The purpose of Teledermatology in Rural Georgia is to provide telemedicine (teledermatoscopy
/ teledermatology) and distance learning approaches to help solve the dermatologic
health disparities that Georgians living in rural areas face.
Diagnostics: We will provide your clinic with a MoleScope II™ dermatoscope attached to an iPhone
that will allow you to take dermatologic photographs of skin lesions of your patients
with high magnification and resolution. We will provide the software to enable you
to instantaneously transmit the photograph to expert dermatologists at Augusta University
in a process that is akin to sending a text message. Our AU Dermatology Team will
make a rapid, expert diagnosis of the lesion and return the diagnosis and management
recommendations/referrals to you within, in most instances, 20-60 min. You can then
relay this information to your patient. Of course, we will provide training to you
and your staff on how to use the dermatoscope and the associated software.
Education: We will also provide dermatology education for you and your clinic staff (as well
as your patients) using several approaches. We will provide an electronic library
of training videos on general dermatology, skin lesions, and dermoscopy for your staff, as well as learning
modules for your patients and the community (e.g., about skin cancer prevention and
skin care, other common cancers, and cancer-related topics, including risk factors).
These videos can be accessed by individuals on their own electronic devices or in
a group setting (at your clinic) using large monitors that we will provide from this
grant project. These videos are eligible for Continuing Medical Education (CME) and
Continuing Nursing Education (CNE) credit through Augusta University. We also will
organize case review conferences, called TeleECHO TeleDerm sessions, using the Project
ECHO model (see below) where you and your colleagues from the other clinics will submit
cases for more detailed discussion with our expert dermatologists to better understand
the diagnosis and differentiation from other possible diagnoses, review management
recommendations and answer other questions or comments you may want addressed. CME
and CNE credit will also be awarded for participation in TeleECHO TeleDerm sessions.
Continuing Medical Education (CME) / Continuing Nursing Education (CNE)
The Georgia Cancer Center’s Teledermatology in Rural Georgia program arranges CME/CNE
credit through MCG’s Office for Faculty & Continuous Professional Development at no
cost. You can earn CME/CNE credits by watching the training videos below on your own
schedule and/or by attending live TeleECHO® TeleDerm Sessions (see Project ECHO section
below).
The Medical College of Georgia has been reviewed by the Accreditation Council for
Continuing Medical Education (ACCME®) and awarded accreditation with commendation
as a provider of continuing medical education (CME) for physicians. Accreditation
in the ACCME System seeks to assure the medical community and the public that Augusta
University delivers education that is relevant to clinicians’ needs, evidence-based,
evaluated for its effectiveness, and independent of commercial influence.
Augusta University Medical Center is approved as a provider of nursing continuing
professional development by South Carolina Nurses Association, an accredited approver
by the American Nurses Credentialing Center’s Commission on Accreditation.
These videos provide a basic understanding of the skin and how dermatoscopes can help
with the diagnosis of common skin neoplasms. They cover the structure and function
of the skin, benign and malignant neoplasms, and the basic principles of dermoscopy.
To earn CME/CNE credit, click on the "Take CME/CNE Course" button below each lecture title, which will take you to the CME/CNE page where you
can take the pre-test, watch the video, and take the post-test. If you do not want,
or need, CME/CNE credit, then click on the "Watch Video" button below.
Structure and Function of the Skin
Learn about the basic anatomy and function of the skin
Teledermatology in Rural Georgia is proud to participate in the global learning community
known as Project ECHO (Extension for Community Healthcare Outcomes). This model, which
was developed in New Mexico in 2003 for treating Hepatitis C and other liver disorders,
incorporates telecommunications to connect medical experts with healthcare providers
in rural, remote communities, which is precisely the goal of Teledermatology in Rural
Georgia. Project ECHO employs a Hub-and-Spoke model of learning, where the Hub consists
of regional subject matter experts and the Spokes are the community partner sites.
