Twelve tips for the integration of medical students into telemedicine visits

Iancu, Ariella; Kemp, Michael T.; Gribbin, William; Liesman, Daniel; Nevarez, Jasmine; Pinsky, Alexa M; Pumiglia, Luke; Andino, Juan J.; Alam, Hasan B.; Stojan, Jennifer; Walford, Eric; Schiller, Jocelyn

doi:10.1080/0142159x.2020.1844877

Cited by 20 publications

(22 citation statements)

References 15 publications

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“…Insight about the ways physicians adjusted during the expansion of telemedicine use, such as how they rapidly learned about and navigated the variety of telemedicine platforms (e.g., video, telephone, or patient portal), may help inform future efforts to support telemedicine implementation and use. Although ongoing telemedicine trainings may potentially reinforce these types of adjustments, 23 understanding the changes physicians have had to make to accommodate the increased use of telemedicine can also offer invaluable information about ways to improve the efficiency and effectiveness of care delivered through telemedicine. For instance, given our interviewees' enthusiasm about the use of messaging tools to rapidly share information with other physicians, our findings suggest it will be important to emphasize the opportunity for bidirectional communication to facilitate problem solving and knowledge sharing when using telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

DePuccio

Gaughan

McAlearney

2021

Telemedicine Reports

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Background: Telemedicine is a major pillar in the health care system's response to the coronavirus disease 2019 (COVID-19) pandemic. However, the rapid implementation of telemedicine is not without its challenges. We examined the strategies primary care physicians (PCPs) used to make the transition to telemedicine during the pandemic. Methods: A qualitative study was conducted to explore the perspectives of PCPs working at a Midwestern Academic Medical Center (AMC) who used telemedicine during the COVID-19 pandemic. Semistructured interviews with 20 PCPs were conducted 3 months following the rapid increase in the use of telemedicine across the AMC. Interview questions asked about physicians' challenges using telemedicine, the changes they had to make to use telemedicine, and what had helped them deliver care through telemedicine. All interviews were recorded, transcribed, coded, and rigorously analyzed using deductive thematic analysis. Results: According to PCPs, a successful transition to telemedicine involved three key elements: (1) maintaining flexibility in the context of constant change; (2) recognizing the need to upgrade their home office spaces; and(3) seeking opportunities to continue collaborating and sharing knowledge with peers. These strategies enabled physicians to rapidly pivot to deliver care through telemedicine when stay-at-home orders took effect. Physicians also described how frequent leadership communication and the rapid dissemination of telemedicine training supported their use of this care modality. Conclusions: Successful adoption of telemedicine requires that physicians adapt their care delivery practices. Considering these facilitators of telemedicine use can help both physicians and health care organizations with this important transition.

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Section: Discussionmentioning

confidence: 99%

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

DePuccio

Gaughan

McAlearney

2021

Telemedicine Reports

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“…Information technology experts may teach medics how to use various video-sharing platforms and to arrange networks for sharing audio-visual materials amongst researchers and educators with special interests [16]. Telemedicine has already been praised as a perspective area in rheumatology, orthopaedics, and rehabilitation amidst the COVID-19 pandemic [17,18,19].…”

Section: Online Survey Studiesmentioning

confidence: 99%

Emerging Online Tools and Platforms for Scholarly Activities

Yessirkepov

Zimba

Gasparyan

2021

CAJMHE

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Scholarly activities are increasingly dependent on a wide variety of online tools and platforms. Processing health information on such platforms may enrich research studies and solve some healthcare issues. Health information analyses and online surveys are frequently conducted to test old hypothesis and generate new ones. These studies require thorough understanding of the subject and skilful use of online platforms, including social media. Social media platforms are increasingly employed for retrieving and disseminating research data. Scholarly activities on Twitter and other globally popular social media are now recommended for research, education, and clinical practice. Aggregated social media information and related altmetric data have emerged as reflections of the immediacy effects of online sharing and commenting and as tools to complement citation analyses. Researchers and research managers may use altmetrics to plan their studies and introduce changes to the education process. Securing uninterrupted access to Internet and available online tools may facilitate quality research and other scholarly activities.

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“…While clinical and practical aspects of the delivery of telemedicine have a stronger presence in the literature, education on delivery of video consultation is minimally represented. Prior to the pandemic only half of American medical schools included telemedicine in their curriculum [20] and since the pandemic there remains a gap in the literature in this area [21]. A single published systematic review from 2017 found only nine studies (published 2008-2014) relating to education and training in 'clinical telehealth' [22], many of which did not cover video consultation specifically in their training sessions.…”

Section: Introductionmentioning

confidence: 99%

Teaching webside manner: development and initial evaluation of a video consultation skills training module for undergraduate medical students

Gunner

Eisner

Watson

et al. 2021

Medical Education Online

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Background: Video consultations are increasingly used to communicate with patients, particularly during the current COVID-19 pandemic. However, training in video consultation skills receives scant attention in the literature. We sought to introduce this important topic to our undergraduate medical school curriculum. Objective: To increase final year medical students' video consultation skills and knowledge. Methods: We used Plan, Do, Study, Act (PDSA) quality improvement methodology with a prepost study design to develop a teaching session for 5th year medical students, informed by a literature review and online clinician survey. The 2 hour session comprised an introduction and three practical stations: patient selection and ethics, technology and example videos, and simulation. Subjective pre-and post-session confidence was reported by students across seven domains using 5-point scales (1: not at all confident; 5: extremely confident). Students and facilitators completed post-session feedback forms. Results: The 40 students and 3 facilitators who attended, over two separate teaching sessions, provided unanimously positive feedback. All students considered the session relevant. Subjective confidence ratings (n = 34) significantly increased from pre-to post-session (mean increase 1.78, p < 0.001). Conclusions: The inaugural teaching session was well-received and subjective assessment measures showed improvement in taught skills. This pilot has informed a UK-wide multicentre study with subjective and objective data collection.

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Twelve tips for the integration of medical students into telemedicine visits

Cited by 20 publications

References 15 publications

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

Emerging Online Tools and Platforms for Scholarly Activities

Teaching webside manner: development and initial evaluation of a video consultation skills training module for undergraduate medical students

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