Dermatology Consultation

The dermatology consultation is the foundation of effective dermatological care. A thorough clinical assessment enables accurate diagnosis, risk stratification, and formulation of individualized treatment plans tailored to each patient's unique presentation. Whether addressing a new concern or managing a chronic condition, the consultation serves as the critical first step toward improved skin health.

What to Expect During a Consultation

During a dermatology consultation, a detailed medical history is obtained, including information about the presenting concern, its duration, prior treatments, relevant family history, and any associated symptoms. A review of current medications and allergies is also conducted to identify potential contributing factors or contraindications for treatment.

Patients are encouraged to bring a list of current medications, any relevant photographs documenting changes over time, and results from prior investigations. This information helps ensure a comprehensive evaluation and efficient use of appointment time.

Clinical Assessment

The clinical assessment involves a systematic examination of the skin, hair, and nails. Depending on the presenting complaint, a full-body skin examination may be performed to evaluate the overall condition of the skin and identify any additional areas of concern. Specific lesions are assessed for their morphology, distribution, and clinical characteristics.

Dermoscopy may be utilized during the examination to enhance visualization of skin structures not visible to the naked eye. This non-invasive technique provides additional diagnostic information and is particularly valuable in the evaluation of pigmented lesions and suspected skin cancers.

Diagnostic Investigations

When a diagnosis cannot be confirmed through clinical examination alone, additional diagnostic investigations may be ordered. These can include skin biopsies, patch testing for contact allergies, fungal cultures, blood work, or other laboratory studies. The selection of investigations is guided by the clinical findings and the differential diagnoses being considered.

Results from diagnostic investigations are reviewed in the context of the overall clinical picture. Findings are communicated to the patient and incorporated into the treatment plan. Follow-up appointments may be scheduled to review results and adjust management accordingly.

Developing a Treatment Plan

Following the clinical assessment and any necessary investigations, an individualized treatment plan is developed. This plan takes into account the diagnosis, disease severity, patient preferences, lifestyle factors, and any comorbid conditions. Treatment options are discussed in detail, including their expected benefits, potential risks, and anticipated timelines for improvement.

Treatment plans may incorporate topical therapies, systemic medications, procedural interventions, or a combination of approaches. The rationale for the recommended treatment is explained, and shared decision-making is encouraged to ensure alignment with patient goals and expectations.

Referral and Access

In Ontario, a referral from a family physician or nurse practitioner is required for OHIP-covered dermatology consultations. Patients are encouraged to speak with their primary care provider about obtaining a referral if a dermatological concern has been identified. The Centre for Medical and Surgical Dermatology accepts referrals from across Ontario, ensuring broad access to specialized dermatological care.

Once a referral is received, the clinical team reviews it and schedules an appointment based on the urgency of the concern. Urgent and semi-urgent cases, such as suspected skin cancers, are prioritized to ensure timely assessment and management.

At the Centre for Medical and Surgical Dermatology, Dr. Maksym Breslavets provides comprehensive dermatological consultations with an emphasis on accurate diagnosis and evidence-based treatment. Each consultation is conducted with the goal of delivering thorough, patient-centred care that addresses both immediate concerns and long-term skin health.