秘鲁在线课程的医学生和专业人员对远程医疗的自我感知和认知。
Self-reported perceptions and knowledge of telemedicine in medical students and professionals who enrolled in an online course in Peru.
机构信息
Sociedad Científica de Estudiantes de Medicina de La Universidad Nacional de Trujillo, Trujillo, Perú.
Comité Permanente Académico, Sociedad Científica Médico Estudiantil Peruana, Lima, Perú.
出版信息
BMC Med Educ. 2023 Feb 3;23(1):88. doi: 10.1186/s12909-023-04058-x.
BACKGROUND
Telemedicine has become more relevant during the COVID-19 pandemic. However, medical students and professionals do not acquire competences in telemedicine during their training. Our objective was to describe the self-reported perception and baseline knowledge of telemedicine among medical students and professionals enrolled in a virtual course.
METHODS
Cross-sectional study that included physicians or medical students aged 18 years or older who were interested in a free virtual telemedicine course and who completed the data collection questionnaire. We used a Likert scale to assess the self-reported perceptions of four domains related to telemedicine. The participants were grouped into three levels for each domain: low, medium and high. We also objectively assessed telemedicine knowledge by means of 10 questions, with a cut-off point of 50% of correct answers. The Fisher's exact test, the Chi-square test, and the Mann-Whitney U test were used for the comparison of categorical data. A p-value < 0.05 was considered statistically significant.
RESULTS
We included 161 participants: 118 medical students and 43 physicians. We observed no significant differences between medical students and physicians in self-reported perceptions of knowledge, security, or utility of telemedicine. However, students had a high self-reported perception of the disadvantages of telemedicine especially related to patient security (p = 0.018), efficiency of care (p = 0.040), and the possibility of medical malpractice (p = 0.010) compared to physicians. Nearly half of the students (n = 53,44.9%) and physicians (n = 22,51.7%) answered 50% or more of the questions related to telemedicine knowledge correctly.
CONCLUSION
Among the physicians and medical students enrolled in the course, the students perceived the disadvantages of telemedicine more frequently. Although physicians and students have limited knowledge of telemedicine, there appears to be no influence of experience and prior training in telemedicine.
背景
远程医疗在 COVID-19 大流行期间变得更加相关。然而，医学生和专业人员在培训中并未获得远程医疗方面的能力。我们的目标是描述参加虚拟课程的医学生和专业人员对远程医疗的自我报告感知和基线知识。
方法
横断面研究包括年龄在 18 岁或以上的对免费虚拟远程医疗课程感兴趣并完成数据收集问卷的医生或医学生。我们使用李克特量表评估与远程医疗相关的四个领域的自我报告感知。参与者分为每个领域的三个级别：低、中、高。我们还通过 10 个问题来客观评估远程医疗知识，正确答案的百分比达到 50%即视为通过。Fisher 确切检验、卡方检验和曼-惠特尼 U 检验用于比较分类数据。p 值<0.05 被认为具有统计学意义。
结果
我们纳入了 161 名参与者：118 名医学生和 43 名医生。我们没有观察到医学生和医生在自我报告的对远程医疗知识、安全性或实用性的感知方面存在显著差异。然而，与医生相比，学生对远程医疗的劣势有很高的自我报告感知，特别是与患者安全（p=0.018）、护理效率（p=0.040）和医疗事故可能性（p=0.010）相关。近一半的学生（n=53，44.9%）和医生（n=22，51.7%）答对了 50%或更多与远程医疗知识相关的问题。
结论
在参加课程的医生和医学生中，学生更频繁地感知到远程医疗的劣势。尽管医生和学生对远程医疗的了解有限，但似乎没有经验和远程医疗培训的影响。
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