Objective: To compare physician and patient impressions and interphysician diagnostic agreement between live teledermatology and in-person examinations.
Design: Paired video and in-person examinations with different dermatologists.
Setting: An urban Veterans Affairs dermatology clinic.
Patients: One hundred thirty-nine patients.
Main outcome measures: Satisfaction questionnaires and interphysician diagnostic agreement.
Results: Patient and physician satisfaction was high. Agreement between video and in-person diagnoses was 80%.
Conclusions: Physicians and patients were satisfied with teledermatology examinations. Diagnostic agreement between in-person and video dermatologists was high.