Rarely, do we get an opportunity to directly observe a distinct event, which materially changes standard approaches to healthcare delivery. In 2018, we initially published our first article in JAMA introducing the “Medical Virtualist” and the following year, a subsequent piece regarding formalized training and establishment of core competencies in telemedicine. Since that time, there has been significant growth, nationally and globally, in the establishment of new telemedicine and virtual care programs. (1,2)