Gertrude Feil Associate Dean for Curricular Affairs and Professor, Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
Associate Professor, Weill Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Med Educ Online. 2021 Dec;26(1):1918609. doi: 10.1080/10872981.2021.1918609.
. The COVID-19 pandemic placed an unprecedented strain on academic healthcare systems necessitating a pause in medical student teaching in clinical care settings, including at Weill Cornell Medicine (WCM). WCM had a preexisting telemedicine curriculum, but limited opportunities for students to apply knowledge and skills related to direct virtual patient care. The authors describe the rapid implementation of real-time interactive telehealth experience (RITE) courses for clerkship students to allow for meaningful engagement in remote patient care and continuation of academic progress during the pause.. Medical school administration disseminated a request for proposals for RITE courses conforming to the WCM electives format with rapid turnaround time of 1 week or less. Requirements included remote care activities, goals and objectives, general logistics, supervision methods and standards of achievement. RITE courses were developed in outpatient medicine, inpatient medicine, psychiatry and women's health. A lottery process was developed to register students for the approved courses.. Using the technical platform and standard course registration process, students were assigned to 74 of 76 available RITE course slots. Students participated in supervised remote direct patient care and also provided critical support for frontline healthcare workers by performing remote clinical tasks. Online teaching and reflection sessions were incorporated into each RITE curricular offering. Student feedback was overall positive ranging from 3.33-4.57 out of 5.. The COVID-19 pandemic created a need to rapidly incorporate telehealth models in order to continue to deliver patient care and an opportunity to develop innovative remote educational experiences. We developed a framework for structured real-time interactive telehealth experiences to address COVID-19 related curricular needs that will be continued post-COVID-19. This expanded telehealth curriculum for our students will provide standardized training in telehealth logistics, communication techniques, and care delivery now essential for graduating medical students.
. 新冠疫情给学术医疗系统带来了前所未有的压力，需要暂停医学生在临床环境中的教学，包括在康奈尔大学威尔医学院（WCM）。WCM 已经有了远程医疗课程，但学生们很少有机会将与直接虚拟患者护理相关的知识和技能应用到实践中。作者描述了如何为实习学生快速实施实时互动远程医疗体验（RITE）课程，以便他们能够在远程患者护理中进行有意义的参与，并在暂停期间继续学业进展。. 医学院管理部门发布了一份关于 RITE 课程的提案征集，这些课程符合 WCM 选修课的格式，提交截止时间为 1 周或更短。要求包括远程护理活动、目标、一般后勤、监督方法和成就标准。RITE 课程涵盖了门诊医学、住院医学、精神病学和妇女健康学。开发了一个抽签程序，让学生注册批准的课程。. 使用技术平台和标准课程注册流程，76 个可用的 RITE 课程插槽中有 74 个被学生注册。学生们参与了监督下的远程直接患者护理，还通过执行远程临床任务为一线医护人员提供了关键支持。每个 RITE 课程都包含在线教学和反思环节。学生的反馈总体上是积极的，评分范围为 3.33-4.57 分（满分 5 分）。. 新冠疫情大流行需要迅速采用远程医疗模式，以继续提供患者护理，并为开发创新的远程教育体验提供机会。我们开发了一个结构化实时互动远程医疗体验的框架，以满足与新冠疫情相关的课程需求，这些需求将在新冠疫情后继续。为我们的学生提供的这个扩展的远程医疗课程将为医学生提供远程医疗后勤、沟通技巧和护理提供方面的标准化培训，这些技能对即将毕业的医学生来说至关重要。
