RCHT Dermatology Advice and Guidance (Teledermatology)

GP Feedback Questionnaire

Thank you for taking the time to complete this. The information will be used to make improvements to the pilot.

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* 1. How many Dermatology Advice and Guidance referrals have you made?

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* 2. What kind of camera do you use at your practice?

Personal smart phone with camera

Digital camera shared between rooms

Digital camera in every room

Tablet device

Other (please specify)

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* 3. Were you satisfied with the written proforma?

Yes - keep it as it is

Not sure

No it needs changing. (Space for comments)

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* 4. How did you find the process of taking and uploading a digital image?

Easy

Difficult. (Space for comments)

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* 5. Were you satisfied with the consent form?

Yes

Not sure

No (Space for comments)

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* 6. Were you satisfied with the quality of the response from Dermatology?

Yes

Not sure

No. (Space for comments)

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* 7. How helpful was the response in enabling you to manage your patient?

Yes, very helpful

Quite helpful

Not very helpful (space for comments)

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* 8. If the outcome involved further assessment would you prefer:

Dermatology to advise on the most appropriate pathway for you to refer on at your discretion?

Dermatology to triage the patient directly onwards? (i.e. to theatre list, patch testing, vulval clinic etc. )

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* 9. Do you have the facilities and skills to perform punch biopsies and/or minor surgery in your surgery?

Yes

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* 1. How many Dermatology Advice and Guidance referrals have you made?

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* 2. What kind of camera do you use at your practice?

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* 3. Were you satisfied with the written proforma?

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* 4. How did you find the process of taking and uploading a digital image?

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* 5. Were you satisfied with the consent form?

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* 6. Were you satisfied with the quality of the response from Dermatology?

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* 7. How helpful was the response in enabling you to manage your patient?

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* 8. If the outcome involved further assessment would you prefer:

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* 9. Do you have the facilities and skills to perform punch biopsies and/or minor surgery in your surgery?

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* 10. Please write any further comments or suggestions you have below. Positive things are nice to feedback too