Department of General, Visceral and Transplant Surgery, Tübingen University Hospital, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Tübingen Institute for Medical Education (TIME), Medical Faculty of Tübingen, University of Tübingen, Tübingen, Elfriede-Aulhorn-Straße 10, Tübingen, 72076, Germany.
BMC Med Educ. 2023 Sep 21;23(1):685. doi: 10.1186/s12909-023-04656-9.
Surgical ward rounds are key element to point-of-care interprofessional postoperative treatment and technical and communicational aspects are relevant for the patient's safety and satisfaction. Due to COVID-19 restrictions, the training opportunity of experiencing a face-to-face surgical ward round was massively hampered and thus, we developed a digital concept. This study aims to investigate the feasibility of video-transmitted ward rounds integrating surgical and communicational aspects with live streaming from wards. Further, medical students were asked for their satisfaction and their subjective learning success.
The proof-of-concept study consisted of self-reported subjective evaluation of competences in ward round skills. Qualitative feedback was collected to gain deeper insight and students' empathy was rated by using the student version of the Jefferson Empathy Scale (JES).
One hundred three medical students participated. The students were satisfied with the video-transmitted ward round (M = 3.54; SD = 1.22). In the subjective evaluation students' ward round competencies rose significantly (p < .001, M = 3.00, SD = 0.77; M = 3.76, SD = 0.75). The surgeon was rated as empathic (M = 119.05; SD = 10.09). In the qualitative feedback they named helpful aspects like including an expert for communication. However, they preferred the face-to-face setting in comparison to the digital concept.
It was feasible to implement a video-transmitted ward round within a pandemic. The format worked technically, was well-accepted and also led to a subjective rise in the students' competencies. Video-transmitted ward rounds may be integrated to support the medical education, though, they cannot replace the face-to-face setting.
手术查房是床边护理的关键环节，涉及技术和沟通方面，对患者的安全和满意度至关重要。由于 COVID-19 的限制，面对面手术查房的培训机会受到了极大的阻碍，因此我们开发了一种数字化概念。本研究旨在调查视频传输查房在整合手术和沟通方面的可行性，以及从病房进行现场直播。此外，还要求医学生对其满意度和主观学习成功进行评估。
该概念验证研究包括对查房技能的主观评估。收集定性反馈以获得更深入的见解，并使用学生版杰斐逊同理心量表（JES）评估学生的同理心。
共有 103 名医学生参与。学生对视频传输查房感到满意（M=3.54；SD=1.22）。在主观评估中，学生的查房能力显著提高（p<0.001，M=3.00，SD=0.77；M=3.76，SD=0.75）。外科医生被评为富有同理心（M=119.05；SD=10.09）。在定性反馈中，他们提到了一些有帮助的方面，如包括沟通方面的专家。然而，与数字化概念相比，他们更喜欢面对面的查房。
在大流行期间实施视频传输查房是可行的。该格式在技术上可行，被广泛接受，并导致学生能力的主观提高。视频传输查房可以被整合到医学教育中，但不能替代面对面的查房。
