His emergency department cut his shifts by 40 percent and he had kids heading to college, so he took telemedicine work to cover the gap. He ended up licensed in every state and happier than he has ever been. Suneer Chander, an emergency physician who now trains doctors moving into remote care, explains why so few physicians work in this field full time and what it costs patients.

⏱️ Chapters:
0:00 Introduction
0:24 Why an emergency physician took telemedicine work to pay the bills
2:01 The biggest public health advance of the pandemic is being wasted
2:53 What patients type in a chat that they will not say to your face
4:45 The medical ethics muscle telehealth executives do not have
5:08 Only 8 percent of doctors are licensed in three or more states
6:58 The money and boredom myths keeping doctors out
8:27 No, the job is not a doctor alone in a dark basement
9:07 Where the remote jobs are and how doctors actually find them
11:11 Why companies that staff with NPs and PAs keep churning
12:32 Red flags that a company wants your license, not your judgment
14:16 The wrong companies he trusted before he knew better
15:35 A psychiatrist who doubled his income and owns five practices
16:48 The doctors who have the hardest time making the jump
18:11 Take home messages

About this episode:
Suneer Chander is an emergency physician who has practiced in the Boston area since 2003 and moved into telemedicine during the pandemic after his emergency department cut his shifts by 40 percent. He grew his licensure from one state to 51, picked up clinical work on multiple platforms, advised digital health companies, and now runs a career training program and a staffing network for physicians who want to work remotely full time. He argues that telemedicine is the most impactful public health advance to come out of the pandemic, and that it will only deliver for patients if doctors treat it as a real career rather than weekend income. He walks through the work itself, including asynchronous visits where patients disclose more about sexual health, obesity, and mental health than they would face to face, and explains why so few physicians are in the room: only 8 percent hold licenses in three or more states, and a digital health conference with 12,000 attendees drew about 400 doctors. He names the barriers honestly, including the belief that the money is bad, the fear of leaving a prescribed path, and the isolation people imagine. He lays out where the jobs are, from direct-to-consumer cash pay companies to employer contracts and insurance-based care, and the red flags that signal a company that wants a license rather than a clinician, starting with anyone who is not a physician telling you what to prescribe. He shares the story of a psychiatrist in his program who got nationally licensed, gave away his expertise, ended up as a fractional chief medical officer, and doubled his income. He closes with the three things he believes compound in a career: relationships, education, and money.

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