Table 6.

Experiences and barriers for family medicine graduate medical residents using teach-back during remote visits.

Preintervention			Postintervention
Experiences
	I think it’s really helpful, better for patients. Does take a while which is hard with limited slots	Generally positive when you have an engaged patient
	It’s effective to ensure understanding. It can take a lot of time with those with low education or those with low engagement.	Generally positive when there is time
	I feel it is positive as it allows me to get a baseline of what the patient understands	It almost always highlights areas of misunderstanding
	Prolongs visit	Positive (because it) ensure(s) patient understands
Barriers
	Only barrier is if patient has a baseline mental status of confusion or dementia so cannot use it directly. This is where involving family members in the plan of care is important	If the patient is hard of hearing or has a cognitive-deficiency due to dementia etc.
	Time limit, do not have enough time during an encounter	Time mostly
	Communication or use of translator, poor health literacy	Patient literacy, internet connectivity issues
	Language, educational level	Engagement of patient, understanding that teach back is not insulting, time, and interest in putting plan of care into place