2022
DOI: 10.1002/acr.24569
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Telemedicine in Adult Rheumatology: In Practice and in Training

Abstract: Many rheumatology providers, including fellows-in-training, responded to the immediate need for maintaining patient access to care via telerheumatology during the COVID-19 pandemic. The rapidity of this transition did not permit an intentional approach to integrating fellow education and training into virtual patient care. Virtual patient care has since become an integrated, and perhaps, an embedded part of rheumatology practice that will likely endure beyond the COVID-19 pandemic. Thus, the development of bes… Show more

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Cited by 20 publications
(16 citation statements)
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“…Although it is clear that there is a patient-led demand for telemedicine [ 8 , 16 ], studies indicate that telemedicine is underutilized by ethnic minorities and patients with lower socioeconomic status, with issues such as literacy, access to new technologies and willingness to embrace them leading to disparities in patient outcome and access to health care [ 35 ]. A possible solution to access issues is the approach adopted by the Alaska Native Medical Center, in which patients travel to local clinics, with technology in place for remote consultations and clinicians on hand to assist [ 14 ]. It is clear, however, that although telemedicine might be suitable for any patient at any time, it is unlikely to be suitable for all patients, all the time.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although it is clear that there is a patient-led demand for telemedicine [ 8 , 16 ], studies indicate that telemedicine is underutilized by ethnic minorities and patients with lower socioeconomic status, with issues such as literacy, access to new technologies and willingness to embrace them leading to disparities in patient outcome and access to health care [ 35 ]. A possible solution to access issues is the approach adopted by the Alaska Native Medical Center, in which patients travel to local clinics, with technology in place for remote consultations and clinicians on hand to assist [ 14 ]. It is clear, however, that although telemedicine might be suitable for any patient at any time, it is unlikely to be suitable for all patients, all the time.…”
Section: Discussionmentioning
confidence: 99%
“…Some suggest that this could include simulated virtual consultations and lessons in telemedicine-specific legislation [ 4 ]. Indeed, the United States Accreditation Council of Graduate Medical Education has already added telemedicine-specific competencies to its list of core competencies for medical training [ 4 , 14 , 48 ].…”
Section: Discussionmentioning
confidence: 99%
“…The negative impact of telemedicine on clinical teaching reported by most trainees should prompt rheumatology programs to examine preexisting curricula and ensure that telehealth competencies are incorporated such as that recommended by the Association of American Medical Colleges ( 6 ). In addition, allocating in‐person visits to less‐experienced (eg, first year) trainees until they become confident ( 7 ) and ensuring that trainees possess the necessary foundational knowledge and skills before virtual visits ( 8 ) may improve the training experience.…”
Section: Discussionmentioning
confidence: 99%
“…Since the pandemic, the United States Accreditation Council of Graduate Medical Education has adopted residency training requirements (Common Program Requirements) embedding telemedicine training ( 11 ). Foci will include telemedicine‐specific clinical competencies in a virtual setting, virtual communication skills, and more nuanced aspects such as “webside manner” ( 8 ). Globally, telemedicine implementation will differ according to resource setting ( 12 ), community needs, and regulations ( 13 ).…”
Section: Discussionmentioning
confidence: 99%
“…E-consults can leverage access to care and address acuity by potentially displacing the need for in-person or even virtual visits. 37 , 38 E-consults are particularly relevant and impactful in addressing “quick questions” as well as in mitigating prolonged wait times for scheduled appointments or allowing critical tests to be ordered in advance of a specialty visit. “Quick questions” may request advice in patient management, consideration for appropriateness of subspecialty referral, or guidance in referral acuity need (eg, within a week or month).…”
Section: Applying a Quality Framework To Asynchronous Use Casesmentioning
confidence: 99%