Learning occurs via telecommunication between the Spokes and the Hub and the Spokes
with each other.
The Georgia Cancer Center is partnering with the ECHO Institute of the University
of New Mexico to provide learning and training to the healthcare professionals at
our Teledermatology clinic sites via videoconferencing, using equipment provided by
our USDA Distance Learning and Telemedicine grant award. Interactive, didactic presentations
on various aspects of dermatological lesions will be provided by our dermatology experts
at Augusta University (Drs. Harold Rabinovitz, Kendall Buchanan, Etsubdenk Ajebo,
and Loretta Davis) using the Zoom platform. TeleECHO TeleDerm sessions will be held
once a month using the classic ECHO format: a 15-min didactic presentation and two
case studies chosen and presented by the healthcare providers in the clinics. Cases
will be chosen for their educational content, complicated presentation, or any other
reason of interest. The cases will be discussed by the group of clinicians and the
AU experts. This type of presentation embodies the Project ECHO principals of interactive
learning communities, case-based learning, and democratization of knowledge. Our technology
allows for live, real-time audio and video exchange between clinicians at the Augusta
University Hub and all participating clinics (the Spokes). Continuing Medical and
Nursing Education credits, administered through Medical College of Georgia’s Office
for Faculty & Continuous Professional Development, are offered for most of our Project
ECHO educational opportunities. TeleECHO TeleDerm sessions will be recorded and banked
in an easily accessible video library for later viewing or review. Information about
TeleECHO TeleDerm sessions will be sent out to participating clinics by email.
“Cutaneous Signs of Internal Disease” presented by Dr. Joel Byrne, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Rashi Agrawal, MS3, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Blistering Disorders” presented by Dr. Victoria Madray, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Hanna Myers, MS3, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #19 (12/04/2023) - “The Red Leg"
“The Red Leg” presented by Dr. Lauren Prusinsky Fernung, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Sara Attari, MS3, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #18 (11/06/2023) - “Skin Cancer in Skin of Color"
“Skin Cancer in Skin of Color” presented by Dr. Silas Money, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Nicole Micklus, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Common Viral Exanthems” presented by Dr. Margaret Newsome, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Chandler Johnson, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Sun Protection: Do’s and Don’ts” presented by Dr. Silas Money, PGY-3, Dept. of Dermatology, Medical College of Georgia. Case presentation by Mishma Farsi, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #15 (08/07/2023) - “What you need to know about Mohs Surgery”
“What you need to know about Mohs Surgery” presented by Dr. Kathryn A. Potter, Assistant Professor, Department of Dermatology, Medical College of Georgia. Case presentation by Disha Patel, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #14 (05/01/2023) - “Dermoscopy in General Dermatology: Part 2”
TeleECHO TeleDerm Session #14 (05/01/2023) - “Dermoscopy in General Dermatology: Part 2” presented by Dr.Kendall Buchanan , Assistant Professor, Dept. of Dermatology, Medical College of Georgia. “Skin Biopsy Techniques” is by Dr. Davis Diamond, Resident Physician, Dept. of Dermatology, Medical College of Georgia and Case presentation by Andrea Ramirez, MS3, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #13 (04/10/2023) - “Dermoscopy in General Dermatology”
TeleECHO TeleDerm Session #13 (04/10/2023). “Dermoscopy in General Dermatology ” presented by Dr.Kendall Buchanan , assistant professor, Department of Dermatology, Medical College of Georgia. Case presentation is by Ahana Gaurav, MS3, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #12 (03/06/2023) - “Vascular Patterns in Dermoscopy”
“Vascular Patterns in Dermoscopy” presented by Dr.Kendall Buchanan, assistant professor, Department of Dermatology, Medical College of Georgia.
Case presentation is by John Hetzel, MS4, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #11 - "Dermoscopy of Facial Lesions"
“Dermoscopy of Facial Lesions” presented by Dr.Kendall Buchanan , Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Recorded on February 6, 2023.
