Balaji Aanika, Clever Sarah Lou
Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Department of Medicine, Johns Hopkins University, Baltimore, MD, United States.
JMIR Med Educ. 2021 May 28;7(2):e24300. doi: 10.2196/24300.
The COVID-19 pandemic has brought about sweeping change in health care delivery, which has shifted from in-person consultations to a web-based format. Few medical schools provide web-based medicine or telemedicine training to their learners, though this is likely to be important for future medical practice.
This tutorial communicates a framework for incorporating medical students into primary care telemedicine clinics.
A third-year medical student and internal medicine attending physician from the Johns Hopkins University completed telemedicine clinic visits in April 2020 by using a variety of video platforms and via telephone calls.
Nine telemedicine visits were completed over 4 clinic days. Our patients were, on average, aged 68 years. The majority of patients were female (6/9, 67%), and most appointments were completed via a video platform (6/9, 67%). Additionally, our experience is summarized and describe (1) practical tips for how to prepare for a telehealth visit; (2) technology considerations; (3) recommendations for participation during a telehealth visit; (4) debriefing and feedback; (5) challenges to care; and (6) student, care provider, and patient reactions to telemedicine visits.
Telemedicine clinics have been successfully used for managing patients with chronic conditions, those who have attended low-risk urgent care visits, and those with mental health concerns. Patients have reported high patient satisfaction scores for telemedicine visits, and the majority of patients are comfortable with having medical students as part of their care team. Moving forward, telemedicine will remain a popular method for receiving health care. This study has highlighted that medical students can successfully be integrated into telemedicine clinics and that they should be exposed to telehealth whenever possible prior to residency.
新冠疫情给医疗服务带来了巨大变革，医疗服务已从面对面咨询转向基于网络的形式。很少有医学院为学生提供基于网络的医学或远程医疗培训，尽管这对未来的医疗实践可能很重要。
本教程介绍了将医学生纳入基层医疗远程医疗诊所的框架。
2020年4月，一名来自约翰霍普金斯大学的三年级医学生和一名内科主治医师通过使用各种视频平台和电话完成了远程医疗诊所的就诊。
在4个诊日期间共完成了9次远程医疗就诊。我们的患者平均年龄为68岁。大多数患者为女性（6/9，67%），且大多数预约是通过视频平台完成的（6/9，67%）。此外，我们总结并描述了（1）远程医疗就诊准备的实用技巧；（2）技术考量；（3）远程医疗就诊期间参与的建议；（4）汇报与反馈；（5）护理挑战；以及（6）学生、护理人员和患者对远程医疗就诊的反应。
远程医疗诊所在管理慢性病患者、低风险紧急护理就诊患者以及有心理健康问题的患者方面已成功应用。患者对远程医疗就诊的满意度评分很高，并且大多数患者对医学生作为其护理团队的一部分感到满意。展望未来，远程医疗仍将是一种受欢迎的医疗保健方式。本研究强调医学生可以成功融入远程医疗诊所，并且在住院医师培训之前应尽可能让他们接触远程医疗。
