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Table 1
Association of American Medical College (AAMC) Telehealth Competencies*
Competency Competency
domain definition
1.Patient safety Clinicians will
and appropriate understand when and
use of telehealth^ why to use telehealth;
how to assess patient
readiness, patient
safety, practice
readiness, and end-
user readiness
2. Access and Clinicians will
equity in telehealth understand telehealth
delivery that
addresses and
mitigates cultural
biases as well as
physician bias for or
against telehealth and
that accounts for
physical and mental
disabilities, non-
health-related
individual and
community needs, and
limitations
3. Communication Clinicians will
via telehealth^ effectively
communicate with
patients, families,
caregivers, and
healthcare team
members using
telehealth modalities;
^
Identifies three competencies discussed in our perspective piece and used for our direct observation tool
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040701/table/Tab1/?report=objectonly
Table - PMC
Entering Entering practice Experienced
residency (recent residency faculty physician
(recent medical graduate) (3–5 years post-
school graduate) residency)
Explains to Explains and adapts Role models and
patients and practice in context of teaches how to
caregivers the uses, limitations and practice telehealth,
limitations, and benefits of mitigate risks of
benefits of telehealth providing care at a
telehealth distance, and assess
methods for
improvement
Defines how Leverages Promotes and
telehealth can technology to advocates use of
affect health equity promote health telehealth to
and mitigate or equity and mitigate promote health
amplify gaps in gaps in access to equity and access to
access to care care care; advocate for
policy change in
telehealth to reduce
inequities
Develops effective Develops effective Role models and
rapport with rapport with teaches effective
patients via real or patients via video rapport-building
simulated video visits, attending to with patients via
visits, attending to eye contact, tone, video visits,
eye contact, tone, body language, and attending to eye
body language, and nonverbal cues contact, tone, body
nonverbal cues language and
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10/17/23, 1:48 PM Table - PMC

*Each competency includes multiple skills. This table defines each competency and highlights one skill in each domain across
the three developmental stages in physician development (e.g., entering residency, entering practice, and experienced faculty
physician). To view the full set of skills within each competency, refer to the AAMC’s “Telehealth Competencies Across the
10
Learning Continuum” document. Permission granted 11/9/21 from AAMC to adapt this table from “AAMC telehealth competen‐
cies across the learning continuum.”

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