Table I.

Telemedicine workflow maintaining resident preceptorship

Component of encounter	Description of workflow
Initial history and examination	The resident initiates the video call with the patient and conducts the history taking and physical examination portion of the visit.
Staffing with attending	The resident then virtually leaves the patient encounter to discuss the case with the attending, either through the same video platform or even over a simple phone call. This allows the typical flow of resident-patient interactions, followed by attending staffing, to continue. The attending, resident, and patient then reconvene in a group call over the videoconferencing platform during which the visit is completed. The AAD's Teledermatology Toolkit provides a list of HIPAA-compliant telehealth platforms, some of which have waived their fees.4
Patient counseling	As in live appointments, the attending may leave the room after completing their examination and detailing the plan of care, allowing the resident to remain in the call to perform patient education.
Documentation	After the call, the resident completes documentation and other clinical duties such as sending prescriptions or communicating with specialists as they normally would.

AAD, American Academy of Dermatology; HIPAA, Health Insurance Portability and Accountability Act.