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新冠疫情时期的远程医疗和医学教育。

Telemedicine and Medical Education in the Age of COVID-19.

机构信息

O. Jumreornvong is a third-year student, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0001-7327-9514.

E. Yang is a fourth-year student, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0001-8966-9971.

出版信息

Acad Med. 2020 Dec;95(12):1838-1843. doi: 10.1097/ACM.0000000000003711.

Abstract

The COVID-19 pandemic has offered medical schools an opportunity to incorporate telemedicine training into the curricula in a timely and practical manner. Telemedicine has grown exponentially in the United States, and the shift toward remote care to align with social distancing guidelines is fueling this growth. Training medical students to deliver high-quality, secure, and personalized health care through telemedicine will prepare the next generation of physicians to conscientiously use these technologies and meet a growing need for telehealth services. Telemedicine-specific educational goals can be incorporated into curricula and integrated with existing clinical experiences to provide students with core telemedicine and clinical skills to prepare them for current and future pandemics. Medical educators could explore 5 major telemedicine domains: (1) access to care, (2) cost, (3) cost-effectiveness, (4) patient experience, and (5) clinician experience. Schools could use the following learning vehicles to help medical students explore these domains: (1) asynchronous lectures covering telehealth history; (2) discussions on applications, ethics, safety, etiquette, and patient considerations; (3) faculty-supervised standardized patient telehealth encounters; and (4) hands-on diagnostic or therapeutic procedures using telehealth equipment. Incorporating telemedicine into the medical school curriculum exposes students to the application of telemedicine across specialties as well as its limitations.

摘要

COVID-19 大流行使医学院有机会及时、实际地将远程医疗培训纳入课程。远程医疗在美国呈指数级增长,为了符合社交距离准则而向远程护理的转变推动了这一增长。通过远程医疗培训医学生提供高质量、安全和个性化的医疗保健,将为下一代医生做好准备,认真使用这些技术,并满足对远程医疗服务日益增长的需求。可以将远程医疗特定的教育目标纳入课程,并与现有临床经验相结合,为学生提供核心远程医疗和临床技能,为他们当前和未来的大流行做好准备。医学教育者可以探索远程医疗的 5 个主要领域:(1)获得医疗服务的机会,(2)成本,(3)成本效益,(4)患者体验,(5)临床医生体验。学校可以使用以下学习工具来帮助医学生探索这些领域:(1)涵盖远程医疗历史的异步讲座;(2)关于应用、伦理、安全、礼仪和患者注意事项的讨论;(3)教师监督的标准化患者远程医疗体验;(4)使用远程医疗设备进行实际的诊断或治疗程序。将远程医疗纳入医学院课程使学生接触到远程医疗在各个专业领域的应用及其局限性。

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