Department of Speech-Language Pathology, Duquesne University, Pittsburgh, USA.
J Telemed Telecare. 2017 Jun;23(5):550-557. doi: 10.1177/1357633X16655939. Epub 2016 Jun 30.
Introduction Despite the growth of telecommunication applications to provide clinical healthcare services, there has been little attention to the pedagogical framework needed to train healthcare students to deliver these services. Methods In this exploratory investigation, perceptions of speech-language pathology/therapy (SLP/SLT) faculty ( n = 31), graduate students ( n = 16), and telehealth ("telepractice") clinicians ( n = 16) were examined with a 15-item survey regarding the 1) comparative pedagogical importance of four skills common to telepractice and face-to-face service (f2f) delivery, and 2) relative pedagogical value of seven skills and competencies unique to telepractice. Results Statistical analyses revealed nonverbal communication skills and knowledge of the literature related to service delivery methods were more important in telepractice than in f2f service delivery. Among seven skills unique to telepractice, participants believed the most important was solving problems related to the Internet and recommended at least two hours of instruction each in telepractice technology, patient confidentiality, and role-playing telepractice. Results suggest that SLP/SLT students may need additional and/or focused academic training in nonverbal communication, telepractice literature, and in solving connectivity issues to enter the telepractice marketplace with sufficient preparation. Discussion Further study is needed to compare the relative importance of additional SLP/SLT skills and competencies, describe components of effective healthcare training telepractice programs, and explore effective pedagogical strategies for healthcare telepractice instruction.
简介
尽管电信应用程序的发展为提供临床医疗保健服务提供了便利,但对于培训医疗保健学生提供这些服务所需的教学框架却关注甚少。
方法
在这项探索性研究中,通过一项包含 15 个项目的调查,调查了言语-语言病理学/治疗学(SLP/SLT)教师(n=31)、研究生(n=16)和远程医疗(“远程实践”)临床医生(n=16)对四项共同技能的相对教学重要性,这四项技能是远程实践和面对面服务(f2f)交付中常见的,以及对七种独特的远程实践技能和能力的相对教学价值。
结果
统计分析显示,在远程实践中,非言语交际技能和有关服务交付方法的文献知识比在 f2f 服务交付中更为重要。在七种独特的远程实践技能中,参与者认为最重要的是解决与互联网相关的问题,并建议在远程实践技术、患者保密性和角色扮演远程实践方面至少各进行两小时的教学。结果表明,SLP/SLT 学生可能需要额外的和/或集中的非言语交际、远程实践文献以及解决连接问题的学术培训,以充分准备进入远程实践市场。
讨论
需要进一步研究以比较额外的 SLP/SLT 技能和能力的相对重要性,描述远程实践医疗保健培训计划的组成部分,并探讨远程医疗实践教学的有效教学策略。