The document summarizes the East Carolina University Telemedicine Center's experience with IP video technologies for telemedicine. The center has used IP videoconferencing over the internet and private networks to provide telemedicine services to rural areas covering 14,000 square miles. They conducted various tests of video and audio quality using different codecs and network settings to evaluate performance and diagnostic quality. Their findings showed that while IP networks are challenging for telemedicine due to technical issues, appropriate network design and equipment can support adequate video and audio quality for clinical diagnosis. They plan continued testing on regional wireless and broadband networks to advance the use of IP technologies for telemedicine.