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After assessing necessity among 55 specialists, 69 competencies were finalized across domains including ethics, emotion management, communication, diagnosis and patient management, collaboration, and teleconsultation technology use.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/essential-competencies-for-an-effective-physician-to-physician-teleconsultation/446426/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/essential-competencies-for-an-effective-physician-to-physician-teleconsultation/446426.png","ImageObject",300,407,{"name":42,"@type":43},"Cart","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the study’s primary goal regarding teleconsultation?","Question",{"text":63,"@type":64},"To determine the competencies of specialist physicians involved in teleconsultation, with attention to how competencies should be used for planning training and assessment activities.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were the competencies identified and validated?",{"text":68,"@type":64},"Competencies were extracted from a literature review, interviews, and expert panel discussions, then validated through two Delphi rounds using an electronic questionnaire.",{"name":70,"@type":61,"acceptedAnswer":71},"How many competencies were finalized, and what major domains were extracted?",{"text":72,"@type":64},"Sixty-nine competencies were identified. 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BMC Medical Education (2026) 26:11 BMC Medical Education  \n[https://doi.org/10.1186/s12909-025-08362-6](https://doi.org/10.1186/s12909-025-08362-6)  \nRESEARCH Open Access  \nEssential competencies for an effective physician-to-physician teleconsultation  \nSamane Ghasemi 1, Tahereh Changiz 1 and Athar Omid 1*  \nAbstract  \nIntroduction The increasing use of teleconsultation deserves attention to highlight the required competencies in planning training and assessment activities. This study aimed to determine the competencies of specialist physicians involved in teleconsultation.  \nMethods This cross-sectional descriptive study was conducted through the Delphi method. First, a literature review, interviews, and expert panel discussions were conducted. The areas of competence and competencies required for a specialist physician involved in teleconsultation were extracted. The list of competencies was designed asan electronic questionnaire in two Delphi rounds. Fifty-five specialists involved in tel econsultation were asked to determine the degree of necessity of the competencies. Finally, a second round of Delphi was conducted for the competencies with less than 70% agreement.  \nResults Sixty-nine competencies were identified. In the first round of the Delphi, 63 competencies were accepted, for a quota of 70%, and 6 were transferred to the second round of the Delphi. At this round, 3 competencies were removed, and 66 competencies were accepted. The main competency domains were extracted as follows: “receiving and presenting data”,“professional ethics”,“awareness and management of emotions”,“communication skills”,“diagnosis and patient management”,“collaborative decision-making”, and “teleconsultation and use of technology”. Conclusion The competencies identified in this study could provide a framework for developing targeted training programs and professional standards in teleconsultation. By integrating these competencies into medical education, healthcare systems can promote the quality and effectiveness of teleconsultations, as such, improving equitable access to health services.  \nKeywords Physician, Teleconsultation, Competency, Delphi method  \n*Correspondence: Athar Omid[athar.omid@gmail.com](athar.omid@gmail.com)  \n1Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creativecommons.org/l](http://creativecommons.org/l)icenses/by/4.0/.  \nGhasemi et al. BMC Medical Education (2026) 26:11  \nIntroduction  \nRecent years have witnessed significant growth in information and communication technologies (ICTs) in healthcare, enabling teleconsultation and access to medical services [1]. Teleconsultation is defined as synchronous or asynchronous consultation using information and communication technology to eliminate geographical and functional distance [2]; which can be provided through various channels such as telephone, video conferencing systems, instant messaging and mobile applications [3]. There are several types of communication inteleconsultation: both parties are health providers (e.g. physician-to-physician teleconsultati","cbCaipyfgCe8nGhh","https://ap.wps.com/l/cbCaipyfgCe8nGhh","pdf",1248321,12,"English","# Introduction\n## Definitions and types of teleconsultation\n## Rationale and benefits of physician-to-physician teleconsultation\n## Training needs and educational gap\n# Methods and study design\n## Delphi process and rounds\n## Competency extraction and questionnaire development\n# Results\n## Delphi agreement and competency domains\n# Conclusion\n## Implications for training and standards","[{\"question\":\"What was the study’s primary goal regarding teleconsultation?\",\"answer\":\"To determine the competencies of specialist physicians involved in teleconsultation, with attention to how competencies should be used for planning training and assessment activities.\"},{\"question\":\"How were the competencies identified and validated?\",\"answer\":\"Competencies were extracted from a literature review, interviews, and expert panel discussions, then validated through two Delphi rounds using an electronic questionnaire.\"},{\"question\":\"How many competencies were finalized, and what major domains were extracted?\",\"answer\":\"Sixty-nine competencies were identified. Major domains included receiving and presenting data, professional ethics, awareness and management of emotions, communication skills, diagnosis and patient management, collaborative decision-making, and teleconsultation and use of technology.\"}]","Essential competencies for an effective physician-to-physician teleconsultation | PDF",1790715399]