Telemedicine is a term that covers any use of electronic communication technology to convey medical information. It can be as basic as seeking a consultation or as advanced as robotic surgery. Teledermatology can be practiced in the role of a consultant or as a seeker of consultation. However, this practice is fraught with liability issues.
Curbside consultation is an efficient and effective way to provide care without the administrative encumbrances that often dominate daily clinical practice. It supports the primary care physician and avoids overburdening staff and generating patient dissatisfaction with unpredictable wait times.
My hospital requires documentation of how I spend my time, tabulated in hours per week, for one representative week every month, an exercise related to CMS funding. The time can be allotted among only three mutually exclusive categories: “Hospital Activities,” “Teaching Activities” and “Patient Care.” My university also quantifies my productivity in RVUs, clinical charges, grants submitted, grants awarded and publications.