PURPOSE: Oncodermatology addresses skin conditions caused by cancer or its treatment, which can affect treatment decisions and quality of life. However, electronic health record (EHR)-related communication gaps and appointment wait times hinder timely care. This study assesses the effectiveness of an oncodermatology referral system implemented on March 1, 2023, within a large tertiary healthcare system. METHODS: A centralized email listserv was created to enable oncologists to refer patients with skin complaints for timely care. A retrospective analysis was conducted on 466 patients referred from oncology to dermatology between September 1, 2022, and September 1, 2023. Patients were divided into three groups: Batch 1 (EHR referrals pre-implementation), Batch 2 (EHR referrals only post-implementation), and Batch 3 (all email listserv referrals post-implementation). Key outcomes measured include referral-to-scheduling time, referral-to-appointment time, proportion of underserved patients referred, zip code distribution of referred patients, and success rate of scheduling appointments post-referral. RESULTS: There was a statistically significant increase in scheduled dermatology appointments post-implementation (Batch 1, 71%
Batch 2, 73%
Batch 3, 88%
P = .0008), as well as significant reductions in referral-to-scheduling (P = 9.82 × 10 CONCLUSION: A centralized email-based oncodermatology referral system significantly improved scheduling efficiency and access for underserved populations, underscoring the importance of streamlined referral processes in improving dermatologic care for cancer patients.