Table III.

Proposed allergy-immunology telemedicine core competencies

Competency domain	Allergy and immunology telemedicine related competencies	Examples
Medical knowledge	Recognizes limitations of telemedicine	Recognizes types of visits, examination, counseling, and treatment that can occur via telemedicine
Patient care	Elicits appropriate history and remote targeted physical examination	Demonstrates the ability to instruct patients on performing a remote physical examination
	Performs an allergy home visit	Assesses allergic environment, medications, and inhaler/device technique
Practice-based learning and improvement	Evaluates gaps in performance while conducting visits for telemedicine; seeks feedback and simulated patients for improvement	Modifies telemedicine practice based on feedback from simulated and supervised patient encounters
Interpersonal communication skills	Communicates effectively with the patient and other participants on the telemedicine visits	Engages family members (guardians, other caregivers) via telemedicine; communicates with home health infusion services for biologic treatments
Professionalism	Conducts web presence in a professional manner	Ensures that lighting, appearance, and surroundings are appropriate
	Ensures that appropriate type of telemedicine encounter is used; assures that all aspects of encounter are captured and documented	Obtains consent, timely record keeping, assuring appointment times, and virtual waiting rooms are appropriately monitored
Systems-based practice	Advocates for appropriate use of telemedicine	Assures that appropriate patients are selected for use of telemedicine services
	Understands licensing, billing, and legal considerations while using telemedicine	Analyzes barriers to telemedicine implementation