Medical students’ perceptions and expectations regarding digital health education and training: A qualitative study

Edirippulige, Sisira; Gong, Sophie; Hathurusinghe, Malshi; Jhetam, Sarah; Kirk, Jasmine; Lao, Henry; Leikvold, Annalise; Ruelcke, Jayde E.; Yau, Nim Chi; Zhang, Qichen; Armfield, Nigel R; Senanayake, Buddhika; Zhou, Xiaoyun; Smith, Anthony C; Judd, Madelaine-Marie; Coulthard, Mark G.

doi:10.1177/1357633x20932436

Cited by 31 publications

(26 citation statements)

References 24 publications

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“…Telemedicine could be incorporated into pre-existing components of the curriculum to prevent significant additional burdens for students and clinicians. 23 , 31 …”

Section: Discussionmentioning

confidence: 99%

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Comparing medical student experience of face-to-face and remote access consultations during the coronavirus pandemic

2022

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Introduction As a result of the coronavirus pandemic, outpatient consultations in National Health Service Lanarkshire were conducted using various forms of teleconsultation. A qualitative study was undertaken to ascertain how senior medical students valued the experience of outpatient teleconsultations in comparison to face-to-face consultations during the pandemic. Methods Anonymised, voluntary surveys were emailed to all medical students who attended clinical placements in specialties utilising teleconsultations. Participants were asked to compare their experience of and perceived value of virtual consultants to face-to-face consultations. Thematic and statistical analysis was performed on the collected data. Results Participants unanimously agreed face-to-face consultations enabled learning, with 71.4% (n = 7) having similar experiences in video consultations if a senior was physically present beside them. Video consultation, when the senior clinician was also present virtually, was deemed useful to a lesser extent (66.7%, n = 6). Only half (57.1%, n = 14) valued the learning from telephone consultations. Qualitative analysis revealed that although face to face was the preferred consultation style, there was useful learning gained in all modalities. Students appreciated discussion with senior clinicians to facilitate learning and valued involvement in the consultation through history taking, especially in teleconsultations. Discussion Teleconsultation was an effective learning tool for medical students during the coronavirus pandemic, which preserved student exposure to patients during lockdown. This study is optimistic that widespread incorporation of teleconsultation, in all modality, has the ability to support students’ clinical exposure and learning, which is becoming increasingly limited as medical student numbers continue to rise and with the ongoing effects of the pandemic.

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“…Telemedicine could be incorporated into pre-existing components of the curriculum to prevent significant additional burdens for students and clinicians. 23 , 31 …”

Section: Discussionmentioning

confidence: 99%

“… 21 Additionally, there is a noted lack of training in how to use these platforms safely and lawfully. 21 – 23 …”

Section: Introductionmentioning

confidence: 99%

Comparing medical student experience of face-to-face and remote access consultations during the coronavirus pandemic

2022

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“…In another survey study, MacNevin et al [ 35 ] showed that 79.2% of second-year medical students were “technology ready,” indicating their propensity to use new technology. However, most students do not receive formal education or training in this area [ 36 ]. Our results suggest that students are taking initiative to fill unmet needs at their respective schools, highlighting the importance of developing I&T-based education programs as part of our call for educational reform [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Technology Literacy in Undergraduate Medical Education: Review and Survey of the US Medical School Innovation and Technology Programs

Wang¹,

Singh²,

Miselis³

et al. 2022

JMIR Med Educ

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Background Modern innovations, like machine learning, genomics, and digital health, are being integrated into medical practice at a rapid pace. Physicians in training receive little exposure to the implications, drawbacks, and methodologies of upcoming technologies prior to their deployment. As a result, there is an increasing need for the incorporation of innovation and technology (I&T) training, starting in medical school. Objective We aimed to identify and describe curricular and extracurricular opportunities for innovation in medical technology in US undergraduate medical education to highlight challenges and develop insights for future directions of program development. Methods A review of publicly available I&T program information on the official websites of US allopathic medical schools was conducted in June 2020. Programs were categorized by structure and implementation. The geographic distribution of these categories across US regions was analyzed. A survey was administered to school-affiliated student organizations with a focus on I&T and publicly available contact information. The data collected included the founding year, thematic focus, target audience, activities offered, and participant turnout rate. Results A total of 103 I&T opportunities at 69 distinct Liaison Committee on Medical Education–accredited medical schools were identified and characterized into the following six categories: (1) integrative 4-year curricula, (2) facilitated doctor of medicine/master of science dual degree programs in a related field, (3) interdisciplinary collaborations, (4) areas of concentration, (5) preclinical electives, and (6) student-run clubs. The presence of interdisciplinary collaboration is significantly associated with the presence of student-led initiatives (P=.001). “Starting and running a business in healthcare” and “medical devices” were the most popular thematic focuses of student-led I&T groups, representing 87% (13/15) and 80% (12/15) of respondents, respectively. “Career pathways exploration for students” was the only type of activity that was significantly associated with a high event turnout rate of >26 students per event (P=.03). Conclusions Existing school-led and student-driven opportunities in medical I&T indicate growing national interest and reflect challenges in implementation. The greater visibility of opportunities, collaboration among schools, and development of a centralized network can be considered to better prepare students for the changing landscape of medical practice.

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“…Each clinician adopted telemedicine individually. A 2020 quantitative survey of medical students from Queensland showed that 68% (n=43) of their respondents were interested in receiving telemedicine training (40). Practically, this suggests that if telemedicine training was available to clinicians, they would be willing to receive it.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in The Context of Covid-19- A Qualitative Study of Cancer Patients and Clinicians

Kong

Chauhan

Leung

et al. 2021

Preprint

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Background:Prior to the Covid-19 pandemic, telemedicine was only used to deliver health care to patients living in remote areas of Australia. However, the spread of the Covid-19 virus pushed the widespread uptake of telemedicine across Australia, including in metropolitan regions. This qualitative study will explore the medical oncology (MO) patient and clinician experience of telemedicine in a metropolitan setting as a result of Covid-19.Method:Participants were selected and invited to participate by theoretical sampling from MO clinicians and patients attending MO clinics at Prince of Wales Hospital. Data was collected by in-depth semi-structured interviews. Thematic analysis was performed to analyse the interview data. Transcripts were coded using the grounded theory approach to identify overarching themes.Results:Twelve participants were recruited to the study. Most participants viewed the adoption of telemedicine positively because it was considered as convenient, efficient and could be used in order to reduce the spread of Covid-19. Nonetheless, participants complained about the poor implementation of telemedicine, technical difficulties and lack of proper training. Finally, providers expressed mixed views over the lack of personal interaction and the lack of physical examination from telemedicine. However, both clinicians and patients viewed telemedicine as acceptable to be used in the context of routine follow-ups.Conclusion:Although some operational improvements are necessary, the role of telemedicine in the follow up of MO patients seems likely to continue beyond Covid-19.

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Medical students’ perceptions and expectations regarding digital health education and training: A qualitative study

Cited by 31 publications

References 24 publications

Comparing medical student experience of face-to-face and remote access consultations during the coronavirus pandemic

Comparing medical student experience of face-to-face and remote access consultations during the coronavirus pandemic

Technology Literacy in Undergraduate Medical Education: Review and Survey of the US Medical School Innovation and Technology Programs

Telemedicine in The Context of Covid-19- A Qualitative Study of Cancer Patients and Clinicians

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