Pozo Patricia, Landino Marianfeli Cecilia, Maga Joni M, Jorge Lydia M, Araya Roxanna, Horn Danielle Bodzin, Stein Alecia L S
Fourth-Year Medical Student, University of Miami Leonard M. Miller School of Medicine.
Research Support Specialist, University of Miami/Jackson Memorial Hospital Center for Patient Safety.
MedEdPORTAL. 2025 Apr 11;21:11517. doi: 10.15766/mep_2374-8265.11517. eCollection 2025.
Since the COVID-19 pandemic, telehealth usage has surged and remains in high demand even as public health restrictions have relaxed. Telehealth introduces unique challenges to patient care, particularly in maintaining situational awareness and patient safety. Despite telehealth's widespread use, its training is still underrepresented in medical curricula. Recognizing these gaps, we developed a focused module to teach medical students about the significant differences between virtual and in-person visits, emphasizing essential communication skills and tools for situational awareness through simulated telehealth consultations.
Using a virtual platform, second-year (preclinical) medical students participated in a simulated telehealth visit during which they conducted a focused assessment of a standardized patient. While the chief complaint was a generalized symptom, the standardized patient had characteristics that suggested a more critical problem that would only be recognized with maintenance of appropriate situational awareness. Faculty members observed the students' performance and provided brief group feedback and discussion along with input from the standardized professionals.
Over 2 years, 634 preclinical medical students completed the simulated telehealth session during a course dedicated to transitioning students to their clinical rotations. Feedback from more than 80% of the medical students indicated that the training was valuable and exceeded their expectations.
Our innovative simulated telehealth consultation effectively enhances medical students' knowledge and proficiency in telehealth practices and situational awareness, providing them with essential skills for the evolving health care landscape.
自新冠疫情以来，远程医疗的使用量激增，即便公共卫生限制措施有所放宽，其需求仍居高不下。远程医疗给患者护理带来了独特挑战，尤其是在保持态势感知和患者安全方面。尽管远程医疗已被广泛使用，但其培训在医学课程中仍未得到充分体现。认识到这些差距后，我们开发了一个重点模块，向医学生传授虚拟问诊和面对面问诊之间的显著差异，通过模拟远程医疗会诊强调态势感知所需的基本沟通技巧和工具。
利用虚拟平台，二年级（临床前）医学生参与了一次模拟远程医疗问诊，在此过程中他们对一名标准化患者进行了重点评估。虽然主要诉求是一种全身性症状，但该标准化患者具有一些特征，提示存在一个更严重的问题，而这只有通过保持适当的态势感知才能识别。教员观察了学生的表现，并提供了简短的小组反馈和讨论，同时还有标准化专业人员的意见。
在两年多的时间里，634名临床前医学生在一门致力于帮助学生过渡到临床实习的课程中完成了模拟远程医疗环节。超过80%的医学生反馈表明，该培训很有价值，超出了他们的预期。
我们创新的模拟远程医疗会诊有效地提高了医学生在远程医疗实践和态势感知方面的知识和能力，为他们在不断发展的医疗保健领域提供了必要技能。
