Leochico Carl Froilan D, Carlos Frances Ann B, Tiangco Anna Cecilia S A, Supnet Isabella E, Ignacio Sharon D, Mojica Jose Alvin P, Rey-Matias Reynaldo R
Department of Rehabilitation Medicine, College of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Department of Physical Medicine and Rehabilitation, St. Luke's Medical Center, Global City, Philippines.
Front Rehabil Sci. 2022 May 31;3:921558. doi: 10.3389/fresc.2022.921558. eCollection 2022.
In the second year of the COVID-19 pandemic, Physical and Rehabilitation Medicine (PRM) residents in a developing country continue to face a lack of in-person clinical exposure and learning opportunities. With the unprecedented shift to virtual care, it remains uncertain whether residents can achieve PRM competencies using telerehabilitation as a method of instruction.
To determine the PRM residents' ability to achieve competencies through telerehabilitation, as perceived by different stakeholders (residents, chief residents, training officers, and department heads).
This will be a pilot mixed-methods study, employing concurrent triangulation, in the Department of Rehabilitation Medicine in one large private medical center and one large government hospital in Manila, Philippines. There will be two phases of online data collection upon approval by their respective research ethics board. The first phase will involve an online Likert-scale questionnaire to obtain the residents' self-perceived attainment of competencies and learning of PRM topics and skills specified by the International Society of Physical and Rehabilitation Medicine and the Philippine Board of Rehabilitation Medicine. The results of the survey will then be summarized and presented in a focus group discussion (FGD) with the department heads, training officers, and chief residents of the two institutions in an attempt to explain the residents' perceptions on their competencies achieved through virtual care. Afterwards, the qualitative data obtained from the FGD will then be thematically analyzed, and mixed methods integration will be employed to generate knowledge and recommendations.
It is hypothesized that the majority of the residents had little to no experience with telerehabilitation pre-pandemic. Suddenly telerehabilitation was used to augment clinical training during the pandemic. It is uncertain whether telerehabilitation can help residents achieve competencies in the different domains of training, namely: patient safety and quality patient care; medical knowledge and procedural skills; interpersonal and communication skills; practice- and systems-based learning and improvement; reintegration of people with disabilities into the society; medical ethics and public health; quality assurance; policies of care and prevention for disabled people; and professionalism. The study results can provide insights on the aspects of a PRM curriculum that may have to be modified to ensure the training program is sensitive and appropriate to the changing training needs of the residents amid the pandemic and similar crises that may disrupt in-person clinical encounters in the future.
在新冠疫情的第二年，一个发展中国家的物理医学与康复医学（PRM）住院医师仍然面临缺乏面对面临床接触和学习机会的问题。随着向虚拟医疗的前所未有的转变，住院医师能否通过远程康复作为一种教学方法来实现PRM能力仍不确定。
确定不同利益相关者（住院医师、总住院医师、培训官员和部门负责人）所认为的PRM住院医师通过远程康复实现能力的情况。
这将是一项试点混合方法研究，采用并行三角测量法，在菲律宾马尼拉的一家大型私立医疗中心和一家大型政府医院的康复医学系进行。在各自的研究伦理委员会批准后，将有两个阶段的在线数据收集。第一阶段将涉及一份在线李克特量表问卷，以获取住院医师对国际物理医学与康复医学学会和菲律宾康复医学委员会规定的PRM主题和技能的能力自我认知和学习情况。然后，调查结果将在与两个机构的部门负责人、培训官员和总住院医师的焦点小组讨论（FGD）中进行总结和呈现，以试图解释住院医师对通过虚拟医疗实现的能力的看法。之后，将对从FGD获得的定性数据进行主题分析，并采用混合方法整合来生成知识和建议。
据推测，大多数住院医师在疫情前几乎没有远程康复经验。在疫情期间，远程康复突然被用于加强临床培训。不确定远程康复是否能帮助住院医师在不同的培训领域实现能力，即：患者安全和优质患者护理；医学知识和程序技能；人际和沟通技能；基于实践和系统的学习与改进；残疾人重新融入社会；医学伦理和公共卫生；质量保证；残疾人护理和预防政策；以及专业精神。研究结果可以为PRM课程的各个方面提供见解，这些方面可能需要修改，以确保培训计划对疫情期间住院医师不断变化的培训需求以及未来可能扰乱面对面临床接触的类似危机敏感且合适。
