Dijkstra, H. PaulErgen, EminHoltzhausen, LouisBeasley, IanAlonso, Juan ManuelGeertsema, LieselGeertsema, CelesteNelis, SofieHuey Ngai, Aston SengStankovic, IvanTargett, StephenAndersen, Thor Einar2020-10-012020-10-012020Dijkstra HP, Ergen E, Holtzhausen L, et al. Remote assessment in sport and exercise medicine (SEM): a narrative review and teleSEM solutions for and beyond the COVID-19 pandemic. British Journal of Sports Medicine 2020;54:1162–1167.0306-3674 (print)1473-0480 (online)10.1136/bjsports-2020-102650http://hdl.handle.net/2263/76291BACKGROUND : The COVID-19 pandemic forces sport and exercise medicine (SEM) physicians to think differently about the clinical care of patients. Many rapidly implement eHealth and telemedicine solutions specific to SEM without guidance on how best to provide these services. AIM : The aim of this paper is to present some guiding principles on how to plan for and perform an SEM consultation remotely (teleSEM) based on a narrative review of the literature. A secondary aim is to develop a generic teleSEM injury template. RESULTS : eHealth and telemedicine are essential solutions to effective remote patient care, also in SEM. This paper provides guidance for wise planning and delivery of teleSEM. It is crucial for SEM physicians, technology providers and organisations to codesign teleSEM services, ideally involving athletes, coaches and other clinicians involved in the clinical care of athletes, and to gradually implement these services with appropriate support and education. CONCLUSION : teleSEM provides solutions for remote athlete clinical care during and after the COVID-19 pandemic. We define two new terms—eSEM and teleSEM and discuss guiding principles on how to plan for and perform SEM consultations remotely (telecomm). We provide an example of a generic teleSEM injury assessment guide.en© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY.COVID-19 pandemicClinical carePatientsSport and exercise medicine (SEM)Remote assessmentCoronavirus disease 2019 (COVID-19)Article