Pandemic patch-up

Domb, Sharon; Manly, Eden; Elman, Debbie

doi:10.46747/cfp.670165

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…Participation in our ECHO sessions is free but requires attendees to have an electronic device (smartphone, tablet, or computer) connected to the internet. To join an ECHO session, participants are provided with instructions for how to virtually connect to the videoconference using Zoom software (Zoom Video Communications) . These Project ECHO sessions are held monthly and last between 60 and 90 minutes.…”

Section: Methodsmentioning

confidence: 99%

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Development, Implementation, and Evaluation of a Distance Learning and Telementoring Program for Cervical Cancer Prevention in Cameroon

Domgue

Pande

et al. 2022

JAMA Netw Open

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ImportanceAlthough Africa has the highest burden of cervical cancer in the world, educational resources to achieve the 90-70-90 targets set by the World Health Organization in its strategy to eliminate cervical cancer are lacking in the region.ObjectivesTo adapt, implement, and evaluate the Project Extension for Community Health Care Outcomes (ECHO), an innovative learning tool, to build capacity of clinicians to better incorporate new evidence-based guidelines into cervical cancer control policies and clinical practices.Design, Setting, and ParticipantsThis cross-sectional study assessed knowledge and practices of clinicians and support staff regarding cervical cancer prevention and control and compared them among respondents who had attended Project ECHO sessions (prior ECHO attendees) with those who had not but were planning on attending in the near future (newcomers) as part of the Cameroon Cervical Cancer Prevention Project ECHO. Satisfaction of prior ECHO attendees was also evaluated. Data were analyzed from January to March 2022.Main Outcomes and MeasuresMain outcomes were practices and knowledge regarding cervical cancer education and prevention and preinvasive management procedures compared among prior ECHO attendees and newcomers.ResultsOf the 75 participants (mean [SD] age, 36.4 [10.0] years; 65.7% [95% CI, 54.3%-77.1%] women) enrolled in this study, 41 (54.7%; 95% CI, 43.1%-66.2%) were prior ECHO attendees, and most were clinicians (55 respondents [78.6%; 95% CI, 68.7%-88.4%]). Overall, 50% (95% CI, 37.8%-62.2%) of respondents reported performing cervical cancer screening with visual inspection of the cervix after application of acetic acid (VIA) and/or visual inspection of the cervix after application of Lugol’s iodine (VILI), 46.3% (95% CI, 34.0%-58.5%) of respondents reported performing human papillomavirus (HPV) testing, and 30.3% (95% CI, 18.9%-41.7%) of respondents reported performing cervical cytological examination in their practices, Approximately one-fourth of respondents reported performing cryotherapy (25.4% [95% CI, 14.7%-36.1%]), thermal ablation (27.3% [95% CI, 16.2%-38.3%]) or loop electrosurgical excisional procedure (LEEP, 25.0% [95% CI, 14.4%-35.6%]) for treatment of preinvasive disease. The clinical use of many of these screening and treatment tools was significantly higher among prior ECHO attendees compared with newcomers (VIA/VILI: 63.2% [95% CI, 47.4%-78.9%] vs 33.3% [95% CI, 16.0%-50.6%]; P = .03; cryotherapy: 40.5% [95% CI, 24.3%-56.8%] vs 6.7% [95% CI, 0.0%-15.8%]; P = .002; thermal ablation: 43.2% [95% CI, 26.9%-59.6%] vs 6.9% [95% CI, 0.0%-16.4%]; P = .002). Knowledge about cervical cancer education, prevention, and management procedures was satisfactory in 36.1% (95% CI, 23.7%-48.5%) of respondents; this proportion was significantly higher among prior ECHO attendees (53.8% [95% CI, 37.7%-69.9%]) compared with newcomers (4.5% [95% CI, 0.0%-13.5%]; P &lt; .001). Approximately two-thirds of participants (68.8% [95% CI, 51.8%-85.8%]) reported that they had applied knowledge learned in our ECHO sessions to patient care in their practice or adopted best-practice care through their participation in this ECHO program.Conclusions and RelevanceThese findings suggest that the Project ECHO e-learning and telementoring program was associated with improved skills for clinicians and support staff and enhanced quality of care for patients. In the COVID-19 era and beyond, reinforced efforts to strengthen cervical cancer knowledge and best practices through distance learning and collaboration are needed.

