RE:RE:Solution to $$$It is all about the $$$ for Derms. I agree. So, in theory, why can't a Derm hire an intern and part of the interns job is to do the initial review of the incoming Siascopy scans. I'm sure the intern could address 95% of these and the trickier ones would get a second review by the Derm.
As long as the billing process is supported by public health, or private health insurance, the Derm is making additional money off the intern. Probably too much red tape here in Canada for this to work, but might be attractive in other countries.