Boyers Lindsay N, Schultz Amanda, Baceviciene Rasa, Blaney Susan, Marvi Natasha, Dellavalle Robert P, Dunnick Cory A
1 Georgetown University School of Medicine , Washington, D.C.
Telemed J E Health. 2015 Apr;21(4):312-4. doi: 10.1089/tmj.2014.0101. Epub 2015 Jan 30.
Although teledermatology (TD) is regarded as a tool to improve patient access to specialty healthcare, little has been done to evaluate its role in medical education. We describe the TD program at the Denver (CO) Department of Veterans Affairs Medical Center and evaluate its use as an educational tool for teaching dermatology to dermatology residents and medical students. Dermatology residents manage TD consultations and review all cases with a faculty preceptor; medical students participate as observers when possible. This study assessed dermatology resident (n=14) and medical student (n=16) perceptions of TD and its usefulness in teaching six core clinical competencies. Both residents (79%) and medical students (88%) "strongly agree" or "agree" that TD is an important educational tool. In general, medical students were slightly more satisfied than residents across all of the core competencies assessed except for patient care. Medical students and residents were most satisfied with the competencies of practice-based learning and improvement and medical knowledge, whereas they were least satisfied with those of interpersonal and communication skills and professionalism. Overall, TD is valued as a teaching tool for dermatology in the areas of patient care, medical knowledge, practice-based learning and improvement, and systems-based practice.
尽管远程皮肤病学（TD）被视为改善患者获得专科医疗服务的一种工具，但在评估其在医学教育中的作用方面却做得很少。我们描述了丹佛（科罗拉多州）退伍军人事务医疗中心的TD项目，并评估了其作为向皮肤科住院医师和医学生教授皮肤病学的教育工具的用途。皮肤科住院医师负责管理TD会诊，并与教员导师一起审查所有病例；医学生尽可能作为观察者参与。本研究评估了皮肤科住院医师（n = 14）和医学生（n = 16）对TD及其在教授六项核心临床能力方面的有用性的看法。住院医师（79%）和医学生（88%）都“强烈同意”或“同意”TD是一种重要的教育工具。总体而言，除患者护理外，在所有评估的核心能力方面，医学生比住院医师略更满意。医学生和住院医师对基于实践的学习与改进和医学知识能力最满意，而对人际沟通技能和职业素养能力最不满意。总体而言，在患者护理、医学知识、基于实践的学习与改进以及基于系统的实践等领域，TD被视为皮肤病学的一种教学工具。
