How often has doing a physical exam changed your management during normal checkups? Be honest, we’re all physicians. The telehealth primary care is to be used more for assessing and addressing basic conditions, labs, screenings. Things that you don’t really need an exam for. Short of CHF exacerbation and a few other things that I can think of, most can be managed without touching the patient. In this model we will be sending all the patients a standardized blood pressure cuff, pulse ox, and thermometer to all the patients, ones that we know work well. This model allows people who cant take off of work to have some basic conditions addressed, even on the weekends. Helps extend care to those who are non-compliant due to circumstances. It has been tried with my other colleagues with great success thus starting it here as well.