Trends in dermatology practices and the implications for the workforce

Abstract

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.

Results: Shifts are noted in the primary practice setting; fewer dermatologists are in solo practice and more are in group practices than in previous years. Teledermatology use trended upward from 7% to 11% between 2012 and 2014. The implementation of electronic health records increased from 51% in 2011 to 70% in 2014.

Limitations: There is potential for response bias and inaccurate self-reporting. Survey responses collected may not be representative of all geographic areas.

Conclusion: The demand for dermatology services remains strong. Shifts in the practice setting may be related to increases in overhead costs that are partially associated with the implementation of technology-based medical records. Integration of electronic health records and utilization of telemedicine are increasing.

Keywords: electronic medical records; nonphysician dermatology providers; perceived supply of dermatologists telemedicine; workforce.