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基于能力的远程医疗咨询委托培训。

Competency-Based Training for Entrustment in Telehealth Consultations.

机构信息

Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Level 18, Clinical Sciences Building, 11 Mandalay Road, Singapore 308232, Singapore; School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Australia.

Department of Internal Medicine, Amsterdam University Medical Center, Location VUmc, De Boelelaan 1117, Room ZH 4A58, 1081 HV Amsterdam, Netherlands. Electronic address: https://twitter.com/GalenLouise.

出版信息

Pediatr Clin North Am. 2020 Aug;67(4):735-757. doi: 10.1016/j.pcl.2020.04.013.

Abstract

Doctors need to acquire telehealth consultation skills to thrive in the increasingly pressurized health system of delivering high-quality, high-volume health care with a shrinking health care workforce. Telehealth consultations require the same degree of thoroughness and careful clinical judgment as face-to-face consultations. The distinct differences between telehealth and face-to-face consultations warrant training in telehealth, which should be incorporated into core curricula of medical schools and continuing medical education. We describe competency-based training for telehealth piloted with medical residents. The use of competency-based training for telehealth operationalized as an entrustable professional activity will facilitate high-quality, safe, and effective telehealth consultations.

摘要

医生需要掌握远程医疗咨询技能,才能在医疗人员不断减少的情况下,在压力日益增大的医疗体系中提供高质量、大容量的医疗服务。远程医疗咨询需要与面对面咨询一样的全面性和谨慎的临床判断。远程医疗和面对面咨询之间的明显差异需要远程医疗培训,这应该纳入医学院和继续医学教育的核心课程。我们描述了对住院医师进行的远程医疗能力本位培训试点。将远程医疗的能力本位培训作为可委托的专业活动实施,将有助于实现高质量、安全和有效的远程医疗咨询。

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