Virtual Rounding in Stroke Care and Neurology Education During the COVID-19 Pandemic - A Residency Program Survey

Kolikonda, Murali K; Blaginykh, Elena; Brown, Peter; Kovi, Shivakrishna; Zhang, Lucy Q.; Uchino, Ken

doi:10.1016/j.jstrokecerebrovasdis.2021.106177

Cited by 8 publications

(21 citation statements)

References 12 publications

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“…The scoping review focused on programs within North America. The majority of included studies (34 studies) were conducted in the United States of America (85.0%) 2,28,34,29,22,30,35,36,37,38,39,40,40,41,42,43,23,31,44,45,24,46, 47,33,25,26,20,21,48,49,50,51,52,53 and 6 studies 54,55,56,57,58,32 were conducted in Canada (15.0%). Two studies had international impact with learners globally using the morning report blog and The Clinical Problem Solvers podcast (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-five studies (62.5%) were conducted among general internal medicine programs, 2,22,25,26,50,29,30,31,33,44,42,55,40, 41,54,53,39,37,36,58,35,49,52 4 studies (10.0%) included family medicine learners, 21,40,39,37,59 4 studies (10.0%) were conducted in neurology programs, 23,24,57,32 1 study in nephrology (2.5%), 42 1 study (2.5%) in rheumatology, 56 2 studies (5.0%) in cardiology, 28,45 and 2 studies (5.0%) in other programs (Table 1). 34,48…”

Section: Resultsmentioning

confidence: 99%

“…Most studies explored the impact of virtual morning report (VMR) on knowledge acquisition and retention. 21,23,25,29,30,34,35,36,38,39,40,41,42,43,44,46,47, 48,49,50,51,52,53,55,56,62,63,60,65 Two studies also evaluated if VMR improved efficiency and time spent learning 38,56 and two studies explored association between the VMR format and cognitive learning styles. 36,37 Six studies reported on clinical outcomes in the areas of inpatient diabetes management, osteoporosis, chronic back pain, opioid prescribing, and advanced care planning (Table 1).…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of virtual morning report and outcomes in Canada and the United States

Sarma

Kanagalingam

Lai³

et al. 2022

Preprint

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Purpose: To describe the current landscape of virtual morning report (VMR) in medical residency education including its varying formats, methods, and associated effectiveness on learning and clinical outcomes. Methods: The authors conducted a scoping review using the Arksey and OMalley methodology. They searched Embase, OvidMEDLINE, Google Scholar, and PubMed between January 1, 1991 to April 15, 2022. Articles written in English on virtual morning report and virtual case-based teaching in medical residency programs were captured. Two authors independently screened articles using the inclusion criteria. Using a snowball approach, further citations were identified from included references. Two authors performed data extraction including outcomes using the Kirkpatrick model. We conducted thematic analysis using an iterative process. Results: A total of 401 citations were screened for eligibility and we included 40 articles. The number of published studies per year on VMR increased since the COVID-19 pandemic. Most studies used online case-based modules (n=20, 50.0%) or videoconferencing (n=12, 30.0%). The majority of studies described improved confidence with clinical reasoning, easy access, and preference for chatboxes and polls for engagement (Kirpatrick level 1). Nineteen studies demonstrated improved knowledge acquisition with pre-and post-test scores (Kirkpatrick level 2). Behaviour changes (Kirkpatrick level 3) included improved screening tests and medication prescribing. There were no studies on clinical outcomes (Kirkpatrick level 4). Thematic analyses revealed that VMR increased clinical reasoning, efficiently used technology, provided an inclusive environment for diverse learners, but reduced peer engagement and bedside teaching. Conclusion: Virtual morning report has a positive impact on learner confidence, knowledge, inclusivity, accessibility, and behaviour change. Future research is needed to explore the impact on patient outcomes as well as identify strategies for peer engagement and social interaction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A scoping review of virtual morning report and outcomes in Canada and the United States

Sarma

Kanagalingam

Lai³

et al. 2022

Preprint

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“…Many institutions, including both academic and nonacademic institutions with extant stroke care teams, started using in-hospital TS to evaluate patients following AIS. This allowed these institutions to limit stroke team infectious exposure in the setting of staff and PPE shortages without compromising the educational experience for medical trainees [37,38]. Smaller hospitals without existing stroke care teams became prime candidates for the development and expansion of inpatient TS service lines in which patients with mild stroke syndromes could be treated locally while still receiving subspecialty care through remote TS evaluation.…”

Section: Acute Stroke Care and Inpatient Managementmentioning

confidence: 99%

Telestroke’s Role Through the COVID-19 Pandemic and Beyond

Harahsheh

English

Hrdlicka

et al. 2022

Curr Treat Options Neurol

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Purpose of review The goal of this paper is to discuss the role and utilization of telestroke services through the COVID-19 pandemic and to suggest future directions to sustain and increase patients' access to stroke expertise. Recent findings Telestroke is an innovative and effective tool that has been shown to improve access, quality of care, and outcomes of patients with acute stroke syndromes in resource-limited areas for the last two decades. The COVID-19 pandemic posed a significant challenge and strained healthcare systems worldwide, but it created novel and unique opportunities to expand and increase the utilization of telehealth and telestroke services to deliver personalized healthcare across the continuum of stroke care outside of traditional settings. This rapid and widespread increase in telestroke use was facilitated by the removal of many legislative and regulatory barriers which have limited patients' access to stroke expertise for many years. Summary As the public health emergency ends, there exists a unique opportunity to optimize and expand upon the pandemic-related rapid growth of telestroke care. Optimal utilization of telehealth and telestroke services will depend on maintaining and improving required infrastructure, laws, and regulations, particularly those governing reimbursement and licensing.

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“…This could apply to all aspects of clinical training, including assessment. Various strategies have either been used for the first time or have been re-introduced more extensively-like virtual clinical rounds, 3 virtual assessment (like virtual Objective Structured Clinical Examination), 4 and use of social media for medical education. 5 The inherent visual nature of dermatology makes it particularly suitable for this model.…”

Section: Using Learning Management Systems For Virtual Teaching Clini...mentioning

confidence: 99%

Using learning management systems for virtual teaching clinics in dermatology

Kaliyadan¹,

Pulickal²,

Dhafiri³

2022

IJDVL

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Virtual Rounding in Stroke Care and Neurology Education During the COVID-19 Pandemic - A Residency Program Survey

Cited by 8 publications

References 12 publications

A scoping review of virtual morning report and outcomes in Canada and the United States

A scoping review of virtual morning report and outcomes in Canada and the United States

Telestroke’s Role Through the COVID-19 Pandemic and Beyond

Using learning management systems for virtual teaching clinics in dermatology

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