So far, I'm aware of these two:
I think more institutions will follow suit.
Judging by the PMs I get, many patient questions can take a lot of time to answer. I think doctors should charge for their time. To avoid charges, I recommend patients:
• Save questions that require involved answers for scheduled visits. Although you think it is a "quick question," the answer may be more involved than you suspect.
• If you want an opinion of some study you've seen, email it ahead of your visit with a short note saying "I would like to discuss this at our upcoming meeting." Only email links to peer-reviewed articles in professional journals. Do NOT send articles from random internet sites (including mine! I always provide links to the peer-reviewed articles), or anecdotes from patients.
• If there are a lot of subjects you want to discuss, do send an agenda on the portal before the meeting. The doctor may want to put aside more time for the meeting.
• Do not ask for proof on a patient portal.
• Be as concise as you can be. Avoid giving unnecessary history- get to the point quickly. This is true for in-person visits too. We all want to tell our stories and need to be heard. But doctors are not therapists. Maybe join a patient support group for more empathy and emotional support. I have 3.
• Write your questions before your meeting, and take notes on the answers. Bring someone with you, if you can. You will always think of something you should have asked. If it is an involved discussion, ask for another meeting.