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Being able to pivot quickly from in-person visits to telehealth and conduct an effective remote physical exam is possible with the right workflows.

Fam Pract Manag. 2024;31(5):12-17

This content conforms to AAFP criteria for CME.

Author disclosures: no relevant financial relationships.

During the COVID-19 pandemic, primary care practices that had not previously considered telehealth viable were pushed to reconsider it to stay solvent. The pandemic fueled a rapid increase in telehealth to a peak of more than 50% of visits,1 which has now settled into slightly more than 10%.23 Yet even in this post-pandemic era, telehealth has tremendous potential to strengthen the basic provision of care in small and large practices.

This article describes the benefits of — and workflows for — integrating telehealth into the primary care workday, including tips for conducting effective physical exams via telehealth.

KEY POINTS

  • Integrating telehealth into the primary care workday can reduce cancellations, prevent the spread of contagious illness, improve follow-up care, and give clinicians visibility into patients' social needs.

  • Telehealth is most successful with a team approach, including front-desk staff (who obtain patient consent and explain the process) and medical assistants (who obtain data for the patient history).

  • With the patient's assistance and good lighting, clinicians can conduct effective remote physical exams for a surprising number of conditions.

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