At the 2016 annual meeting, the American Medical Association ("AMA") approved ethical guidelines for telemedicine interactions to "help physicians understand how their fundamental responsibilities may play out differently" in digital patient interactions. The guidance was developed over the past three years and emphasizes the need for in-state licensure and an established doctor-patient relationship before any telemedicine encounters may occur. The AMA's policy-making House of Delegates had declined to issue any policy guidance to doctors regarding telemedicine practice at the June 2015 annual meeting.

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