Yes. It's a wonderful resource to now have this technology to save time, money, visits, etc., but it has its limitations. You would think that the sort of patients that I see in mental health would be ideally suited for distance learning, because you don't have to examine their abdomen or listen to their chest. But it turns out that you need to interact with them in person, frequently, to truly get a sense of their mood, their level of anxiety, their ability to pay attention and their social interactions. Sometimes just to connect at a greater level is so important when establishing relationships with your patients.
I think there will continue to be a need for both. What I've started doing with some of my patients is deliver every second visit virtually. Those kids who are on medications need to have their blood pressure checked and their height checked and their weight checked on accurate scales. So there is a need for both, but there is a great potential to reduce time and cost for both families and the system.