Assessment of the Role of the Pharmacy Staff in Undiagnosed Skin Problems Using Virtual Patient Profiles

Objective Community pharmacies play a central role in supporting self‐care, and individuals experiencing skin‐related issues frequently seek guidance from pharmacy personnel. This study aimed to assess the competencies and attitudes of pharmacy staff in managing common dermatological conditions. Methods The research was carried out in 100 community pharmacies across Istanbul. Five simulated patient cases representing dermatitis, athlete’s foot, diaper rash, acne, and psoriasis were created. For each scenario, the most appropriate management pathway was predefined by a dermatologist and a clinical pharmacist. Sixty participants were randomly assigned to review and evaluate three of these cases. Their decision‐making processes, including case identification and management, were analyzed. Pharmacy staff also completed a questionnaire exploring the reasons patients consult pharmacies for undiagnosed skin concerns. Results A total of 76 pharmacists and 24 pharmacy technicians took part in the study, with women accounting for 47% of the participants. The mean age was 42.72 ± 12.57 years, and the average professional experience was 17.65 ± 10.92 years. The proportion of pharmacy staff who selected the correct pathway for each scenario was 33.3%, 28.3%, 28.3%, 11.7%, and 11.7%, respectively. Participants additionally reported why patients prefer to approach pharmacies for skin problems: ease of access without the need for an appointment (97%), the availability of free advice (95%), familiarity with the pharmacy team (97%), and trust that pharmacists will assess the problem and refer them to a physician when required (89%). Conclusions The study indicates that many pharmacists are not adequately prepared to provide optimal counseling for dermatological issues. Strengthening pharmacists’ dermatology‐related knowledge and skills could enhance patient outcomes and support more effective self‐care. Structured educational modules led by clinical pharmacists may be a beneficial strategy for improving pharmacy staff competence in dermatology.