The effectiveness of telepsychiatry video for clinical care is well established, and clinician and psychiatry resident interest in it is growing—particularly in light of the COVID-19 impact . Still, few residency programs in the United States have core curricula, rotations/electives available, and competencies, and many faculty have no experience . A survey was sent via national organization listserves for residents, fellows, faculty, and program directors to complete . The survey queried demographics, clinical experience and interest, and views/concerns, using Likert-like and yes/no questions . Descriptive statistics and other analyses compared the groups to assess impact of clinical experience on interest and views/concerns . Respondents (N = 270) have limited clinical experience with telepsychiatry (46% none), with trainees having less than others, and yet, most were very interested or interested in it (68 %). Trainees (N = 123) have concerns about being prepared for future practice . Clinical experience with video in the range of 6–20 h appears to dramatically increase interest and reduce concerns, though less time has a positive effect . Respondents have concerns about connectivity, medico-legal issues, and clinical effectiveness (e.g., diverse populations, psychosis, and emergencies) with telepsychiatry . More research is needed to assess current clinical and curricular experience, interest, and concerns . Additional curricular interventions during residency and fellowship training could build skills and confidence, if this is feasible, and the benefits outweigh the costs.