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The novel virtual reality 3D-microscope bears potential to provide benefits for various otologic procedures, which will be evaluated more quantitatively in clinical follow-up studies. To explore GPs' perspectives on and daily experiences with the relational potential of email consultations. Qualitative study with data from participant observation and semi-structured interviews. General practice setting in Denmark. Practice personnel from four clinics were observed and 16 GPs (seven women and nine men, between 35 and 70 years of age) int