Access Derm
Providing Access to Expert Dermatologic Care
What is Access Derm?
Access Derm is a teledermatology consultation service built for physicians and health systems. We partner with primary care providers, concierge medicine offices, and accountable care organizations to streamline dermatology referrals and improve access to care.
Our service offers rapid, image-based dermatologic consultations within 24 hours, helping doctors triage lesions, rashes, and other skin concerns without the delay of traditional referrals.
We’re physician-led, HIPAA-compliant, and focused entirely on supporting your clinical workflow.
What We Offer
Asynchronous Consults
Secure image-based review of dermatologic conditions with written recommendations returned in <24 hours.
Referral Support
Guidance on which cases need in-person dermatology evaluation and which can be managed by the PCP.
Urgent Visit Coordination
When needed, we help facilitate fast-track in-person appointments with local dermatology practices.
Why Use Access Derm?
Faster Patient Care
Get dermatology input in hours—not weeks—without disrupting your clinic flow.
Fewer Referrals
In similar systems, up to 70% of cases can avoid in person visits via teledermatology care.
Better Patient Experience
Keep care coordinated under your roof longer, with fast in person access if needed.
Flexible, Physician-to-Physician Model
We work behind the scenes — no app or portal required for your patients.
Cost-Efficient
Our service reduces visit duplication and helps systems succeed in value-based care.
How It Works
1
Case Submitted Through Your Own EMR
Primary care providers or concierge physicians submit clinical cases—typically rashes, lesions, or skin concerns—directly within their own EMR system.
No new portals, no extra logins. This streamlined integration ensures minimal disruption to the current workflow.
2
Dermatologist Review Within 24 Hours
Access Derm receives and reviews each case. A board-certified dermatologist evaluates clinical notes and attached images and provides an expert assessment.
The dermatology consult is documented back into the EMR within 24 business hours, offering a differential diagnosis, treatment suggestions, and clear triage guidance (e.g., reassurance, medication trial, or escalation for in-person care).
3
In-Person Care if Needed
If the case warrants an in-person evaluation, Access Derm can assist in coordinating referrals.
Our Dermatologist
Scott Bukoski, MD
Scott Bukoski is a board-certified dermatologist based in Richmond, Virginia, and founder of Access Derm.
Driven by a commitment to improve care delivery, Dr. Bukoski created Access Derm to make expert dermatology input more accessible and efficient—particularly in value-based and concierge settings. His goal is to enhance collaboration between specialists and primary care by offering rapid, image-based consultations that integrate seamlessly into existing clinical workflows.
By launching Access Derm, Dr. Bukoski aims to help health systems reduce delays, empower PCPs, and ultimately improve outcomes for patients with skin concerns—without unnecessary barriers or referrals.
