"While many physicians embrace technology as a way to improve patient care, there remains a significant skepticism among physicians when it comes to telemedicine. Many fear that much will be missed and misdiagnosis will be common in virtual visits. There is no possibility of physical exam during a telemedicine visit—one can only ask questions and observe what they see on the screen. Physicians also worry about how they may be reimbursed for a virtual visit as compared to a real life doctor patient encounter in this current era of declining salaries and increased health care costs. There is much debate among professional societies about what types of medical visits and for which types of medical problems are most appropriate for a virtual visit via telemedicine and guidelines are currently being created."