[Experience with a "Telederma Program" in a family medicine unit]

Telemedicine represents the practice of medicine over distance; it goes from establishing a diagnosis to the implementation of a therapeutic plan and patient follow up. In a primary care unit, a teledermatology program was implemented in September 2007, with a total of 1874 patients attended, achieving a reduction of the waiting time for a dermatologic attention from six months to seven days. Special interest deserves the immediate recognition and treatment of those patients whose diagnosis is correlated with a poor prognosis. The objective is to share the experience acquired during the three years of the program, called Telederma, as an alternative of specialized dermatological care.