Engle Xavier, Aird James, Tho Ly, Bintcliffe Fiona, Monsell Fergal, Gollogly Jim, Noor Saqib
Medical Student, Children's Surgical Centre, Phnom Penh, Cambodia.
Trop Doct. 2014 Apr;44(2):62-8. doi: 10.1177/0049475513515654. Epub 2013 Dec 9.
Telemedicine has the potential to increase access to both clinical consultation and continuing medical education in Cambodia. We present a Cambodian surgical centre's experience with a collaboration in which complicated orthopaedic cases were presented to a panel of consultants using free online videoconferencing software, providing a combined opportunity for both continuing education and the enhancement of patient care. Effects of the case conference on patient care were examined via a retrospective review and clinician perspectives were elicited via a qualitative survey. The case conference altered patient care in 69% of cases. All Cambodian staff reported learning from the conference and 78% reported changes in their care for patients not presented at the conference. Real-time videoconferencing between consultants in the developed world and physicians in a developing country may be an effective, low-cost and easily replicable means of combining direct benefits to patient care with continuing medical education.
远程医疗有潜力增加柬埔寨获得临床咨询和继续医学教育的机会。我们介绍了柬埔寨一个外科中心的合作经验，在该合作中，通过免费在线视频会议软件，将复杂的骨科病例提交给顾问小组，这为继续医学教育和改善患者护理提供了一个综合机会。通过回顾性审查来检查病例讨论会对患者护理的影响，并通过定性调查来了解临床医生的观点。病例讨论会在69%的病例中改变了患者护理。所有柬埔寨工作人员都报告从会议中学到了知识，78%的人报告说他们对未在会议上展示的患者的护理方式有了改变。发达国家的顾问与发展中国家的医生之间的实时视频会议可能是一种有效、低成本且易于复制的方式，能将对患者护理的直接益处与继续医学教育结合起来。
