In recent years, several dermatology residency programs in the United States have incorporated teledermatology as part of their training programs. Some programs use store-and-forward (S/F) systems, such as the Brooke Army Medical Center (BAMC), the State University of New York (SUNY) Downstate, and the Jackson Memorial Hospital (JMH) program at the Miller University of Miami (UM) School of Medicine. Other residency programs utilize live-interactive videoconferencing (LIV) systems including the University of Missouri – Columbia (UMC) School of Medicine. In S/F consults, senior residents typically conduct the initial patient assessment by evaluating the patient history and images from a secure web site followed by a faculty member who reviews the case, edits the draft consultation, and submits the final version to the web site. In LIV dermatology visits, a resident interviews and examines the patient with a videoconferencing system and then presents the case to the faculty attending as would occur in a traditional clinic setting. The faculty dermatologist then interviews and examines the patient with the videoconferencing equipment and provides recommendations to the remote site with a medical chart maintained at the academic center.

A good example of how LIV teledermatology is integrated into a residency program is seen at the University of Missouri's Department of Dermatology. The teledermatology clinic is not a separate method of care delivery; rather it is integrated into the everyday way dermatology is practiced and is part of the regular day-to-day clinic operation in the residency program.