Table. OSCE Feedback Themes From End-of-Rotation Survey.

Theme	Frequency (out of 231 Comments)	Example Comments
Great experience OR helpful OR fun	61	•“It was a good experience working with telemedicine.” •“I liked the telemedicine session as that was a good opportunity for us to get our feet wet in a no-stakes environment!” •“I enjoyed the telemedicine station where we had to figure it out on the fly.” •“Helpful tips in using technology and telemedicine concerns.” •“I enjoyed being able to practice telemedicine, I think it would be a valuable experience for everyone to try.”
Wanted teaching about telemedicine before OSCE	35	•“More instruction or training on how best to practice telemedicine would be a welcome addition.” •“It would be nice to have some sort of orientation to TeleOSCE and the software before being thrown in. I felt it was a stressful experience.”
Improved understanding of the difficulty of accessing care in rural areas OR addressed barriers/cost to care	28	•“Telemedicine is a unique opportunity to cross multiple barriers, including cost and distance, to patient care.” •“The telemedicine OSCE taught me … how much it can cost, both in dollars and time, for patients in rural areas to go to the hospital, clinic, and/or pharmacy.” •“Telemedicine seems like a useful healthcare tool that, in the right situations, might help strike a balance between value and cost.” •“Telemedicine can be an effective method to bring value to patients who live far from a clinic/area with shortage of physicians for less cost.”
Concern there will not be future training for telemedicine OR had no prior experience	25	•“Excellent opportunity to use a technology I had never had a chance to use before.” •“Very useful in seeing how telemedicine is practiced! It was nice to have this experience before actually trying telemedicine in the real world.”
Important and/or difficult, challenging but educational	23	•“It was a difficult medium to do a patient exam but I can see the usefulness in reaching remote patients with no other access to care.” •“Challenging as well as informative for using the technology.”
Appreciation of differences between in-person and remote visits	16	•“I do appreciate that remote discussions with providers can give enough info if the patient is a good historian, but I miss the personal connection. Building a trusting relationship with a patient may be harder.” •“It taught me how to assess triaging in a virtual setting. It allows me to be able to talk with patients and focus on building a rapport in a novel medium.” •“This experience cautioned me to be more aware of my internal bias toward in-person visits vs telemedicine calls.”
Want fewer distractions (clinical or technical), difficult to provide care	15	•“Maybe a slightly simpler case for students … so that they can focus more on the technology.” •“I see that telemedicine can be a way to overcome a barrier to health care, but I found it difficult to provide quality care.” •“I think that the telemedicine OSCE was really tricky. I definitely appreciate the use of this technology for accessing more rural communities or people who could not otherwise access care. However, I felt like it was a slower and more cumbersome process for the provider and I definitely felt uncomfortable not being able to examine the patient.”
Worry about what they would be judged on or how they were graded	8	•“Was unsure whether we were allowed to click on computer. Would have appreciated one line on the prompt sheet that says that the computer is ‘in play.’” •“Tell students that we are being evaluated on HOW we use the technology—we thought it was more about how we took the history, etc., but necessarily knowing that we were being critiqued on how we utilized telemedicine.”
Had technical difficulties but seemed realistic OR learned the limitations	5	•“It helped me understand that tele-encounters are done out of necessity and unfortunately have several drawbacks.” •“Again, it was useful to practice using telemedicine in a low stakes environment. It was pretty awkward so having that exposure was really helpful.”
More time is needed	5	•“It wasn't enough time to practice telemedicine skills, nor was there enough context for it to be a very effective educational experience.” •“I think more time needs to be allotted due to unforeseen technological issues.” •“A little more time to work with the system/read the case before the patient was online would have been appreciated.”
Skeptical of utility	5	•“I am not yet entirely convinced about telemedicine and getting the same value out of this visit versus the telemedicine visit. It is more difficult to develop a strong physician-patient relationship, so I think I need a bit more experience to understand the value and trade-offs for telemedicine.”
Telemedicine as triage	5	•“Appreciate that it can be used as a triage function and save families difficult or time consuming/gas consuming trips.”