332 Impact of free dermatology clinic on healthcare delivery to uninsured patients – a descriptive analysis study

To evaluate the impact of only free dermatology clinic in Richmond, VA, a retrospective analysis was conducted patients seen at Crossover Health Ministry from December 2020 to 2021. Data extracted eClinicalWorks and de-identified patient data collected. 50 uninsured immigrant were over 62 visits by dermatologists with study range 13 83 years age (mean = 40.5 years, median 39 years), 30% pediatric patients. There more female than male (64% vs 36%). Most these being for first time 1.26 visits, 1 visit), but few needed multiple follow ups. An interpreter used 82.3% – 74% Spanish, 4% Portuguese, 2% Arabic, Russian. All came least chronic complaint. Common diagnoses included seborrheic keratosis (11.3%), acne vulgaris (8.1%), psoriasis alopecia areata (6.5%), acrochordon dermatitis (4.8%). Patients also presented less common conditions such as cutaneous leprosy, lichen simplex chronicus, perioral dermatitis, solar elastosis, pityriasis versicolor, vitiligo, pemphigus verruca vulgaris. Biopsies taken during 6.5% prescription medications written 46.8% visits. The results emphasize benefit that specializes offers interpreters overcome language barriers bridge gap dermatologic care skin color Due presence premedical medical student volunteers, this is great resource early exposure hence increase diversity future dermatological work force.