PHOTOGRAPHIC UTILIZATION IN DERMATOLOGY CLINICS IN THE UNITED-STATES - A SURVEY OF UNIVERSITY-BASED DERMATOLOGY RESIDENCY PROGRAMS

Background: Photography has recently been introduced as an adjunct to the clinical management of patients with the dysplastic nevus syndrome (DNS). Objective: Our purpose was to evaluate the methods used and the extent of clinical photography in dermatology residency programs in the United States. Methods: Nonmilitary accredited dermatology residency programs in the United States were surveyed (73% response rate) regarding utilization and technical aspects of clinical photography. Results: Forty-one percent of respondents used photography for the clinical management of 90% or more of patients with DNS. Twenty-four percent of respondents used photography for the clinical management of all patients with DNS. Eighty-one percent of respondents used slides, and 62% utilized total body photographs. The median number of photographs taken for a patient with DNS was 20. Conclusion: Dermatologic photography has been widely adopted for the clinical management of patients with DNS. Failure of the health insurance industry to recognize the value of this procedure may result in its underutilization.