No Child Left Behind: Advancing Access in Pediatric Dermatology, a 4-Year, Single-Center Experience

Pediatric dermatology remains an underserved subspecialty due to workforce shortages, geographic disparities, and systemic barriers. This 4-year, single-center initiative implemented 15 targeted interventions, including optimization of provider roles, referral redesign, teledermatology expansion, and electronic health record-based scheduling strategies, to improve access and efficiency. The program achieved sustained improvements in fill rates, reduced no-shows, and decreased appointment lag times, enabling same-day appointments. By combining structural workflow redesign with technology-driven solutions, the initiative demonstrates a replicable model for expanding equitable access to pediatric dermatology care and may inform similar efforts in other underserved medical fields.