Department of Surgery, Keck School of Medicine, 8564University of Southern California, Los Angeles, CA, USA.
Am Surg. 2022 Aug;88(8):2017-2023. doi: 10.1177/00031348211023402. Epub 2021 May 28.
The COVID-19 pandemic has had a significant impact on patient care, including the increased utilization of contact-free clinic visits using telemedicine. We looked to assess current utilization of, experience with, and opinions regarding telemedicine by general surgery residents at an academic university-based surgical training program.
A response-anonymous 19-question survey was electronically distributed to all general surgery residents at a single academic university-based general surgery residency program.
University of Southern California (USC) general surgery residency participants: Voluntarily participating general surgery residents at the University of Southern California.
The response rate from USC general surgery residents was 100%. A majority of residents (76%) had utilized either video- or telephone-based visits during their careers. No resident had undergone formal training to provide telemedicine, although most residents indicated a desire for training (57.1%) and acknowledged that telemedicine should be a part of surgical training (75.6%). A wide variety of opinions regarding the educational experience of residents participating in telemedicine visits was elicited.
The COVID-19 pandemic brought telemedicine to the forefront as an integral part of future patient care, including for surgical patients. Additional investigations into nationwide telemedicine exposure and practice among United States general surgery residencies is imperative, and the impact of the implementation of telemedicine curricula on general surgery resident telemedicine utilization, comfort with telemedicine technology, and patient outcomes are further warranted.
Practice-based learning, systems-based practice, interpersonal and communication skills.
COVID-19 大流行对患者护理产生了重大影响，包括更多地使用远程医疗进行无接触诊所就诊。我们希望评估学术型外科培训计划中普通外科住院医师目前对远程医疗的利用情况、使用经验和看法。
对一个学术型基于大学的普通外科住院医师培训计划中的所有普通外科住院医师进行了匿名回答的 19 个问题的电子调查。
南加州大学（USC）普通外科住院医师：南加州大学自愿参加普通外科住院医师培训计划的普通外科住院医师。
USC 普通外科住院医师的回复率为 100％。大多数住院医师（76％）在其职业生涯中都使用过视频或电话就诊。尽管大多数住院医师表示希望接受培训（57.1％），并承认远程医疗应该成为外科培训的一部分（75.6％），但没有住院医师接受过提供远程医疗的正式培训。对于参与远程医疗访问的住院医师的教育经验，人们提出了各种各样的看法。
COVID-19 大流行使远程医疗成为未来患者护理（包括外科患者）的重要组成部分。迫切需要对美国普通外科住院医师的远程医疗暴露和实践进行全国范围的调查，并且需要进一步研究远程医疗课程的实施对普通外科住院医师远程医疗利用、远程医疗技术的使用舒适度和患者结果的影响。
实践基础学习、以系统为基础的实践、人际沟通技巧。
