{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:48:37Z","timestamp":1776732517578,"version":"3.51.2"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,30]],"date-time":"2014-12-30T00:00:00Z","timestamp":1419897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>For 8 years <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian dermatologists have provided an outreach service to the Northern Territory (<jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>), including rural and remote areas. In 2012 and 2013, a trainee accompanied a dermatologist on these outreach visits. This is the first prospective study that documents the spectrum of dermatological diseases requiring outpatient specialist input in various settings in the <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>, and also the first study to compare the clinical experience of one <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian dermatology trainee in urban and rural settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Characteristics of patients managed primarily by the outreach dermatology registrar were recorded prospectively from <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary 2013 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2013. The data from the trainee's urban encounters were compared to that of the rural centres. The spectrum of conditions seen in these two settings was placed in the disease categories specified in the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralasian College of Dermatologists (<jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content>) curriculum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Royal Adelaide Hospital outpatient experience provided greater exposure to skin neoplasms, lymphoproliferative and myeloproliferative disorders and non\u2010infectious neutrophilic\/eosinophilic disorders. The outreach sites provided greater exposure to infections, adnexal diseases and genodermatoses. Both urban and rural experiences provided a broad exposure to the disease categories outlined in the <jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content> curriculum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The spectrum of disease requiring specialist dermatology input varies between urban <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia and rural <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>. The inclusion of dermatology trainees in outreach visits broadens their clinical exposure. It is recommended that other dermatology service providers in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia consider documenting clinical casemix comparisons to assess dermatology demand, outcomes and trainee exposure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.12273","type":"journal-article","created":{"date-parts":[[2014,12,31]],"date-time":"2014-12-31T04:50:30Z","timestamp":1420001430000},"page":"33-38","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A casemix study of patients seen by a dermatology trainee in rural and urban outpatient settings"],"prefix":"10.1111","volume":"57","author":[{"given":"Dev","family":"Tilakaratne","sequence":"first","affiliation":[{"name":"Department of Dermatology Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lachlan","family":"Warren","sequence":"additional","affiliation":[{"name":"Department of Dermatology Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Menz","sequence":"additional","affiliation":[{"name":"Department of Dermatology Repatriation General Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2001.tb143400.x"},{"key":"e_1_2_8_3_1","first-page":"245","article-title":"Tele\u2010dermatology in Australia","volume":"131","author":"Muir J","year":"2008","journal-title":"Stud. Health Technol. Inform."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X13506509"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2011.00792.x"},{"key":"e_1_2_8_6_1","unstructured":"Australian Population and Migration Research Centre. Accessibility\/remoteness index of Australia (ARIA).University of Adelaide. Available from URL:http:\/\/www.adelaide.edu.au\/apmrc\/research\/projects\/category\/about_aria.html. (Last modified 19 Feb 2014. Accessed 19 Feb 2014.)"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.12273","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.12273","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.12273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T18:24:50Z","timestamp":1694283890000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.12273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,30]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1111\/ajd.12273"],"URL":"https:\/\/doi.org\/10.1111\/ajd.12273","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,30]]},"assertion":[{"value":"2014-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-12-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}