Here's your invitation to invest in *you*, February 20-23, 2025 at the gorgeous Four Seasons Oahu. 

What’s waiting for you:

✨ Innovative strategies to grow your wealth
✨ Investment opportunities beyond the stock market
✨ Tips for luxurious yet smart travel
✨ Practical guidance on achieving life balance
✨ Guidance on women’s health strategies including what you need to know about peri-menopause and beyond

Grab your spot before it sells out. Limited rooms left at our group rate at the Four Seasons.

Disclosure: Dr. Nakamura’s company is a sponsor for the 2025 Live Wealthy: Money & Wellness Conference in Hawaii.

Q&A: Replacing (or Increasing) Your Clinical Income with Telemedicine

Q: Who is Dr. Takashi Nakamura?

A: Dr. Nakamura is an ER physician turned telemedicine expert based in Hawaii. He runs a telemedicine coaching academy, works as a fractional Chief Medical Officer for startups, and practices telemedicine part-time.

Q: What inspired Dr. Nakamura to transition into telemedicine?

A: Seeking more flexibility to attend family events and avoid night shifts in the ER, Dr. Nakamura began telemedicine for supplemental income. Over time, he expanded his practice by obtaining licensure in all 50 states and found telemedicine more fulfilling and flexible.

Q: What are the primary types of telemedicine?

1. Synchronous: Real-time video or phone consultations.
2. Asynchronous (Store-and-Forward): Patients provide information via apps for providers to review and respond later.
3. Hybrid Models: Combining direct care, collaboration with startups, and advisory roles.

Q: What are the benefits of telemedicine?

A: Telemedicine offers:

• Flexibility: Work around personal priorities like family time or travel.
• Scalability: Allows for multiple income streams through collaborations or running your practice.
• Efficiency: Reduces the need for brick-and-mortar logistics.

Q: How can physicians enter the telemedicine space?

A: Start by:

1. Identifying your goals (full-time or part-time telemedicine).
2. Obtaining state licenses strategically (IMLC makes multi-state licensing easier).
3. Exploring job boards like Indeed, LinkedIn, or Doximity.
4. Considering starting a private telemedicine practice for niche services like dermatology or weight management.

Q: What are some challenges in telemedicine?

A: Regulatory compliance varies by state, especially regarding licensing and guidelines. Physicians should also understand their malpractice coverage and adapt to marketing if starting a private practice.

Q: What income can telemedicine generate?

A: Earnings vary. For example:

• Per Consultation: $15–$20 for simple cases or $200+ for specialized consults.
• Practice Model: Cash-based practices often offer more control and profitability.

Q: Is telemedicine suitable for all specialties?

A: Many specialties, including psychiatry, dermatology, and orthopedics, can adapt to telemedicine by offering consults, second opinions, or niche services.

Q: Can telemedicine be practiced abroad?

A: It depends on state regulations and the type of practice (cash-based is easier for international settings). Physicians must confirm compliance with their employer or local laws.

Q: What’s the role of AI in telemedicine?

A: AI assists with patient triage and data analysis, streamlining care. However, physicians are essential for final decision-making and nuanced care.