The possibilities for designers` performance in the field of telemedicine are the focus of this thesis. A pedagogic proposal for a Design Specialist Program in Telemedicine Projects is presented. The academic structure suggested for the program is based on a learning process model conceived for integrating education, research and development; stimulating, through a trainee program based on practical experiences, a reflexive attitude towards the field to which the model is applied. The first part of the research contains a review of literature relating to telemedicine. Concepts, definitions, educational issues, ethic concerns, technological resources, political health strategies and the advantages of using telemedicine in peripheral countries are addressed. An overview of Brazilian telemedicine state of the art is presented, based on initiatives conducted by Fiocruz - Oswaldo Cruz Foundation and by the University of Sao Paulo Medical School - FMUSP. Interactivity issues are discussed next, from the perspective of design, covering the convergence of media and the Media Ecology approach - the study of media environments as structure, content and its impact on people. The proposal of a Design Specialist Program in Telemedicine Projects emerges from a partnership between design and telemedicine. The pedagogic model proposed integrates two fields, intending to favor the birth of a distinct space, which aims excellence in the production, as well as construction and innovation in telemedicine. To conclude the study, considerations concerning collaborative design, participatory design and human- centered design are presented. Design opportunities in the field of telemedicine are suggested and possible directions for further research are raised.