Exam over webcam: Telehealth style or Imagining in person

When you are the doctor or patient for an exam over webcam do you like to act as if it is a telehealth appointment or would you rather play like you are going through an in person exam?

I prefer doing it like it is a real exam. It is more exciting for me.

I definitely would prefer in person but I’d be down to try telehealth.

A nice option for patients in far off places that can't get a house call. I'd think of it like guiding them through a self exam that covers what I'd be doing if they were in the office… as much as is possible that is.

It is always what the patient would prefer. It is always easier to see the patient and her genitals or anus if say they have a complaint or need for showing them

I would never have a telehealth appointment. To me it seems impossible to provide an accurate diagnosis without an actual exam. I had my annual physical a few weeks ago. My doctor found what appears to be a small cyst on my upper left thigh. I am off to a dermatologist in a few weeks. My doctor would have not found this had I opted for a telemed appointment. Besides having my doctor examining my muscular upper thigh was great fun.

Real person exam without a doubt

The difference between the two is whether the patient has some equipment for a self exam and play Dr on themself. If not it's a telehealth.