Fields Barry G, Dholakia Swapan A, Ioachimescu Octavian C
Atlanta Veterans Affairs Healthcare System, Atlanta, Georgia.
Emory University, School of Medicine, Atlanta, Georgia.
J Clin Sleep Med. 2020 Apr 15;16(4):575-581. doi: 10.5664/jcsm.8280.
Telemedicine is a novel modality of health care delivery that can improve patients' access to sleep medicine services, but little is known about telemedicine training during sleep medicine fellowship. We studied telemedicine training prevalence, use, and attitudes of program directors (PDs) and other faculty members, PDs' receptiveness to a standardized telemedicine curriculum, and whether PDs have reviewed existing American Academy of Sleep Medicine (AASM) sleep telemedicine reference materials.
This was an anonymous online survey of all 86 PDs of accredited sleep medicine fellowships in the United States.
Response rate was 45%. Thirteen (33.3%) of the PDs already offer telemedicine experience to their trainees, although none use a standard telemedicine curriculum. Among the 26 (66.7%) PDs not offering telemedicine experience, 38.5% plan to do so and 53.9% agree that it would benefit fellows. Most PDs (57.9%) report faculty using telemedicine now or within the next 3 years. Many PDs agree that telemedicine is technically feasible, but relatively few agree it is financially feasible (82.1% and 38%, respectively). Few PDs have reviewed both primary AASM telemedicine reference materials. Overall, 64.1% of PDs agree that a national sleep telemedicine curriculum could be useful.
Although only a minority of current sleep medicine fellows are exposed to telemedicine, it is likely that most will get some exposure in the next 3 years. PDs' attitudes toward telemedicine vary significantly with respect to feasibility and importance to their programs. Nevertheless, most PDs believe a standardized sleep telemedicine training curriculum could be useful.
远程医疗是一种新型的医疗服务模式，它可以改善患者获得睡眠医学服务的机会，但对于睡眠医学 fellowship 期间的远程医疗培训却知之甚少。我们研究了项目主任（PDs）和其他教员的远程医疗培训普及率、使用情况和态度，PDs 对标准化远程医疗课程的接受程度，以及 PDs 是否查阅过美国睡眠医学学会（AASM）现有的睡眠远程医疗参考资料。
这是一项对美国所有 86 个经认可的睡眠医学 fellowship 项目主任进行的匿名在线调查。
回复率为 45%。13 名（33.3%）PDs 已经为他们的学员提供了远程医疗体验，尽管没有一个使用标准的远程医疗课程。在 26 名（66.7%）未提供远程医疗体验的 PDs 中，38.5%计划这样做，53.9%同意这对学员有益。大多数 PDs（57.9%）报告称教员现在或在未来 3 年内会使用远程医疗。许多 PDs 同意远程医疗在技术上是可行的，但相对较少的人同意它在经济上是可行的（分别为 82.1%和 38%）。很少有 PDs 查阅过 AASM 的主要远程医疗参考资料。总体而言，64.1%的 PDs 同意全国性的睡眠远程医疗课程可能会有用。
虽然目前只有少数睡眠医学 fellowship 学员接触过远程医疗，但很可能大多数人在未来 3 年内会有一些接触。PDs 对远程医疗在可行性及其对项目的重要性方面的态度差异很大。然而，大多数 PDs 认为标准化的睡眠远程医疗培训课程可能会有用。
