PRACTICE OF OTOLARYNGOLOGY VIA TELEMEDICINE

Teleotolaryngology is becoming a reality as a result of improvements i n technology and telecommunications. This prospective, clinical trial was designed to demonstrate the utility of three telemedicine systems in an otolaryngology practice, Optel is a desktop system used in the o ffice. Picasso is a mobile system used from various locations througho ut the hospital, The Georgia Statewide Telemedicine Program (GSTP) is a large, sophisticated system used from a fixed site within a rural ho spital. Patients with a wide variety of ear, nose, and throat problems were presented to consultants at two medical teaching centers in Geor gia, Fifty-four consults were completed over a 24-month period, In add ition, three teleconsultations demonstrated enhanced capabilities for continuing medical education (CME) and health care networks, Nine diff erent specialty fields were accessed by the otolaryngologist. Five con sults were completed via the Optel system; 13 via the Picasso system; and 36 via GSTP Overall, teleotolaryngology provided quality audio and visual communication between the physicians that significantly improv ed diagnostic capabilities and treatment options for the patient.