Telemedicine Part 2: Critical Access

Last month, Dr. Josh Elder spoke with us about how UC Davis Express Care allows patients to see a doctor via virtual urgent care visits. In this episode, we explore a different side of telemedicine: teleconsults. Dr. Jim Marcin is Director of the UC Davis Center for Health and a pioneer in telemedicine. As a Pediatric Critical Care Physician, Dr. Marcin has been facilitating teleconsults for physicians at rural hospitals to help provide the expertise needed for care for critically ill children. He explains the current model he and his colleagues are using, the data to support what works (and what doesn’t), and a glimpse into what he might expect in the future as telehealth becomes more widely available. 

Have you tried telemedicine, either as a patient of provider? Share your experience with us via social media, @empulsepodcast, or through our website,

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Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis


Dr. Jim Marcin, Professor of Pediatrics and Pediatric Critical Care, Vice Chair of Pediatric Clinical Research, and Director for the UC Davis Center for Health and Technology.


UC Davis Center for Health and Technology

CDC: About Rural Health

Sauers-Ford HS, Hamline MY, Gosdin MM, Kair LR, Weinberg GM, Marcin JP, Rosenthal JL. Acceptability, Usability, and Effectiveness: A Qualitative Study Evaluating a Pediatric Telemedicine Program. Acad Emerg Med. 2019 Sep;26(9):1022-1033. doi: 10.1111/acem.13763. Epub 2019 May 2. PMID: 30974004; PMCID: PMC6732030.

Marcin JP, Shaikh U, Steinhorn RH. Addressing health disparities in rural communities using telehealth. Pediatr Res. 2016 Jan;79(1-2):169-76. doi: 10.1038/pr.2015.192. Epub 2015 Oct 14. PMID: 26466080.

Sauers-Ford HS, Marcin JP, Underwood MA, Kim JH, Nicolau Y, Uy C, Chen ST, Hoffman KR. The Use of Telemedicine to Address Disparities in Access to Specialist Care for Neonates. Telemed J E Health. 2019 Sep;25(9):775-780. doi: 10.1089/tmj.2018.0095. Epub 2018 Nov 3. PMID: 30394853.

Rural Health Information Hub: Critical Access Hospitals


Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

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