Arch Pathol Lab Med. 2013 Jun 5. [Epub ahead of print]
Digital Pathology and Federalism.
One legal issue, however, stands above all others surrounding digital pathology and telemedicine. The issue of physician licensure is daunting and requires substantial consideration.28–37 In fact, the issue of physician licensure is
so significant that it credibly threatens to derail the promise of digital pathology altogether. And its potential solutions
implicate no less than the nation’s principle of federalism. And they implicate it deeply.
Telemedicine’s physician licensure problem, simply put, is that ‘‘[t]elemedical practice is not limited by geographic
boundaries and easily crosses state lines, but physician licensure does not.’’26 And ‘‘[p]rofessional licensure has
traditionally been a matter left to the regulation of the states.’’29
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