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住院医师教育与虚拟医学:提升远程医疗领域学员技能的师资发展课程

Resident Education and Virtual Medicine: A Faculty Development Session to Enhance Trainee Skills in the Realm of Telemedicine.

机构信息

Assistant Professor, Division of Academic General Pediatrics, Department of Pediatrics, Baylor College of Medicine.

出版信息

MedEdPORTAL. 2023 Mar 7;19:11302. doi: 10.15766/mep_2374-8265.11302. eCollection 2023.

Abstract

INTRODUCTION

COVID-19 accelerated the use of telemedicine. Subsequently, clinical sites began conducting virtual visits. Academic institutions implemented telemedicine for patient care and simultaneously had to teach residents the logistics and best practices. To meet this need, we developed a training session for faculty focused on telemedicine best practices and teaching telemedicine in the pediatric realm.

METHODS

We designed this training session based on institutional and society guidelines and faculty experience with telemedicine. Objectives included telemedicine documentation, triage, counseling, and ethical issues in telemedicine. We conducted all sessions in a 60-minute or 90-minute format over a virtual platform for small and large groups using case scenarios with photos, videos, and interactive questions. A novel mnemonic ABLES (awake-background-lighting-exposure-sound) was created to guide providers during the virtual exam. Following the session, participants completed a survey evaluating content and presenter effectiveness.

RESULTS

We presented the training sessions between May 2020 and August 2021 to 120 participants. Participants included pediatric fellows and faculty, reaching 75 participants locally and 45 nationally (at Pediatric Academic Society and Association of Pediatric Program Directors meetings). Sixty evaluations (response rate: 50%) showed favorable results for general satisfaction and content.

DISCUSSION

This telemedicine training session was well received by pediatric providers and addressed the need for training faculty to teach telemedicine. Future directions include adapting the training session for medical students and developing a longitudinal curriculum that applies telehealth skills learned with patients in real time.

摘要

简介

COVID-19 加速了远程医疗的应用。随后,临床站点开始进行虚拟访问。学术机构实施远程医疗以进行患者护理,同时必须教授住院医师后勤和最佳实践。为满足这一需求,我们为教师开发了一个专注于远程医疗最佳实践和儿科领域远程医疗教学的培训课程。

方法

我们根据机构和社会指南以及教师远程医疗经验设计了这个培训课程。目标包括远程医疗文档记录、分诊、咨询以及远程医疗中的伦理问题。我们使用带有照片、视频和互动问题的案例场景,以 60 分钟或 90 分钟的格式在虚拟平台上为小团体和大团体进行所有课程。创建了一个新颖的助记符 ABLES(清醒背景照明暴露声音),以在虚拟检查期间指导提供者。课程结束后,参与者完成了一项评估内容和演示者有效性的调查。

结果

我们在 2020 年 5 月至 2021 年 8 月期间向 120 名参与者展示了培训课程。参与者包括儿科研究员和教师,在当地有 75 名参与者,在全国范围内有 45 名参与者(在儿科学术协会和儿科计划主任协会会议上)。60 份评估(回复率:50%)表明对总体满意度和内容的评价良好。

讨论

这个远程医疗培训课程受到儿科提供者的欢迎,并满足了培训教师教授远程医疗的需求。未来的方向包括改编培训课程以适应医学生,并开发一个将远程医疗技能与实时患者应用相结合的纵向课程。

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