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The COVID\u201019 pandemic pushed telemedicine from small and pilot programs to widespread practice at an unprecedented rate. With the rapid implementation of telemedicine, it is important to consider how to create a telehealth system that provides both good care for patients and families while maintaining an excellent education environment for trainees of all levels. To this end, we developed telemedicine educational milestones to describe novel skills required to provide high quality telemedicine care, and allow trainees and clinical educators a metric by which to assess trainee progress. We also created methods and tools to help trainees learn and families feel comfortable in their new role as virtual collaborators. We envision a time when safety does not set the venue; instead the needs of the patient will dictate whether a virtual or in\u2010person visit is the right choice for a family. We expect that pediatric medical genetics and metabolism groups across the country will continue to set a standard of a hybrid care system to meet the unique needs of each individual patient, using telemedicine technology.<\/jats:p>","DOI":"10.1002\/ajmg.c.31882","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T04:58:49Z","timestamp":1610686729000},"page":"55-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pediatric medical genetics house call: Telemedicine for the next generation of patients and providers"],"prefix":"10.1002","volume":"187","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6838-3843","authenticated-orcid":false,"given":"Andrea J.","family":"Cohen","sequence":"first","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Shur","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Starin","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamanna","family":"Roshan Lal","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyby","family":"Leon","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7525-0088","authenticated-orcid":false,"given":"Debra S.","family":"Regier","sequence":"additional","affiliation":[{"name":"Genetics and Metabolism Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"ACGME Response to COVID\u201019: Clarification regarding Telemedicine and ACGME Surveys2020Retrieved fromhttps:\/\/acgme.org\/Newsroom\/Blog\/Details\/ArticleID\/10125\/ACGME-Response-to-COVID-19-Clarification-regarding-Telemedicine-and-ACGME-Survey"},{"key":"e_1_2_7_3_1","unstructured":"Coin Specifications.2020Retrieved fromhttps:\/\/www.usmint.gov\/learn\/coin-and-medal-programs\/coin-specifications"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-18-00372.1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ymgme.2020.09.004"},{"key":"e_1_2_7_6_1","unstructured":"Ensuring access to telehealth for rare diseases. 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