The Surgeon Will Skype You Now: Advancements in E-clinic.

Technological advancements over the past century have granted clinicians the opportunity to incorporate the use of telemedicine in their practice. The term telemedicine is defined, according to the American Telehealth Association, as ‘‘the use of medical information exchanged from 1 site to another via electronic communications to improve a patient’s clinical health status.’’ The field has progressed from the use of telephones to voice-over internet protocol (VoIP) and video (ie, Skype). Telemedicine is commonly used in developed nations and now encompasses an expansive range of technology and applications, including digital video conferencing systems. In May 2015, the US Department of Agriculture announced $19 million for the development of distance learning and telemedicine programs, investing into the growth of healthcare systems in rural communities. Several centers have reported excellent outcomes in medical specialties across different states and is gaining increasing support across the US and worldwide. However, a key question remains unanswered; is telemedicine safe for use in our patients?

[1]  W. Obremskey,et al.  Prospective Randomized Controlled Trial Using Telemedicine for Follow-Ups in an Orthopedic Trauma Population: A Pilot Study , 2015, Journal of orthopaedic trauma.

[2]  Tzu-Ching Wu,et al.  Prehospital Utility of Rapid Stroke Evaluation Using In-Ambulance Telemedicine: A Pilot Feasibility Study , 2014, Stroke.

[3]  R. Schwarzkopf,et al.  Effectiveness of telemedical applications in postoperative follow-up after total joint arthroplasty. , 2014, The Journal of arthroplasty.

[4]  Michael T. Bull,et al.  Randomized Controlled Clinical Trial of 'Virtual House Calls' for Parkinson Disease , 2013, JAMA neurology.

[5]  Michael Leonard,et al.  Skype: a tool for functional assessment in orthopaedic research , 2012, Journal of telemedicine and telecare.

[6]  R. Bourne,et al.  An electronic clinic for arthroplasty follow-up: a pilot study. , 2011, Canadian journal of surgery. Journal canadien de chirurgie.

[7]  P. Rhee,et al.  Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients. , 2009, American journal of surgery.

[8]  Ronald G. Thomas,et al.  Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study , 2008, The Lancet Neurology.

[9]  Dan Stoianovici,et al.  Telerounding and patient satisfaction after surgery. , 2004, Journal of the American College of Surgeons.

[10]  B. Boulanger,et al.  Telemedicine: a solution to the followup of rural trauma patients? , 2001, Journal of the American College of Surgeons.

[11]  C. Kwolek,et al.  Telemedicine in Vascular Surgery: Does it Work? , 2001, The American surgeon.

[12]  I. Winblad,et al.  The feasibility of telemedicine for orthopaedic outpatient clinicsa randomized controlled trial , 2000, Journal of telemedicine and telecare.

[13]  J. Rosser,et al.  Evaluation of the effectiveness of portable low-bandwidth telemedical applications for postoperative followup: initial results. , 2000, Journal of the American College of Surgeons.