Nakamura Koki, Hidaka Tomoo, Toyoda Yoshihiro, Endo Mei, Kanke Satoshi
Center for Medical Education and Career Development Fukushima Medical University Fukushima Japan.
Fukushima Centre for General Physicians Fukushima Medical University Fukushima Japan.
J Gen Fam Med. 2025 Apr 21;26(4):334-345. doi: 10.1002/jgf2.70020. eCollection 2025 Jul.
Despite the increasing demand for telemedicine, there have been few reports on telemedicine training for general practice/family medicine residents. This study aimed to qualitatively examine the educational effects of remote medical training for residents using role-play.
This study targeted first- and second-year residents enrolled in the General Medicine/Family Medicine Residency Program at Fukushima Medical University in 2023. The residents watched educational videos on telemedicine and engaged in role-playing training based on multiple scenarios. Subsequently, interviews were conducted with the residents, and the verbatim transcripts of the audio data were thematically analyzed using open coding.
Eight residents participated in the study, with each undergoing 3-4 interviews. The identified codes were inductively summarized, and nine categories were generated: verbal cues to enhance the quality of history taking, nonverbal communication to connect with patients, addressing risks inherent in the convenience of telemedicine, co-creating a clinical environment with patients, anticipating issues different from those encountered in face-to-face consultation rooms, considering and supporting the elderly and those who are digitally disadvantaged, improving access restrictions due to busyness and resistance to telemedicine, understanding the living environment in connection with patient families and home care nurses, and awareness of the wide-ranging applications of telemedicine.
The results of telemedicine training via role-play suggest various educational effects. This study provides crucial findings for considering educational methods for GM/FM residents to respond to the increasing demand for telemedicine in primary health care.
尽管对远程医疗的需求不断增加，但关于全科/家庭医学住院医师远程医疗培训的报道却很少。本研究旨在定性研究通过角色扮演对住院医师进行远程医疗培训的教育效果。
本研究的对象是2023年就读于福岛医科大学全科医学/家庭医学住院医师培训项目的一年级和二年级住院医师。住院医师观看了远程医疗教育视频，并根据多个场景进行角色扮演培训。随后，对住院医师进行了访谈，并使用开放式编码对音频数据的逐字记录进行了主题分析。
8名住院医师参与了本研究，每人接受了3-4次访谈。对识别出的代码进行归纳总结，生成了9个类别：提高病史采集质量的语言提示、与患者建立联系的非语言沟通、解决远程医疗便利性带来的固有风险、与患者共同营造临床环境、预见与面对面诊疗室不同的问题、考虑并支持老年人和数字弱势群体、改善因忙碌和对远程医疗的抵触而导致的就诊限制、了解与患者家庭和家庭护理护士相关的生活环境，以及对远程医疗广泛应用的认识。
通过角色扮演进行远程医疗培训的结果显示出各种教育效果。本研究为考虑针对全科/家庭医学住院医师的教育方法提供了关键发现，以应对初级卫生保健中对远程医疗日益增长的需求。