Case Presentation is by Omkar Mayur, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #10 - Pigmented Lesions in Skin of Color
"Pigmented Lesions in Skin of Color” presented by Dr.Kendall Buchanan, assistant professor, Dept. of Dermatology, Medical College of Georgia. Recorded January 9, 2023.
Case Presentation is by Renee Copeland, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Melanoma Dermoscopic Patterns” presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Recorded on December 5, 2022.
“Best Practices: MoleScope Refresher” is by Dr. Sam Waling, Family Medicine Physician, AAPHC-Lee Medical Arts Center.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #12 - "Vascular Patterns in Dermoscopy"
TeleECHO TeleDerm Session #12 (03/06/2023). “Vascular Patterns in Dermoscopy ” presented by Dr.Kendall Buchanan , Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Recorded on March 6, 2023.
Case Presentation is by John Hetzel, MS4, Medical College of Georgia.
This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Melanoma Dermoscopic Patterns” presented by Dr. Kendall Buchanan , Assistant Professor, Dept. of Dermatology, Medical College of Georgia. “Best Practices: A MoleScope Refresher” is by Dr. Sam Waling, Family Medicine Physician, AAPHC-Lee Medical Arts Center. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding by the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #8 - "Dermoscopic Features of Squamous Cell Carcinoma"
“Dermoscopic Features of Squamous Cell Carcinoma” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Myiesha McFarlin, Nurse Practitioner, East Georgia Healthcare Center- Soperton and Lorry (Liz) Aitkens, 4th year Medical Student, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #7 - "Dermoscopic Features of Basal Cell Carcinoma"
“Dermoscopic Features of Basal Cell Carcinoma” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentation is by John Hetzel, 4th year Medical Student , Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #6 - "Benign and Fine Characteristic Features of Common Benign Neoplasms"
“Benign and Fine: Characteristic Features of Common Benign Neoplasms” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Dr. Etsub Ajebo, Resident Physician, Dept. of Dermatology, Medical College of Georgia and Joo (Sally) Jung, 4th year Medical Student, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #5 - "The Many Faces of Nevi" (Part 2)
“The Many Faces of Nevi: Part 2” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Dr. Samuel Waling, Family Medicine Physician, Albany Area Primary Health Care -Lee Medical Arts Center and Hana Nazir, 4th year Medical Student, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #4 - "The Patterns of Nevi" (Part 1)
“Patterns of Nevi” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Dr. Kendall Buchanan and Dr. Davis Diamond, Resident Physician, Dept. of Dermatology, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
“Two-Step Dermoscopy Algorithm” is presented by Dr. Kendall Buchanan, Assistant Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Dr. Samuel Waling, Family Medicine Physician, Albany Area Primary Health Care - Lee Medical Arts Center and Dr. Jeremy Greer, Resident Physician, Dept. of Dermatology, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #2 - "Fundamentals of Dermoscopy Terminology"
“Fundamentals of Dermoscopy: Terminology” is presented by Dr. Harold Rabinovitz, Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentations are by Dr. Etsub Ajebo, Resident Physician, Dept. of Dermatology, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
TeleECHO TeleDerm Session #1 - "Introduction to Dermoscopy"
“Introduction to Dermoscopy” is presented by Dr. Harold Rabinovitz, Professor, Dept. of Dermatology, Medical College of Georgia. Case Presentation is by Dr. Jeremy Greer, Resident Physician, Dept. of Dermatology, Medical College of Georgia. This Project ECHO session is a component of Teledermatology in Rural Georgia, a program sponsored by the Georgia Cancer Center at Augusta University with funding from the USDA Distance Learning and Telemedicine Grants Program.
