Having fewer bureaucratic rules allowed for more initiatives to move forward

Local initiatives that had been on hold moved ahead

New ideas easily implemented in practices

It was unclear how to sustain changes post-pandemic (sustainability)

There was anxiety that bureaucracy would return post-pandemic

There were opportunities to accept new leadership positions

Respondents led COVID-19 related operations

Respondents had opportunities to create and deliver trainings related to telemedicine

Leaders needed to address burnout and resilience at a time when everyone was overwhelmed

Telemedicine was more efficient, flexible, accessible, and convenient for patients

Telemedicine allowed more frequent connection with patients

Telemedicine restored the importance of the patient interview

Telemedicine strengthened patient relationships via more relaxed virtual visits

Not all populations can access telemedicine, so some patients were left behind

It was difficult to address social issues without the full team in the office and the ability to make warm hand-offs

It was difficult to build relationships with new patients

Virtual exam room was not ready for the transition to telehealth

There were inadequate diagnosis processes via telemedicine

Respondents found that telemedicine increased their work-life balance

Some respondents found they had a higher level of exhaustion from telemedicine sessions

Respondents were frustrated and dissatisfied by the imperfect rollout of telehealth