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BACKGROUND Telemedicine can provide valuable strategies to deliver high quality training to young doctors and students, as well as to discuss complex clinical cases and follow patients. However, in many cases similar benefits are limited by the costs due to the expensive hardware resources and optimal infrastructure required. This study presents a novel protocol to improve the accessibility of telemedicine services into a modern hospital department. The protocol is referred to as "SEF" (Smart videosurgery, Easy teleteaching, Fast teleass