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Section: Methodsmentioning

confidence: 99%

“…To join an ECHO session, participants are provided with instructions for how to virtually connect to the videoconference using Zoom software (Zoom Video Communications). 22 These Project ECHO sessions are held monthly and last between 60 and 90 minutes.…”

Section: Organization and Conduct Of A Cameroon Cervical Cancer Preve...mentioning

confidence: 99%

Development, Implementation, and Evaluation of a Distance Learning and Telementoring Program for Cervical Cancer Prevention in Cameroon

Domgue

Pande

et al. 2022

JAMA Netw Open

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“…Domb et al describes how virtual teaching clinics can effectively facilitate synchronous learning through real-time supervision, feedback, and mentorship. 4 Limitations of VVEs include fewer opportunities to practice procedural skills and physical exams, although data is emerging on implementing physical exams virtually. 5…”

Section: Medical Expertmentioning

confidence: 99%

“… 7 VVEs would allow trainees to receive feedback on these aspects of “webside” manner, which includes eye contact, body language, privacy considerations and having a professional background. 4 During the primary author’s VVE, faculty-led post-clinic rounds facilitated collaboration with colleagues through the presentation of patient encounters.…”

Section: Communicator and Collaboratormentioning

confidence: 99%

Achieving CanMEDs competencies through virtual visiting electives

Saravanabavan

Sivanand²,

Hildebrand³

2023

Can. Med. Ed. J

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“…The web-based videoconferencing software, Zoom, has particularly grown in use since the pandemic, becoming the most downloaded app in the Apple App Store in 2020 ( Beauford, 2022 ). While other videoconferencing platforms like Microsoft Teams and Google Meet also grew in use, Zoom in particular became popular in healthcare fields because of its user friendliness and the availability of a free version ( Domb et al, 2021 ; Wibowo et al, 2022 ). Zoom quickly became a primary means of connecting to others and even became part of daily vocabulary, for example, “Zoom fatigue” and “let’s Zoom.”…”

Section: Introductionmentioning

confidence: 99%

“There’s an Etiquette to Zoom That’s Not Really Present In-Person”: A Qualitative Study Showing How the Mute Button Shapes Virtual Postpartum Support for New Parents

MacLeod,

Aston,

Price

et al. 2023

Qual Health Res

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Virtual spaces that allow parents in the postpartum period to connect, support each other, and exchange information have been increasing in popularity. With the COVID-19 pandemic, many parents had to rely on virtual platforms as a primary means to connect with others and attend to their postpartum health. This study explored virtual postpartum support sessions through the web-based videoconferencing software, Zoom. Guided by feminist poststructuralism and sociomaterialism, we held seven virtual support sessions for parents caring for a baby 0–12 months in age, in Canada, and interviewed 19 participants about their experiences in the sessions. Our methodological approach allowed us to analyze discourses of (1) parenthood, (2) material realities of virtual environments, and (3) support and information on this virtual platform. The purpose of this research was to understand how technology influences postpartum support and learning through online videoconferencing for parents. Our findings document an overarching discourse of Zoom etiquette by which muting was a discursive practice that all participants used. The consistent use of the mute button while not talking structured conversation in virtual postpartum sessions and resulted in three themes: (1) minimizing disruptions; (2) taking turns; and (3) staying on task. The norm of using the mute button changed how parents received and gave support and information. Based on findings and broader literature, we discuss considerations for facilitation of virtual postpartum support sessions.

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Pandemic patch-up

Cited by 6 publications

References 2 publications

Development, Implementation, and Evaluation of a Distance Learning and Telementoring Program for Cervical Cancer Prevention in Cameroon

Development, Implementation, and Evaluation of a Distance Learning and Telementoring Program for Cervical Cancer Prevention in Cameroon

Achieving CanMEDs competencies through virtual visiting electives

“There’s an Etiquette to Zoom That’s Not Really Present In-Person”: A Qualitative Study Showing How the Mute Button Shapes Virtual Postpartum Support for New Parents

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