Pham Do-Quyen, Golub Sarah A, Breuner Cora Collette, Evans Yolanda N
Division of Adolescent Medicine, Seattle Children's Hospital, Seattle, WA, United States.
Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, United States.
Front Pediatr. 2021 Mar 19;9:642279. doi: 10.3389/fped.2021.642279. eCollection 2021.
Following the start of the COVID-19 pandemic, much of clinical care rapidly transitioned to telehealth, shifting the clinical training milieu for most trainees. In the wake of this shift, educators have attempted to keep learners engaged in patient care and optimize medical education as much as possible. There is, however, limited understanding of the effect of telehealth on clinical education. The aim of our study was to better understand the educational experience of pediatric and Adolescent Medicine trainees participating in clinical encounters via telehealth in a specialty consultation Adolescent Medicine Clinic at a quaternary pediatric care hospital. Using a web-based anonymous questionnaire, we surveyed trainees rotating through the Adolescent Medicine Clinic between March and June 2020. We used descriptive statistics to evaluate their experiences with telehealth and identify techniques that were effective to facilitate learning during a telehealth visit. Surveys from 12 pediatric and Adolescent Medicine trainees were received, a 75% response rate. Most trainees (83.3%) reported no prior experience with telehealth before the onset of the pandemic. By the end of their rotation, trainees identified techniques that helped facilitate learning during a telehealth visit. The majority of trainees (83.3%) rated their experience as effective or very effective, and all reported interest in incorporating telehealth into their future practice. Pediatric and Adolescent Medicine trainees reported overall positive experiences with telehealth in clinical education and an interest in incorporating this tool into future practice. Additional research is needed to refine techniques in engaging learners through telehealth.
在新冠疫情开始后，大部分临床护理迅速转向远程医疗，改变了大多数实习生的临床培训环境。在这一转变之后，教育工作者试图让学习者继续参与患者护理，并尽可能优化医学教育。然而，人们对远程医疗对临床教育的影响了解有限。我们研究的目的是更好地了解在一家四级儿科护理医院的青少年医学专科咨询诊所中，通过远程医疗参与临床会诊的儿科和青少年医学实习生的教育体验。我们通过一份基于网络的匿名问卷，对2020年3月至6月期间在青少年医学诊所轮转的实习生进行了调查。我们使用描述性统计方法来评估他们的远程医疗体验，并确定在远程医疗会诊期间有助于促进学习的有效技巧。共收到12名儿科和青少年医学实习生的调查问卷，回复率为75%。大多数实习生（83.3%）报告在疫情爆发前没有远程医疗的经验。到轮转结束时，实习生们确定了有助于在远程医疗会诊期间促进学习的技巧。大多数实习生（83.3%）将他们的体验评为有效或非常有效，并且所有人都表示有兴趣将远程医疗纳入他们未来的实践中。儿科和青少年医学实习生报告了在临床教育中对远程医疗的总体积极体验，以及将这一工具纳入未来实践的兴趣。需要进一步的研究来完善通过远程医疗吸引学习者的技巧。
