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Geriatric Telehealth: A Standardized Patient Case for Medical Students

INTRODUCTION: The COVID-19 pandemic has necessitated the rapid expansion of telemedicine. However, there has been minimal coverage of telemedicine in traditional undergraduate medicine curricula. Telemedicine presents specific challenges in the geriatric population, including unfamiliarity with tech...

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Autores principales: Wilson, Lindsay A., Harder, Brianna, Kelley, Casey, Powell, Ross, Foster, Megan, Roberts, Ellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of American Medical Colleges 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495538/
https://www.ncbi.nlm.nih.gov/pubmed/37706040
http://dx.doi.org/10.15766/mep_2374-8265.11345
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author Wilson, Lindsay A.
Harder, Brianna
Kelley, Casey
Powell, Ross
Foster, Megan
Roberts, Ellen
author_facet Wilson, Lindsay A.
Harder, Brianna
Kelley, Casey
Powell, Ross
Foster, Megan
Roberts, Ellen
author_sort Wilson, Lindsay A.
collection PubMed
description INTRODUCTION: The COVID-19 pandemic has necessitated the rapid expansion of telemedicine. However, there has been minimal coverage of telemedicine in traditional undergraduate medicine curricula. Telemedicine presents specific challenges in the geriatric population, including unfamiliarity with technology, cognitive and sensory barriers, inclusion of family and/or caregivers, multimorbidity, and a high degree of medical complexity. METHODS: We developed a workshop to allow rising third-year medical students to practice a telemedicine patient encounter while developing skills for assessing and communicating with geriatric patients. This 90-minute workshop consisted of an introductory didactic presentation and a standardized patient activity for small groups of two to five students. Students’ level of comfort with telemedicine for assessment of geriatric patients was evaluated with a pre- and postsurvey. RESULTS: Fifty-eight students participated in the workshop and completed the surveys (presurvey = 58, postsurvey = 40), with roughly half (52%) reporting prior experience with telemedicine. A 5-point Likert-type scale (1 = very uncomfortable, 5 = very comfortable) was used. Students reported statistically significant increases in comfort using telemedicine (presurvey = 3.1, postsurvey = 3.9, p < .001) and using telemedicine for patients ≥65 years (presurvey = 2.8, postsurvey = 3.9, p < .001) after completing the workshop. DISCUSSION: Medical students’ comfort levels using telemedicine and caring for patients ages 65 and older with a telehealth visit improved after participating in this workshop. To help prepare students for telehealth practice in their future careers, educators should provide them with opportunities to practice and develop this critical skill set.
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spelling pubmed-104955382023-09-13 Geriatric Telehealth: A Standardized Patient Case for Medical Students Wilson, Lindsay A. Harder, Brianna Kelley, Casey Powell, Ross Foster, Megan Roberts, Ellen MedEdPORTAL Original Publication INTRODUCTION: The COVID-19 pandemic has necessitated the rapid expansion of telemedicine. However, there has been minimal coverage of telemedicine in traditional undergraduate medicine curricula. Telemedicine presents specific challenges in the geriatric population, including unfamiliarity with technology, cognitive and sensory barriers, inclusion of family and/or caregivers, multimorbidity, and a high degree of medical complexity. METHODS: We developed a workshop to allow rising third-year medical students to practice a telemedicine patient encounter while developing skills for assessing and communicating with geriatric patients. This 90-minute workshop consisted of an introductory didactic presentation and a standardized patient activity for small groups of two to five students. Students’ level of comfort with telemedicine for assessment of geriatric patients was evaluated with a pre- and postsurvey. RESULTS: Fifty-eight students participated in the workshop and completed the surveys (presurvey = 58, postsurvey = 40), with roughly half (52%) reporting prior experience with telemedicine. A 5-point Likert-type scale (1 = very uncomfortable, 5 = very comfortable) was used. Students reported statistically significant increases in comfort using telemedicine (presurvey = 3.1, postsurvey = 3.9, p < .001) and using telemedicine for patients ≥65 years (presurvey = 2.8, postsurvey = 3.9, p < .001) after completing the workshop. DISCUSSION: Medical students’ comfort levels using telemedicine and caring for patients ages 65 and older with a telehealth visit improved after participating in this workshop. To help prepare students for telehealth practice in their future careers, educators should provide them with opportunities to practice and develop this critical skill set. Association of American Medical Colleges 2023-09-12 /pmc/articles/PMC10495538/ /pubmed/37706040 http://dx.doi.org/10.15766/mep_2374-8265.11345 Text en © 2023 Wilson et al. https://creativecommons.org/licenses/by/4.0/This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license.
spellingShingle Original Publication
Wilson, Lindsay A.
Harder, Brianna
Kelley, Casey
Powell, Ross
Foster, Megan
Roberts, Ellen
Geriatric Telehealth: A Standardized Patient Case for Medical Students
title Geriatric Telehealth: A Standardized Patient Case for Medical Students
title_full Geriatric Telehealth: A Standardized Patient Case for Medical Students
title_fullStr Geriatric Telehealth: A Standardized Patient Case for Medical Students
title_full_unstemmed Geriatric Telehealth: A Standardized Patient Case for Medical Students
title_short Geriatric Telehealth: A Standardized Patient Case for Medical Students
title_sort geriatric telehealth: a standardized patient case for medical students
topic Original Publication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495538/
https://www.ncbi.nlm.nih.gov/pubmed/37706040
http://dx.doi.org/10.15766/mep_2374-8265.11345
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