Inpatient teledermatology bridges the critical gap in dermatological care for the vast majority of U.S. hospitals lacking on-site specialists. By utilizing asynchronous store-and-forward technology, dermatologists can provide expert management recommendations, significantly reducing diagnostic discordance and unnecessary antibiotic use. Dr. Joe English, a pioneer in the field, highlights that success in this model relies on establishing formal service contracts with hospitals, as standard billing codes fail to cover the complexity of inpatient consultations. While live video visits offer some utility, asynchronous workflows remain superior for high-volume, efficient care delivery. Expanding this model from academic centers to community hospitals is essential to address the current geographic concentration of dermatologists in metropolitan areas and ensure equitable access to specialized skin care across the country.
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