Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students

Introduction Telemedicine has become part of mainstream medical practice. High quality virtual care is a skill that will be required of many physicians. Skills required for effective evaluation and communication during a video encounter differ from skills required at bedside, yet few rubrics for edu...

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Autores principales: Mary Mulcare, Neel Naik, Peter Greenwald, Kaitlin Schullstrom, Kriti Gogia, Sunday Clark, Yoon Kang, Rahul Sharma
Formato: article
Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/33b6afd07a81498c8424666ae2fdc093
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spelling oai:doaj.org-article:33b6afd07a81498c8424666ae2fdc0932021-11-19T15:20:47ZAdvanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students10.15766/mep_2374-8265.110472374-8265https://doaj.org/article/33b6afd07a81498c8424666ae2fdc0932020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11047https://doaj.org/toc/2374-8265Introduction Telemedicine has become part of mainstream medical practice. High quality virtual care is a skill that will be required of many physicians. Skills required for effective evaluation and communication during a video encounter differ from skills required at bedside, yet few rubrics for educational content and student performance evaluation in telemedicine training have been developed. Our objective was to develop, implement, and assess a training module designed to teach medical providers techniques to deliver professional, effective, and compassionate care during a telemedicine encounter. Methods We created a simulation-based, 8-hour modular curriculum using the PEARLS debriefing framework with video-based encounters focused on “web-side manner” as a critical corollary to traditional bedside manner. We recorded simulated cases for each student with standardized patients, guided debriefs, and incorporated small-group exercises to teach advanced communication and examination skills. Results Of medical students, 98 in their major clinical year participated in 2019. Of participants, 97% were enthusiastic about the course; 100% felt simulation was an effective mechanism for delivery of the educational material. After participation, 71% believed that telemedicine had the potential to become part of their future practice; 92% perceived an improvement in their comfort and ability to conduct video-based patient encounters. Discussion Teaching telemedicine using this methodology was well received by students, providing early exposure to this evolving aspect of medical practice. Qualitative comments were used for targeted improvements of the content and delivery for curriculum development. Objective assessment tools of students completing telemedicine encounters need to be created.Mary MulcareNeel NaikPeter GreenwaldKaitlin SchullstromKriti GogiaSunday ClarkYoon KangRahul SharmaAssociation of American Medical CollegesarticleTelemedicineStandardized PatientsSimulationEmergency MedicineFlipped ClassroomMultimediaMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Telemedicine
Standardized Patients
Simulation
Emergency Medicine
Flipped Classroom
Multimedia
Medicine (General)
R5-920
Education
L
spellingShingle Telemedicine
Standardized Patients
Simulation
Emergency Medicine
Flipped Classroom
Multimedia
Medicine (General)
R5-920
Education
L
Mary Mulcare
Neel Naik
Peter Greenwald
Kaitlin Schullstrom
Kriti Gogia
Sunday Clark
Yoon Kang
Rahul Sharma
Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
description Introduction Telemedicine has become part of mainstream medical practice. High quality virtual care is a skill that will be required of many physicians. Skills required for effective evaluation and communication during a video encounter differ from skills required at bedside, yet few rubrics for educational content and student performance evaluation in telemedicine training have been developed. Our objective was to develop, implement, and assess a training module designed to teach medical providers techniques to deliver professional, effective, and compassionate care during a telemedicine encounter. Methods We created a simulation-based, 8-hour modular curriculum using the PEARLS debriefing framework with video-based encounters focused on “web-side manner” as a critical corollary to traditional bedside manner. We recorded simulated cases for each student with standardized patients, guided debriefs, and incorporated small-group exercises to teach advanced communication and examination skills. Results Of medical students, 98 in their major clinical year participated in 2019. Of participants, 97% were enthusiastic about the course; 100% felt simulation was an effective mechanism for delivery of the educational material. After participation, 71% believed that telemedicine had the potential to become part of their future practice; 92% perceived an improvement in their comfort and ability to conduct video-based patient encounters. Discussion Teaching telemedicine using this methodology was well received by students, providing early exposure to this evolving aspect of medical practice. Qualitative comments were used for targeted improvements of the content and delivery for curriculum development. Objective assessment tools of students completing telemedicine encounters need to be created.
format article
author Mary Mulcare
Neel Naik
Peter Greenwald
Kaitlin Schullstrom
Kriti Gogia
Sunday Clark
Yoon Kang
Rahul Sharma
author_facet Mary Mulcare
Neel Naik
Peter Greenwald
Kaitlin Schullstrom
Kriti Gogia
Sunday Clark
Yoon Kang
Rahul Sharma
author_sort Mary Mulcare
title Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
title_short Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
title_full Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
title_fullStr Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
title_full_unstemmed Advanced Communication and Examination Skills in Telemedicine: A Structured Simulation-Based Course for Medical Students
title_sort advanced communication and examination skills in telemedicine: a structured simulation-based course for medical students
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/33b6afd07a81498c8424666ae2fdc093
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