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一种面向医学生的新型全球远程医疗课程的有效性。

Effectiveness of a Novel Global Telemedicine Curriculum for Medical Students.

作者信息

Doshi Pranav, Donovan Anna K, Kim Erin J, Moretti Meghan, Chan Stephen Y, Veldkamp Peter J, Schikowski Erin M

机构信息

University of Pittsburgh, Pittsburgh, PA, USA.

Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

出版信息

J Gen Intern Med. 2025 Feb;40(3):703-707. doi: 10.1007/s11606-024-09190-y. Epub 2024 Nov 18.

DOI:10.1007/s11606-024-09190-y
PMID:39557747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11861470/
Abstract

BACKGROUND

The University of Pittsburgh School of Medicine collaborated with The Addis Clinic to create a global telemedicine elective for fourth-year medical students during the COVID-19 pandemic. The elective aimed to promote cross-cultural understanding by providing unique, hands-on telemedicine experience.

AIM

To assess the effectiveness of the telemedicine elective, four of five medical students and 11 of 12 Kenyan clinical officers completed one-on-one interviews and surveys.

SETTING

Students and global health faculty connected virtually with patients and clinical officers from several rural clinics in Kenya during the 4-week elective.

PARTICIPANTS

Per elective month, participants of the course included two fourth-year medical students and five Kenyan clinical officers.

PROGRAM DESCRIPTION

A medical school elective designed in collaboration with The Addis Clinic, using WhatsApp and Telemedicus platform, in which each medical student virtually assisted a team of Kenyan clinical officers with a variety of active patient cases.

PROGRAM EVALUATION

Qualitative analysis of interviews with medical students and Kenyan clinical officers yielded themes of increased competency with clinical decision-making and culturally appropriate care delivery.

DISCUSSION

Implementation of a unique global telemedicine elective was feasible and well received by both medical students and clinical officers in Kenya. The elective can be implemented at other institutions with faculty experienced in global health who would like to partner with The Addis Clinic.

摘要

背景

匹兹堡大学医学院与亚的斯诊所合作,在新冠疫情期间为四年级医学生开设了一门全球远程医疗选修课。该选修课旨在通过提供独特的实践远程医疗体验来促进跨文化理解。

目的

为评估远程医疗选修课的效果,五名医学生中的四名以及十二名肯尼亚临床医务人员中的十一名完成了一对一访谈和调查。

背景

在为期四周的选修课期间,学生和全球健康教员与肯尼亚几家农村诊所的患者和临床医务人员进行了虚拟连线。

参与者

每个选修月,该课程的参与者包括两名四年级医学生和五名肯尼亚临床医务人员。

项目描述

这是一门与亚的斯诊所合作设计的医学院选修课,使用WhatsApp和Telemedicus平台,每名医学生在虚拟环境中协助一组肯尼亚临床医务人员处理各种实际患者病例。

项目评估

对医学生和肯尼亚临床医务人员访谈的定性分析得出了临床决策能力增强和提供符合文化背景的护理等主题。

讨论

实施一门独特的全球远程医疗选修课是可行的,并且受到了肯尼亚医学生和临床医务人员的好评。其他有全球健康经验的教员且希望与亚的斯诊所合作的机构也可以实施这一选修课。

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本文引用的文献

1
Remote online global health education among U.S. medical students during COVID-19 and beyond.新冠疫情期间及之后美国医学生的远程在线全球医学教育。
BMC Med Educ. 2022 May 10;22(1):353. doi: 10.1186/s12909-022-03434-3.
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Foundational Telemedicine Workshop for First-Year Medical Students Developed During a Pandemic.基础远程医疗工作坊在疫情期间为医学生一年级开发。
MedEdPORTAL. 2021 Jul 16;17:11171. doi: 10.15766/mep_2374-8265.11171. eCollection 2021.
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Using WhatsApp messenger for health systems research: a scoping review of available literature.使用WhatsApp即时通讯软件进行卫生系统研究:现有文献的范围综述
Health Policy Plan. 2021 Jun 1;36(5):594-605. doi: 10.1093/heapol/czab024.
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Experience of Supporting Telemedicine Networks With the Collegium System: First 6 Years.利用合议制系统支持远程医疗网络的经验:头六年
Front Public Health. 2019 Aug 21;7:226. doi: 10.3389/fpubh.2019.00226. eCollection 2019.
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Motivations and Barriers Associated With Physician Volunteerism for an International Telemedicine Organization.与国际远程医疗组织医生志愿服务相关的动机与障碍
Front Public Health. 2019 Aug 13;7:224. doi: 10.3389/fpubh.2019.00224. eCollection 2019.
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Global Health. 2009 Feb 26;5:4. doi: 10.1186/1744-8603-5-4.