To the Editor.
—I read with great interest the article by Drs Perednia and Allen.1I agree that there are many unresolved issues related to the implementation of telemedicine in the US health care system. However, the authors state, "In almost every telemedicine project, teleconsultation accounts for less than 25% of the use of the system. The majority of on-line time is used for medical education and administration." This is certainly not true for the Medical College of Georgia (MCG). From November 1991 through October 1994, a total of 355 telemedical clinical consultations were completed at the MCG across a wide range of medical specialties. Although physicians requesting consultations with MCG faculty can earn Category I continuing medical education credit by participating in the teleconsultation process, the system is used for actual medical consultation. Continuing education might be described best as "value added."The authors might also wish to
Grigsby RK. Telemedicine. JAMA. 1995;274(6):461-462. doi:10.1001/jama.1995.03530060035027