Learn More Here: https://go.augusta.edu/telederm
#Dermatology #SkinCancer #SkinCancerAwareness #CancerScreening
Guidelines of Care
Basal cell carcinoma Basal cell carcinoma (BCC) is the most common form of human cancer, with a continually
increasing annual incidence in the United States. When diagnosed early, the majority
of BCCs are readily treated with office-based therapy, which is highly curative. In
these evidence-based guidelines of care, we provide recommendations for the management
of patients with BCC, as well as an in-depth review of the best available literature
in support of these recommendations.
Cutaneous squamous cell carcinoma Cutaneous squamous cell carcinoma (cSCC) is the second most common form of human cancer
and has an increasing annual incidence. Although most cSCC is cured with office-based
therapy, advanced cSCC poses a significant risk for morbidity, impact on quality of
life, and death. This document provides evidence-based recommendations for the management
of patients with cSCC. Topics addressed include biopsy techniques and histopathologic
assessment, tumor staging, surgical and nonsurgical management, follow up and prevention
of recurrence, and management of advanced disease.
Primary cutaneous melanoma The incidence of primary cutaneous melanoma continues to increase each year. Melanoma
accounts for the majority of skin cancer related deaths, but treatment is usually
curative following early detection of disease. In this American Academy of Dermatology
clinical practice guideline, updated treatment recommendations are provided for patients
with primary cutaneous melanoma (American Joint Committee on Cancer stages 0-IIC and
pathologic stage III by virtue of a positive sentinel lymph node biopsy). Biopsy techniques
for a lesion that is clinically suggestive of melanoma are reviewed, as are recommendations
for the histopathologic interpretation of cutaneous melanoma.
A Phase 3 Randomized Trial of Nicotinamide for Skin-Cancer Chemoprevention Andrew C Chen, Andrew J Martin, Bonita Choy, Pablo Fernández-Peñas, Robyn A Dalziell,
Catriona A McKenzie, Richard A Scolyer, Haryana M Dhillon, Janette L Vardy, Anne Kricker,
Gayathri St George, Niranthari Chinniah, Gary M Halliday, Diona L Damian. N Engl J
Med. 2015 Oct 22;373(17):1618-26. doi: 10.1056/NEJMoa1506197.
Neoantigen landscape dynamics during human melanoma-T cell interactions Els M E Verdegaal, Noel F C C de Miranda, Marten Visser, Tom Harryvan, Marit M van
Buuren, Rikke S Andersen, Sine R Hadrup, Caroline E van der Minne, Remko Schotte,
Hergen Spits, John B A G Haanen, Ellen H W Kapiteijn, Ton N Schumacher, Sjoerd H van
der Burg. Nature. 2016 Aug 4;536(7614):91-5. doi: 10.1038/nature18945. Epub 2016 Jun
27. PMID: 27350335 DOI: 10.1038/nature18945
Analysis of Melanoma in African American Patients in the United States Daniel Boczar, David J Restrepo, Andrea Sisti, Maria T Huayllani, Humza Y Saleem,
Xiaona Lu, Gabriela Cinotto, Oscar J Manrique, Aaron C Spaulding, Antonio J Forte.
PMID: 31704864 DOI: 10.21873/anticanres.13844. Anticancer Res. 2019 Nov;39(11):6333-6337.
doi: 10.21873/anticanres. 13844.
The genomic landscapes of individual melanocytes from human skin Jessica Tang, Eleanor Fewings, Darwin Chang, Hanlin Zeng, Shanshan Liu, Aparna Jorapur,
Rachel L. Belote, Andrew S. McNeal, Tuyet M. Tan, Iwei Yeh, Sarah T. Arron, Robert
L. Judson-Torres, Boris C. Bastian. Hunter Shain
Obstacles to skin self-examination: are frontier adults inclined abstainers? Jakob D. Jensen, Manusheela Pokharel, Andy J. King, Kevin K. John, Yelena P. Wu &
Douglas Grossman (2019): Obstacles to skin self-examination: are frontier adults inclined
abstainers?, Psychology, Health & Medicine, DOI: 10.1080/13548506.2019.1704035
