The telephone, a ubiquitous instrument in the practice of medicine, co
ntinues to have new applications for clinical practice. The goals of t
he ever-increasing managed care environment appear to fit nicely with
these applications. Heightened attention toward telephone education, p
rotocol development, and documentation are needed. This article review
s characteristics of telephone encounters, the telephone in managed ca
re, trends in ''telemedicine,'' telephone education, and medicolegal a
spects of telephone care.