology as a specialty may consider generating a consensus statement on appropriate use and storage of digital photography in dermatology practice.
数字摄影在皮肤科应用广泛。其潜在用途包括监测未经治疗的疾病、疾病进展和治疗反应、评估医学和美容治疗效果、确定手术部位、培训实习生和同事以及在科学期刊上发表报告。然而，皮肤科外科医生在数字摄影的使用性质、存储方式和知情同意做法方面尚未得到研究。
本研究通过全面调查来阐明这些要素，以更好地界定标准做法。
在SurveyMonkey上创建了一项调查。一封带有调查链接的电子邮件被发送给美国莫氏外科学会邮件列表服务的所有成员，并随后发送了两封跟进邮件。
158名莫氏外科医生回复了调查。受访者表示用于患者照片的相机类型和存储方式多种多样。对于在将照片用于教育目的时如何隐藏患者身份以及照片的哪些特征使其具有可识别性，存在多种观点。
皮肤科外科医生在照片存储做法和可识别性观点上差异很大。皮肤科作为一个专业领域可能会考虑就皮肤科实践中数字摄影的适当使用和存储制定一份共识声明。
