Methods

I. Geographic MappingBy pairing search engine data available through the American Academy of Dermatology (AAD) with the publically available contact information for all IHS and tribally-run facilities, the geographic distribution of dermatologists nationally will be mapped with respect to continental IHS and tribally-run hospitals.

II. Telephone Surveys with Dermatology Clinics:  A sample of dermatology clinics located in relatively close geographic proximity to IHS and tribally-run sites will be surveyed by phone with a standardized survey instrument to inquire about accepted health insurance plans, relationships with nearby IHS or tribally-run sites, phototherapy on-site etc. 

III. Telephone Surveys with Teledermatology Programs: Using a publically available list of active teledermatology programs, program coordinator names, and phone numbers from the American Telemedicine Association (ATA), phone surveys will be conducted of teledermatology program coordinators using a standardized survey instrument to inquire about past or present work with IHS or tribally-run sites, as well as barriers to and opportunities for collaboration. If too difficult to set up a daytime interview by phone, we will qutreach by e-mail.