Orange dermatologist Dr Michelle McRae said a shortage of specialists in regional and rural areas was leading to lengthy waits.

Dr McRae, one of only a few full-time and visiting dermatologists in the region, said increased training including rural training was needed.

"In Sydney the waiting list is four weeks or less. We do need to target better ways to coax people [dermatologists] out of Sydney," she said.

Dr McRae said establishing training in rural areas would encourage more specialists to work outside of Sydney.

She said the Australasian College of Dermatologists was working with the Federal Minister for Regional Health Mark Coulton on a strategic plan to improve community access to skin health and dermatology.

"It can obviously be a good thing to be acknowledged, " she said.

However, she said schemes such as the Telehealth program, where doctors saw clients on video screens instead of in person, were not the long-term answer.

"Dermatologists can only do 60 per cent of their practice by Telehealth. Some other [areas of medicine] can do 90 per cent," she said.

Dr McRae said she was re-starting face-to-face consultations this week.

She said a key problem for dermatologists was clients could not get a full skin check done by video.

"A full skin check can't be replaced by sending a couple of photos through. I'm not doing the full check and picking up the things they [patients] weren't worried about,"

Dr McRae said she was also concerned about unreliable internet service in rural areas.

"The biggest problem I'm having at the moment is it is failing from an accessibility point of view," she said.

ACD president, associate professor David Francis said it wanted to increase access to skin specialists for all the community.

He said Telehealth was "an important step in the right direction" there was a long way to go before all Australians had equal access to healthcare. "The [ACD] is building the specialist pipeline by exploring innovative methods for delivering training, including in regional areas."