Table 2.

Challenges of technology.

Properties (if applicable)		Exemplar quote
Theme: technical challenges affect the quality and effectiveness of teleoncology
	Internet connectivity issues	A lot of my patients, because they're rural, don't have Wi-Fi strong enough for me to do an actual Zoom visit. It's very frustrating, because it drops so much, and it freezes. So, they've just given up, and they just come to clinic.
	Patients’ unfamiliarity with telehealth technology	The biggest challenge was literacy about technology. Most of our patients, sometimes you will get into the Zoom, they are not there, and they are waiting on you, [and] then they will call the clinic. I’ve been waiting on my doctor because they don’t know how to navigate it.
Theme: inability to conduct a physical exam
	—a	The challenges are definitely not being able to do a physical exam because the patient is not there with you in person. You’re seeing them in their environment, sitting in a chair, but you’re not seeing them walk into the office. You can gather a lot by watching someone walk in and if they’re struggling to walk in, those types of things.
Theme: challenge to meet expectations about appointment times
	—	I've noticed with Zoom, there's this expectation that I be exactly on time. And our clinic schedules face-to-face and Zoom all mixed in. So, by definition, I never see a clinic patient at the time of their appointment, because they're getting vitals. So now my 9:00 AM, I don't see till 9:20, but my 9:30 expects me to be on Zoom right at 9:30, and I just can't actually do it.

^aNot applicable.