Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students

Introduction Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way. Methods The Insomnia–Rural TeleOSCE was implemented as part of a required clinical...

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Autores principales:	Rebecca E. Cantone, Ryan Palmer, Lisa Grill Dodson, Frances E. Biagioli
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Telemedicine Standardized Patient OSCE Rural Insomnia Clinical Skills Assessment Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/b6f61535010f4dfcb7880bd4ead3da02
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spelling	oai:doaj.org-article:b6f61535010f4dfcb7880bd4ead3da022021-11-22T14:02:27ZInsomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students10.15766/mep_2374-8265.108672374-8265https://doaj.org/article/b6f61535010f4dfcb7880bd4ead3da022019-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10867https://doaj.org/toc/2374-8265Introduction Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way. Methods The Insomnia–Rural TeleOSCE was implemented as part of a required clinical clerkship for students in their second, third, or fourth year of medical school. This case addressed a patient with depression in a medically underserved area. Students performed it as a formative experience and received immediate feedback. They then completed a survey to evaluate the experience. Results Students (n = 287) rated the quality of the experience 7.59 out of 10. Comments showed that 61 learners thought the TeleOSCE was a positive experience, 35 wanted more teaching about telemedicine, 28 improved their understanding of barriers to care, 25 expressed concern over minimal other training, 23 found the TeleOSCE important and challenging, 16 appreciated the differences between in-person and remote visits, and 15 wanted fewer distractions. Eight students worried about how they would be judged, five learned from the technical limitations, five requested more time, five were skeptical of the utility, and five saw telemedicine as triage. Discussion The TeleOSCE allows learners to gain exposure to telemedicine in a safe simulated teaching environment and assesses learner competencies. The TeleOSCE also improves students’ understanding of barriers to care and the utility of telemedicine. It logistically allows faculty to directly assess distance students on their clinical reasoning and patient communication skills.Rebecca E. CantoneRyan PalmerLisa Grill DodsonFrances E. BiagioliAssociation of American Medical CollegesarticleTelemedicineStandardized PatientOSCERuralInsomniaClinical Skills AssessmentMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Telemedicine Standardized Patient OSCE Rural Insomnia Clinical Skills Assessment Medicine (General) R5-920 Education L
spellingShingle	Telemedicine Standardized Patient OSCE Rural Insomnia Clinical Skills Assessment Medicine (General) R5-920 Education L Rebecca E. Cantone Ryan Palmer Lisa Grill Dodson Frances E. Biagioli Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
description	Introduction Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way. Methods The Insomnia–Rural TeleOSCE was implemented as part of a required clinical clerkship for students in their second, third, or fourth year of medical school. This case addressed a patient with depression in a medically underserved area. Students performed it as a formative experience and received immediate feedback. They then completed a survey to evaluate the experience. Results Students (n = 287) rated the quality of the experience 7.59 out of 10. Comments showed that 61 learners thought the TeleOSCE was a positive experience, 35 wanted more teaching about telemedicine, 28 improved their understanding of barriers to care, 25 expressed concern over minimal other training, 23 found the TeleOSCE important and challenging, 16 appreciated the differences between in-person and remote visits, and 15 wanted fewer distractions. Eight students worried about how they would be judged, five learned from the technical limitations, five requested more time, five were skeptical of the utility, and five saw telemedicine as triage. Discussion The TeleOSCE allows learners to gain exposure to telemedicine in a safe simulated teaching environment and assesses learner competencies. The TeleOSCE also improves students’ understanding of barriers to care and the utility of telemedicine. It logistically allows faculty to directly assess distance students on their clinical reasoning and patient communication skills.
format	article
author	Rebecca E. Cantone Ryan Palmer Lisa Grill Dodson Frances E. Biagioli
author_facet	Rebecca E. Cantone Ryan Palmer Lisa Grill Dodson Frances E. Biagioli
author_sort	Rebecca E. Cantone
title	Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
title_short	Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
title_full	Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
title_fullStr	Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
title_full_unstemmed	Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students
title_sort	insomnia telemedicine osce (teleosce): a simulated standardized patient video-visit case for clerkship students
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/b6f61535010f4dfcb7880bd4ead3da02
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Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students

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