My wife goes to the VA here in town and her old pdoc quit so they assigned her a pdoc that we do conference calls with. We sit in front of a screen and we talk face to face with a pdoc in another city but in the same state (she worked out of her home!). We've only done it once and it went great. She was really nice and she took the time to look over her file and I feel that it was a productive appt (better than some in person pdocs imo).

She has another appt in a few weeks but overall I liked it and she is up in the air. She's old school and would like to have a person in real life compared to a teleconference but it's impossible to get one at the VA without having to wait 4-6 months and that's if there's a doc to see you at all!