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I get a perspective I don’t get in the office."However, there are still some things that can only be garnered from an in-person visit, Gitlow said.He requires his patients see him face-to-face for most of their appointments.Using a webcam is "something that’s an issue of convenience for a given patient, who I've already established [a] relationship with in-person," he said.The patient's side of the webcam Earlier this year, Aaliyah White, 24, an assistant to a sports agent in Providence, R.For those people, the prospect of an Internet appointment can help them feel at ease — and provide Gitlow with contextual information about his patients."I can see the person and the room they're in, and you could even make the argument that I'm getting to see them in their own domain," he said."I can see what they're wearing, if they're functional, taking care of the place.A risk-benefit balance Risks to both the quality of care and patients’ privacy rise when doctors use Skype to communicate with their patients, said Dr.

But nothing can replace real-life contact with a patient, doctors say.

On the rise It's hard to quantify how many doctors now use webcams in their practices, because no agency tracks or requires doctors to report webcam use, said Gary Capistrant, senior director of public policy at the American Telemedicine Association (ATA).

But "it's absolutely increasing," Capistrant told My Health News Daily, "and now that you've got those 4G phones where you can videoconference from your cell phone, it's going to be much more common."For some, the question is not whether to video-chat with patients, but rather how to strike a balance between video and real-life appointments.

Two years ago, his only options were to reschedule appointments or cancel altogether.

But now, Smith uses his computer webcam to "see" his patients.

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