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本文引用的文献

1
Strategies for Evaluating Telehealth.远程医疗评估策略
Pediatrics. 2020 Nov;146(5). doi: 10.1542/peds.2020-1781. Epub 2020 Aug 18.
2
Pediatrician Attitudes Toward and Experiences With Telehealth Use: Results From a National Survey.儿科医生对远程医疗的态度和使用经验:来自全国性调查的结果。
Acad Pediatr. 2020 Jul;20(5):628-635. doi: 10.1016/j.acap.2020.05.004. Epub 2020 May 8.
3
The use of blended learning to improve health professionals' communication skills: a literature review.运用混合式学习提升卫生专业人员的沟通技巧:一项文献综述
Acta Biomed. 2019 Mar 28;90(4-S):17-24. doi: 10.23750/abm.v90i4-S.8330.
4
Implementation of a simulation-based telemedicine curriculum.基于模拟的远程医疗课程的实施。
Med Educ. 2017 Nov;51(11):1178-1179. doi: 10.1111/medu.13433. Epub 2017 Sep 15.
5
American Telemedicine Association Operating Procedures for Pediatric Telehealth.美国远程医疗协会儿科远程健康操作程序
Telemed J E Health. 2017 Sep;23(9):699-706. doi: 10.1089/tmj.2017.0176. Epub 2017 Aug 22.
6
The physician's experience of changing clinical practice: a struggle to unlearn.医生改变临床实践的经历:一场艰难的摒弃旧习之旅。
Implement Sci. 2017 Feb 28;12(1):28. doi: 10.1186/s13012-017-0555-2.
7
Only 15% of FPs Report Using Telehealth; Training and Lack of Reimbursement Are Top Barriers.只有15%的家庭医生报告使用远程医疗;培训和缺乏报销是主要障碍。
Am Fam Physician. 2016 Jan 15;93(2):101.
8
Patient outcomes in simulation-based medical education: a systematic review.基于模拟的医学教育中的患者结局:系统评价。
J Gen Intern Med. 2013 Aug;28(8):1078-89. doi: 10.1007/s11606-012-2264-5.
9
Barriers to telemedicine: survey of current users in acute care units.远程医疗的障碍:急性护理病房现有用户调查。
Telemed J E Health. 2012 Jan-Feb;18(1):48-53. doi: 10.1089/tmj.2011.0071. Epub 2011 Nov 14.
10
The technology acceptance model: its past and its future in health care.技术接受模型:在医疗保健领域的过去和未来。
J Biomed Inform. 2010 Feb;43(1):159-72. doi: 10.1016/j.jbi.2009.07.002. Epub 2009 Jul 15.

一刀切:一种可扩展的正式远程医疗服务提供者培训解决方案,以支持应对新冠疫情。

One-Size-Fits All: A Scalable Solution to Formal Telemedicine Provider Training to Support the COVID-19 Pandemic Response.

作者信息

Schinasi Dana A, An-Grogan Yuemi, Stephen Rebecca, Shimek Aric, Furney Marisa, Bohling M Katie

机构信息

Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.

Telehealth Programs, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.

出版信息

Front Pediatr. 2021 Mar 30;9:647458. doi: 10.3389/fped.2021.647458. eCollection 2021.

DOI:10.3389/fped.2021.647458
PMID:33859970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8042145/
Abstract

Formalized training in telemedicine addresses barriers to provider adoption and engagement and assures a level of competence for independent practice. We previously developed a blended-model training program, customizable according to role and specialty; this method of training was not feasible in the pandemic response. We describe the development and implementation of a multi- and interdisciplinary telemedicine provider training program enabling the rapid scaling of telemedicine at our institution. An existing curriculum was pared down to a 1-h session delivered synchronously, covering the foundational components of telemedicine practice. Supplemental materials were available for asynchronous learning via the hospital intranet. Completion of training was required of all clinicians who practice telemedicine. We conducted 35 sessions for 1,070 providers over 12 weeks. Attendees included clinicians across numerous roles and specialties. Additional resources were created and available through the Telemedicine Virtual Handbook and housed in specific toolkits. Telemedicine training is necessary for consistent, competent practice of telemedicine in pediatrics. We describe a training process that can be easily replicated and rapidly deployed to providers of telemedicine across roles and disciplines. Combining a mandatory and brief synchronous provider training session with a repository of online resources creates a foundation for consistent practice, while allowing for more individualized resources accessible on demand. Standardized telemedicine training followed by mechanisms for ongoing professional practice evaluation allow institutions to ensure consistent and competent practice of telemedicine. Further study is needed to determine the best modality for training, and optimal assessment tools according to professional role.

摘要

远程医疗的规范化培训解决了医疗服务提供者采用和参与的障碍,并确保了独立执业的一定能力水平。我们之前开发了一个混合模式培训项目,可根据角色和专业进行定制;但这种培训方法在应对疫情时不可行。我们描述了一个多学科和跨学科的远程医疗服务提供者培训项目的开发和实施,该项目使我们机构能够迅速扩大远程医疗的规模。现有的课程精简为一个1小时的同步授课环节,涵盖远程医疗实践的基础组成部分。补充材料可通过医院内部网进行异步学习。所有从事远程医疗的临床医生都必须完成培训。我们在12周内为1070名提供者举办了35场培训。参加者包括众多角色和专业的临床医生。还创建了其他资源,并通过《远程医疗虚拟手册》提供,并存放在特定的工具包中。远程医疗培训对于在儿科持续、胜任地开展远程医疗实践是必要的。我们描述了一个可以轻松复制并迅速部署到不同角色和学科的远程医疗服务提供者的培训过程。将强制性的简短同步提供者培训课程与在线资源库相结合,为持续实践奠定了基础,同时允许按需获取更个性化的资源。标准化的远程医疗培训以及持续专业实践评估机制,使机构能够确保远程医疗实践的一致性和胜任能力。需要进一步研究以确定最佳的培训方式以及根据专业角色的最佳评估工具。