{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T20:48:14Z","timestamp":1757623694468,"version":"3.44.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T00:00:00Z","timestamp":1751673600000},"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":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>A significant number of dermatological presentations in Australia are managed by general practitioners and non\u2010dermatologist health professionals. This audit examines the agreement between referring physicians and dermatologists in a tropical regional setting to identify opportunities for collaborative education and support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit was conducted at a privately billing dermatology practice in Darwin, Northern Territory of the referrals for 479 patients from January to March 2022. Particular attention was given to the concordance in diagnoses and treatments initiated. A subset of 131 referrals focused on skin cancer surveillance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only a third of skin cancer referrals included a provisional diagnosis, but, where provided, this corresponded with the dermatologists' assessments 62% of the time. There was 100% diagnostic concordance for presentations of melasma, molluscum\/verruca and hidradenitis suppurativa. For acne, hyperhidrosis, and vitiligo, concordance rates ranged from 72.7%\u201393%. However, treatment concordance was low across all non\u2010skin cancer conditions, with no treatment prescribed by the referring practitioner for more than one quarter of all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This audit identified deficiencies in the diagnosis of skin cancer and the management of other dermatological conditions, indicating opportunities for interprofessional collaboration with targeted education to enhance the management and treatment outcomes of dermatological conditions in the Northern Territory.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.14561","type":"journal-article","created":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T04:16:02Z","timestamp":1751688962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Dermatologically Aligned Are Territory Doctors? Assessing Dermatology Referrals in Darwin for Diagnostic and Therapeutic Concordance"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8452-4586","authenticated-orcid":false,"given":"Nicholas","family":"Hayes","sequence":"first","affiliation":[{"name":"Darwin Dermatology  Tiwi Northern Territory Australia"},{"name":"Hindmarsh Bowden Health  Hindmarsh South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Ross","sequence":"additional","affiliation":[{"name":"Darwin Dermatology  Tiwi Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5111-8880","authenticated-orcid":false,"given":"Crystal","family":"Williams","sequence":"additional","affiliation":[{"name":"Darwin Dermatology  Tiwi Northern Territory Australia"},{"name":"Department of Dermatology Royal Darwin Hospital  Tiwi Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9524-2384","authenticated-orcid":false,"given":"Dev","family":"Tilakaratne","sequence":"additional","affiliation":[{"name":"Darwin Dermatology  Tiwi Northern Territory Australia"},{"name":"Department of Dermatology Royal Darwin Hospital  Tiwi Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,5]]},"reference":[{"volume-title":"General Practice Activity in Australia 2015\u201316","year":"2016","author":"Britt H.","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2007.00340.x"},{"volume-title":"General Practice Activity in Australia 2003\u201304","year":"2004","author":"Britt H.","key":"e_1_2_9_4_1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1999.00324.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2005.00860.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp14X680521"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-019-1053-1"},{"key":"e_1_2_9_9_1","unstructured":"Department of the Chief Minister and Cabinet N.T.G. People of the Northern Territory \u201cStory of Our Children and Young People \u201d (2022) https:\/\/dcm.nt.gov.au\/__data\/assets\/pdf_file\/0007\/760255\/people\u2010of\u2010the\u2010northern\u2010territory.pdf."},{"key":"e_1_2_9_10_1","unstructured":"Geoscience Australia A.G \u201cArea of Australia \u2010 States and Territories \u201d (2023) https:\/\/www.ga.gov.au\/scientific\u2010topics\/national\u2010location\u2010information\/dimensions\/area\u2010of\u2010australia\u2010states\u2010and\u2010territories."},{"key":"e_1_2_9_11_1","unstructured":"The Information Architects of Encyclopedia Brittanica \u201cE.B. United Kingdom: Facts and Stats \u201d (2023) https:\/\/www.britannica.com\/facts\/United\u2010Kingdom."},{"key":"e_1_2_9_12_1","unstructured":"Department of Treasury and Finance N.T.G \u201cNorthern Territory Economy \u201d (2023) https:\/\/nteconomy.nt.gov.au\/population."},{"key":"e_1_2_9_13_1","unstructured":"Department of Health and Aged Care \u201cA.G. 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