Table 3.

Qualitative feedback from students post-telehealth workshop and post-telehealth OSCE.

	Representative medical student responses
Post “Bricks and Mortar” workshop responses
Lessons learned	“Elements of the physical exam can be performed in a telehealth visit that provide confidence for medical decision making. The virtual visit can be a reliable primary care tool for dealing with many patient complaints and issues. The virtual sessions require a new way of thinking about clinical encounters to ensure professional, private, and effective communication with patients.” “State your confidential setting and ask patients if they feel comfortable. Be as explicit as possible with wrap-up, summary, and follow-up for the patient as they won't be checking out.” “Ask patients to bring their medications, masks, or other therapeutics and demonstrate their use.” “Finding creative ways to help patients rate their physical exam findings using standards (e.g., does a lump feel hard like bone, firm like the heel of one's palm, or soft like the abdomen?) Document your findings thoroughly since your note might be taken with some skepticism by providers who see that the exam was done virtually; make sure it's clear why you made your conclusions and what your patient actually found.”
Post-OSCE responses
Benefits of telehealth	“Way more efficient. Allows more points of contact with the patient to touch base and check-in. For management of chronic conditions, I think this is much more important. When patients come all the way to the office for an in-person visit, I think they feel much more pressured to get everything medical-related in a short period. They can feel rushed, haven't had all their answers questioned, etc.” “I think video visits have a very important role in healthcare. They are much more accommodating to patients, especially when doing follow-ups or when a physical exam is not needed in managing care. It is also accommodating for individuals with disabilities, who may find that clinics are not as accommodating or have issues with transportation. I think they are also great for motivational interviewing and checking in with patients more frequently.” “Able to see patients at home, which may reveal barriers to health, and allow for discussion with family members.”
Areas of interest for further telehealth training	“I would be curious to learn more about devices being developed to help patients/providers with certain areas of telemedicine screening (i.e., at-home blood pressure cuff devices or add-ons to help with eye screening).” “Working on triage, I think, is really important; where should the patient go—should they come to the clinic, go to urgent care, go to ED? When can we order tests and imaging-based just on history without physical examination?” “Maybe some advice on what to chart and how we can chart a visit effectively—would be helpful to understand sort of what has to happen on the video visit re: can't miss things.” “I would have liked more training on discussing sensitive topics virtually. Some mental health check-ins are done virtually, and I am not comfortable discussing potential suicidal ideation on video.” “I would like to learn more about exploring musculoskeletal complaints via telehealth and learn about when are the optimal uses of scheduling a telehealth visit vs. an in-person visit.”