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为临床前医学生创建多模式远程医疗课程。

Creation of a Multimodal Telemedicine Curriculum for Preclinical Medical Students.

作者信息

Costich Marguerite, Picoraro Joseph, Scott Theresa, Barron Beth, Feldman Evin, Friedman Suzanne

机构信息

Assistant Professor, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons.

Associate Professor, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons.

出版信息

MedEdPORTAL. 2025 Jan 3;21:11483. doi: 10.15766/mep_2374-8265.11483. eCollection 2025.

Abstract

INTRODUCTION

In 2020, the AAMC created telemedicine competencies to guide curriculum and assessment development. Most available curricula are designed for clinical medical students or graduate trainees, and few offer opportunities for individualized, timely feedback and participation in pediatric simulated encounters.

METHODS

We designed a hybrid curriculum to provide preclinical medical students with the knowledge and skills necessary to perform telemedicine encounters. The curriculum incorporated both an asynchronous online learning module and a synchronous skills workshop (1.5-2 hours) with real-time feedback from both simulated participants (SPs) and faculty. Both qualitative and quantitative methodology was used in curriculum evaluation. We invited faculty members to participate in semi-structured interviews to explore their experiences with the curriculum. We surveyed students on both general perceptions of the online module and SP workshops and knowledge on telemedicine gained from participation. Student telemedicine skills checklists from the SP workshops were also reviewed.

RESULTS

Approximately 140 students participated in the curriculum each year in 2021 and 2022. Students demonstrated significant increases in self-reported knowledge in telemedicine after the curriculum ( < .001), and students were satisfied with curriculum content and design. Themes that emerged from faculty semi-structured interviews related to perceptions of the curriculum. Areas of strength on the telemedicine student skills checklist were establishing rapport, optimizing presence on video, and demonstrating empathy in a virtual space.

DISCUSSION

As telemedicine becomes integral to clinical practice, early training is essential. This telemedicine curriculum for preclinical medical students provides a comprehensive multimodal foundation in virtual communication and physical examination skills.

摘要

引言

2020年,美国医学协会(AAMC)制定了远程医疗能力标准,以指导课程设置和评估发展。现有的大多数课程都是为临床医学生或研究生培训设计的,很少有课程提供个性化、及时反馈以及参与儿科模拟诊疗的机会。

方法

我们设计了一个混合课程,为临床前医学生提供进行远程医疗诊疗所需的知识和技能。该课程包括一个异步在线学习模块和一个同步技能工作坊(1.5 - 2小时),并由模拟参与者(SPs)和教员提供实时反馈。课程评估采用了定性和定量方法。我们邀请教员参加半结构化访谈,以探讨他们对该课程的体验。我们对学生进行了调查,了解他们对在线模块和SP工作坊的总体看法,以及从参与中获得的远程医疗知识。我们还审查了SP工作坊中学生的远程医疗技能清单。

结果

2021年和2022年,每年约有140名学生参加该课程。课程结束后,学生自我报告的远程医疗知识有显著增加(<.001),并且学生对课程内容和设计感到满意。教员半结构化访谈中出现的主题与对课程的看法有关。远程医疗学生技能清单上的优势领域包括建立融洽关系、优化视频形象以及在虚拟空间中表现出同理心。

讨论

随着远程医疗成为临床实践的重要组成部分,早期培训至关重要。这个针对临床前医学生的远程医疗课程在虚拟沟通和体格检查技能方面提供了全面的多模式基础。

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