Koppel Paula D, De Gagne Jennie C, Webb Michelle, Nepveux Denise M, Bludorn Janelle, Emmons Aviva, Randall Paige S, Prose Neil S
School of Nursing, Duke University, DUMC 3322, 307 Trent Drive, Durham, NC, 27710, United States, 1 617 835 7087.
School of Medicine, Duke University, Durham, NC, United States.
JMIR Med Educ. 2025 Aug 7;11:e76260. doi: 10.2196/76260.
Telehealth training is increasingly incorporated into educational programs for health professions students and practicing clinicians. However, existing competencies and standards primarily address videoconferencing visit logistics, diagnostic modifications, and etiquette, often lacking comprehensive guidance on adapting interpersonal skills to convey empathy, cultural humility, and trust in web-based settings.
This study aimed to establish consensus on the knowledge, skills, and attitudes required for health professions students and clinicians to build rapport with patients in telehealth videoconferencing visits and to identify teaching strategies that best support these educational goals.
An e-Delphi study was conducted using a panel of 12 interprofessional experts in telehealth and telehealth education. Round 1 involved interviews, followed by anonymous surveys in rounds 2-4 to build consensus.
All 12 experts participated in rounds 1-3. In total, 19 themes related to rapport-building and 77 specific curriculum items were identified, all achieving the established level of consensus.
Using a competency-based education framework, this study provides guidance for health professions educators, teaching clinicians, and students on how to adapt interpersonal skills for telehealth including detailed content related to knowledge, skills, attitudes, and teaching strategies. Future research is needed to test the feasibility, acceptability, and effectiveness of curricula based on these competencies and teaching strategies.
远程医疗培训越来越多地纳入健康专业学生和临床医生的教育项目中。然而，现有的能力和标准主要涉及视频会议就诊的后勤安排、诊断调整和礼仪规范，往往缺乏关于如何在网络环境中调整人际沟通技巧以表达同理心、文化谦逊和信任的全面指导。
本研究旨在就健康专业学生和临床医生在远程医疗视频会议就诊中与患者建立融洽关系所需的知识、技能和态度达成共识，并确定最能支持这些教育目标的教学策略。
采用电子德尔菲法，由12名远程医疗和远程医疗教育领域的跨专业专家组成小组进行研究。第一轮为访谈，随后在第2至4轮进行匿名调查以达成共识。
12名专家均参与了第1至3轮。总共确定了19个与建立融洽关系相关的主题和77个具体的课程项目，所有这些都达到了既定的共识水平。
本研究使用基于能力的教育框架，为健康专业教育工作者、临床教学人员和学生提供了关于如何为远程医疗调整人际沟通技巧的指导，包括与知识、技能、态度和教学策略相关的详细内容。未来需要开展研究来测试基于这些能力和教学策略的课程的可行性、可接受性和有效性。
