HealthCert Insights – A Podcast for Doctors, Nurses and Healthcare Professionals
Aug 7, 2026 · 31 min · 12 segments
What happens when a GP and dermatologist work side by side? The future of dermatology care may look less like a traditional referral pathway and more like collaboration — a model that could reshape…
Leona YipGuest
Matt WoollardHost
Lauren RiesGuest
Well, I was sitting in my office one day and thought, you know, people are bringing the practice and we are turning patients away because although we've got myself and two other contracted dermatologists, but the wait list and the appointment availability is just not accessible quickly for patients fast enough and turning away care is not ideal, obviously.

So I thought, why not try and get... especially as GP with advanced training in dermatology and with strong interest, because it will have to work both ways where we are able to provide ease of access to patients with rapidly available appointments as much as possible.

Also have someone who is interested to learn the craft because dermatology is science and it's art as well.

And we're able to stimulate the interest of someone who can fit into the practice and be our patients would also love getting along with and along their journey because dermatology is not binary it's not oh it's managed by the gpo it's managed by a specialist often there's a continuum and i'll give the example of say psoriasis where Traditionally, people think, oh, it's just a skin problem.

But now we know it's just a skin manifestation of a more systemic inflammatory disorder.

So I thought, why don't we have someone in the practice that can offer that to our patients so we're not turning them away and patients still get the best care that suits their needs at that point in time.

Was there a particular patient or system gap that you were really trying to address when you came up with this idea?

Look, we see a lot of patients with psoriasis, and a lot of these range from mild, moderate, severe.

And patients with milder extent of disease may not necessarily need to be followed up by a dermatologist.

Or sometimes... regardless of the extent of their disease, they need to be investigated and managed for their cardiovascular risks, metabolic syndrome risks, just because it's part and parcel of psoriasis management.

So it's nice to be able to have Lauren in practice where we go, all right, this is a new patient, Lauren, and she can manage them with first-line treatments like topical therapies or consent them or tell them about advanced treatments such as UV therapy or or biologics, but before that step, they may need to have methotrexate or other immune modulation or suppression treatments.

So the idea is that make Lauren feel confident managing these patients before they get to that specialist level where a biologic agent may be needed, and also make sure that we're managing the cardiovascular risk, metabolic syndrome, and other comorbidities that's linked to psoriasis.

We are not excluding their regular GP, it's just giving patients that ease of accessing more advanced dermatology care, but maybe they don't need to see the dermatologist just yet, and we have a specialist gp colleague who is able to offer that treatment but in a specialist environment where we can collaborate and if lauren needs to ask me about is it time for the patient to be transitioned to a biologic or do you think this patient's suitable for ub therapy in view of the history of skin cancers or whatever it is we're able to discuss it and that's how we've been doing Lauren's consult when she's in the clinic.

So Lauren, you're working across all the various different, I suppose, skin systems in your practice, not just skin cancer or not just say a particular area.

Well, I was sitting in my office one day and thought, you know, people are bringing the practice and we are turning patients away because although we've got myself and two other contracted dermatologists, but the wait list and the appointment availability is just not accessible quickly for patients fast enough and turning away care is not ideal, obviously.

So I thought, why not try and get... especially as GP with advanced training in dermatology and with strong interest, because it will have to work both ways where we are able to provide ease of access to patients with rapidly available appointments as much as possible.

Also have someone who is interested to learn the craft because dermatology is science and it's art as well.

And we're able to stimulate the interest of someone who can fit into the practice and be our patients would also love getting along with and along their journey because dermatology is not binary it's not oh it's managed by the gpo it's managed by a specialist often there's a continuum and i'll give the example of say psoriasis where Traditionally, people think, oh, it's just a skin problem.

But now we know it's just a skin manifestation of a more systemic inflammatory disorder.

So I thought, why don't we have someone in the practice that can offer that to our patients so we're not turning them away and patients still get the best care that suits their needs at that point in time.

Was there a particular patient or system gap that you were really trying to address when you came up with this idea?

Look, we see a lot of patients with psoriasis, and a lot of these range from mild, moderate, severe.

And patients with milder extent of disease may not necessarily need to be followed up by a dermatologist.

Or sometimes... regardless of the extent of their disease, they need to be investigated and managed for their cardiovascular risks, metabolic syndrome risks, just because it's part and parcel of psoriasis management.

So it's nice to be able to have Lauren in practice where we go, all right, this is a new patient, Lauren, and she can manage them with first-line treatments like topical therapies or consent them or tell them about advanced treatments such as UV therapy or or biologics, but before that step, they may need to have methotrexate or other immune modulation or suppression treatments.

So the idea is that make Lauren feel confident managing these patients before they get to that specialist level where a biologic agent may be needed, and also make sure that we're managing the cardiovascular risk, metabolic syndrome, and other comorbidities that's linked to psoriasis.

We are not excluding their regular GP, it's just giving patients that ease of accessing more advanced dermatology care, but maybe they don't need to see the dermatologist just yet, and we have a specialist gp colleague who is able to offer that treatment but in a specialist environment where we can collaborate and if lauren needs to ask me about is it time for the patient to be transitioned to a biologic or do you think this patient's suitable for ub therapy in view of the history of skin cancers or whatever it is we're able to discuss it and that's how we've been doing Lauren's consult when she's in the clinic.

So Lauren, you're working across all the various different, I suppose, skin systems in your practice, not just skin cancer or not just say a particular area.
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