Real-Time Virtual Support Services

For Physicians

RUDi– Rural Urgent Doctors in-aid
Physicians with emergency medicine and rural experience are available 24/7 by Zoom and phone to support rural healthcare providers looking for support with a patient, including:
• providing a second opinion about a patient
• reviewing a case
• helping to navigate the healthcare system
• providing collaborative support in critical times
• other situations as needed by rural providers

Connect to RUDi.

ROSe – Rural Outreach Support
Intensivist/critical care specialists are available 24/7 by Zoom, mobile app, and phone to support rural healthcare providers looking for a consultation, second opinion, or ongoing virtual support for patients.

ROSe physicians have expertise in complex, acutely ill patients, and those who are deteriorating. However, they are open to support rural care providers for any patient whom they are concerned about.

Connect to ROSe.

CHARLiE – Child Health Advice in Real-Time Electronically

Pediatricians available 24/7 by Zoom and phone to support rural healthcare providers looking for support with urgent problems in pediatric patients, including:
• General pediatric emergency support
• Integrated Child and Youth Mental Health support with CompassBC
• Neonatal and Pediatric Critical Care support is being integrated into the program

Connect to CHARLiE.

MaBAL – Maternity and Newborn
(Maternity and Babies Advice Line)

Family physicians with expertise in maternal and newborn care and an understanding of the rural and cultural contexts are available 24/7 through Zoom and by phone to provide guidance on urgent and non-urgent pre-conception, prenatal, antenatal, intrapartum, and postpartum presentations, for both moms and newborns.

Connect to MaBAL

UBC Dermatology Rural and Remote Service
Dermatology support for diagnosis, acuity, treatment, and referrals is available on weekdays by Zoom, phone, and text message. Available Monday to Friday from 9am – 5pm. Zoom: Call 778-771-3376. Text/photos: 1-236-999-1658. Calls outside of these times should be directed to the on-call physician/dermatologist and/or your local ER.

Connect to the UBC Dermatology Rural and Remote Service 

Virtual Locum Service
The Virtual Locum Service works with Locums for Rural BC to offer a more flexible approach to locum support, including linking locums with communities. Communication from the program will be released soon. If you have any questions, email or leave a message at 1-877-357-4757 and a locum officer will get back to you.

Northern Health Triage Specialist
Triage and intensivist/critical care support for Northern Health care providers. Contact

Virtual Care Platform Access
Zoom licenses for rural physicians and nurse practitioners. Access Zoom for rural providers.

Real-Time Virtual Support Toolkit
The Real-Time Virtual Support Toolkit for Healthcare Providers is aimed at helping physicians, nurse practitioners, and nurses in rural, remote, and First Nations communities navigate through the RTVS pathways. It includes the flow chart, details on how to access each pathway, Zoom instructions, frequently asked questions, bios and photos of the physicians in each RTVS team, and posters to put up in your hospital, clinic, or office.



For Patients

HEiDi – HealthLink BC Emergency iDoctor-in-assistance
Virtual EM physician support for the provincial 8-1-1 nurses call flow. HEiDi’s immediate goal is to increase capacity and assist nurses with decision support to meet the needs of the COVID-19 crisis, which has substantially increased the number of calls and time spent on calls due to inherent complexities. 8-1-1 nurses can transfer calls that meet specified clinical criteria to a Medical Office Assistant (MOA) who, in turn, will arrange for a virtual visit or call with a HEiDi physician. For more information, contact Kendall Ho at

First Nations and Rural Virtual Doctor of the Day
Primary health care for all First Nations citizens across BC. Available 7 days a week, 8:30 am – 4:30 pm. Clients call: 1-855-344-3800. Each visit is triaged and scheduled by a response group of Medical Office Assistants (MOAs). This service is currently active in Island Health and Northern Health and will deploy in Interior Health, Fraser Health, and Vancouver Coastal Health shortly. For more information, contact RCCbc at


BC Real-Time Virtual Support Pathways

In response to COVID-19 pandemic, Real-Time Virtual Support (RTVS) received support from the Ministry of Health to fund several pathways. These pathways will support physicians to be on call and leverage Zoom technology to provide just-in-time engagement in care delivery to help physicians and patients in urgent or emergent situations. This broad RTVS program is only possible through collaboration between the Rural Coordination Center of BC, The BC Emergency Medicine Network, the First Nations Health Authority and HealthlinkBC. The following diagram illustrates the different unique pathways that collectively contribute to improved emergent and urgent patient care.

In addition to the services above, there are further virtual health pathways in development to support BC rural healthcare providers and rural citizens. Visit the Rural Coordination Centre of BC website for the latest information.

Click to enlarge image

For more information on the formal evaluation of Real-Time Virtual Support in BC, contact Helen Novak Lauscher, Associate Lead, Research, UBC Digital Emergency Medicine

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Connect with the Real-Time Support program lead Dr. Kendall Ho

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