AI Telemedicine Support for Primary Care Physicians in El Salvador

The goal of this clinical trial is to learn whether access to an artificial intelligence (AI) clinical decision support assistant can improve diagnostic accuracy during real-world telemedicine consultations among primary care physicians in El Salvador. The main questions it aims to answer are: * Does access to the AI assistant increase the proportion of correct diagnoses compared to telemedicine without AI assistance? * Does the effect of the AI assistant differ according to the physician's prior experience using AI in telemedicine? Researchers will compare physicians with the AI assistant enabled to physicians with the AI assistant temporarily disabled to see if access to AI improves diagnostic accuracy. Participants (physicians) will: * Provide telemedicine consultations as part of their routine clinical duties. * Be randomly assigned to either have the AI assistant enabled or disabled during the study period. * Continue documenting clinical encounters in the electronic platform as usual. * Have their anonymized consultation notes reviewed by an independent expert panel to determine diagnostic accuracy.