This document summarizes research on the use of telemedicine by physicians in rural Michigan. It finds that while patients were generally satisfied with telemedicine, rural physicians have been slow to adopt it. Younger physicians and those employed by hospitals had more positive attitudes compared to independent or more experienced physicians. The top barriers were lack of access to equipment and perceived lack of resources. The document recommends education and training initiatives for physicians and subsidies for equipment to increase adoption of telemedicine in rural Michigan.