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2020 ; 33
(4
): e13472
Nephropedia Template TP
gab.com Text
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Changing paradigms of dermatology practice in developing nations in the shadow of
COVID-19: Lessons learnt from the pandemic
#MMPMID32347612
Kumar S
; Bishnoi A
; Vinay K
Dermatol Ther
2020[Jul]; 33
(4
): e13472
PMID32347612
show ga
At present, routine dermatology practices stay mostly disrupted worldwide owing
to the ongoing COVID-19 pandemic. However, dermatology services need to be
resumed in future and dermatologists especially in developing countries face a
mammoth task of devising plans to tackle the upcoming surge of patients while
still maintaining the precautions to avoid risk of infection to health care
workers and our patients. Teledermatology practice is a viable alternative and
there is need of starting functioning teledermatology centers at primary health
care centers and training health care workers in telemedicine. Several steps like
increasing the working hours of outpatient clinics, posting dermatologists and
health staffs in shifts, encouraging online registration and payment, providing
time slots to patients should be taken to prevent overcrowding at outpatient
departments in hospitals of developing countries like India where the usual
patient turnover during summers maybe around 600 to 800 per day. Once diagnosed
by the dermatologist, a subsequent meticulous use of teledermatology can limit
the number of follow-up visits. To avoid student gatherings, the undergraduate
and postgraduate teaching schedule should be replaced by online or virtual
teaching in form of webinars and video conferencing. Above all, intense
upgradation of health care infrastructure, recruitment, training of new health
care staffs on mass level and huge investment in health care sector is required
in all the developing countries.