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Sabrina Michelle Shearer

Sabrina Michelle Shearer

· Assistant Professor of DermatologyVerified

Duke University · Dermatology

Active 2018–2026

h-index2
Citations46
Papers32 last 5y
Funding
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About

Sabrina Michelle Shearer is an Assistant Professor of Dermatology at Duke University. She is based at the Duke Department of Dermatology located at 40 Medicine Circle, Durham, NC 27710. Her role involves contributing to the academic and clinical missions of the department, although specific details about her research focus, background, or key contributions are not provided on the page.

Research topics

  • Artificial Intelligence
  • Medicine
  • Medical physics
  • Statistics
  • Demography
  • Psychology
  • Environmental health
  • Family medicine

Selected publications

  • Outpatient care activities of inpatient dermatologists between 2013-2019 reveal unique practice patterns

    Journal of the American Academy of Dermatology · 2026-02-11

    article
  • The United States dermatology inpatient workforce between 2013 and 2019: a Medicare analysis reveals contraction of the workforce and vast access deserts—a cross-sectional analysis

    Archives of Dermatological Research · 2024 · 6 citations

    • Medicine
    • Family medicine
    • Demography

    analysis. Trends were analyzed for linearity using Pearson correlation coefficient. 782 physicians met inclusion criteria for inclusion. Dermatologists were more often male (56.5%), possessing allopathic Medical Doctorate (MD) (86.3%), and in metropolitan settings (98.2%). However, proportion of female inpatient dermatologists increased significantly (37.9% to 46.2%). Across rural and metropolitan practices, number of inpatient physicians (2013: 356; 2019: 281) and number of medical centers in which dermatology encounters occurred (2013: 239; 2019: 157) decreased, more significantly in non-residency-associated institutions. Spatial analysis revealed wide regions lacking dermatologists meeting defined criteria. Limitations included the need for ten Medicare inpatient encounters for inclusion, counties without reported data. In conclusion, the number of dermatologists performing > 10 inpatient encounters per year is decreasing, and large variations exist in the number of U.S. inpatient dermatology visits.

  • Quality and Perceived Usefulness of Patient-Submitted Store-and-Forward Teledermatology Images

    JAMA Dermatology · 2022 · 26 citations

    • Artificial Intelligence
    • Medicine
    • Medical physics

    Importance: Patient-submitted images vary considerably in quality and usefulness. Studies that characterize patient-submitted images in a real-life setting are lacking. Objective: To evaluate the quality and perceived usefulness of patient-submitted images as determined by dermatologists and characterize agreement of their responses. Design, Setting, and Participants: This survey study included patient images submitted to the Department of Dermatology at Duke University (Durham, North Carolina) between August 1, 2018, and December 31, 2019. From a total pool of 1200 images, 10 dermatologists evaluated 200 or 400 images each, with every image being evaluated by 3 dermatologists. Data analysis occurred during the year leading up to the article being written. Main Outcomes and Measures: The primary outcomes were the responses to 2 questions and were analyzed using frequency counts and interrater agreement (Fleiss κ) to assess image quality and perceived usefulness. We performed a random-effects logistic regression model to investigate factors associated with evaluators' decision-making comfort. We hypothesized that most images would be of low quality and perceived usefulness, and that interrater agreement would be poor. Results: A total of 259 of 2915 patient-submitted images (8.9%) did not depict a skin condition at all. The final analysis comprised 3600 unique image evaluations. Dermatologist evaluators indicated that 1985 images (55.1%) were useful for medical decision-making and 2239 (62.2%) were of sufficient quality. Interrater agreement for a given image's diagnostic categorization was fair to substantial (κ range, 0.36-0.64), while agreement on image quality (κ range, 0.35-0.47) and perceived usefulness (κ range, 0.29-0.38) were fair to moderate. Senior faculty had higher odds of feeling comfortable with medical decision-making than junior faculty (odds ratio [OR], 3.68; 95% CI, 2.9-4.66; P < .001) and residents (OR, 5.55; 95% CI, 4.38-7.04; P < .001). Images depicting wounds (OR, 1.75; 95% CI, 1.18-2.58; P = .01) compared with inflammatory skin conditions and that were in focus (OR, 5.56; 95% CI, 4.63-6.67; P < .001) had higher odds of being considered useful for decision-making. Conclusions and Relevance: In this survey study including 10 dermatologists, a slight majority of patient-submitted images were judged to be of adequate quality and perceived usefulness. Fair agreement between dermatologists was found regarding image quality and perceived usefulness, suggesting that store-and-forward teledermatology initiatives should consider a physician's individual experiences and comfort level. The study results suggest that images are most likely to be useful when they are in focus and reviewed by experienced attending physicians for wound surveillance, but dermatologists may be burdened by irrelevant or unsuitable images.

  • Association between micronutrient deficiency dermatoses and clinical outcomes in hospitalized patients

    Journal of the American Academy of Dermatology · 2019-11-02 · 2 citations

    letterOpen access
  • Advances in acute exanthemas

    British Journal of Dermatology · 2019-09-01

    letter1st author

    Linked Article: Deschamps et al. Br J Dermatol 2020; 182:355–363.

  • Novel use of combination therapeutic plasma exchange and rituximab in the treatment of nivolumab‐induced bullous pemphigoid

    International Journal of Dermatology · 2018-04-06 · 33 citations

    articleCorresponding

Frequent coauthors

  • Benjamin H. Kaffenberger

    The Ohio State University Wexner Medical Center

    2 shared
  • Alyson Ridpath

    Riverside Methodist Hospital

    2 shared
  • Kristopher Fisher

    The Ohio State University Wexner Medical Center

    1 shared
  • Polina V. Rzepka

    Ohio University

    1 shared
  • Megan O’Brien Jamison

    Duke University

    1 shared
  • Matilda W. Nicholas

    Duke University

    1 shared
  • Beiyu Liu

    Duke University

    1 shared
  • Jourdan Hydol-Smith

    Bryan College

    1 shared
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