Cargando…

Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center

BACKGROUND: This study describes the program and learning outcomes of a telehealth skills curriculum based on the Association of American Medical Colleges (AAMC) telehealth competencies for clerkship-level medical students. METHODS: A total of 133 third- and fourth-year medical students in a require...

Descripción completa

Detalles Bibliográficos
Autores principales: Bajra, Rika, Srinivasan, Malathi, Torres, Elise Cheng, Rydel, Tracy, Schillinger, Erika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577422/
https://www.ncbi.nlm.nih.gov/pubmed/37849494
http://dx.doi.org/10.3389/fmed.2023.1222181
_version_ 1785121323840700416
author Bajra, Rika
Srinivasan, Malathi
Torres, Elise Cheng
Rydel, Tracy
Schillinger, Erika
author_facet Bajra, Rika
Srinivasan, Malathi
Torres, Elise Cheng
Rydel, Tracy
Schillinger, Erika
author_sort Bajra, Rika
collection PubMed
description BACKGROUND: This study describes the program and learning outcomes of a telehealth skills curriculum based on the Association of American Medical Colleges (AAMC) telehealth competencies for clerkship-level medical students. METHODS: A total of 133 third- and fourth-year medical students in a required family medicine clerkship at Stanford University School of Medicine participated in a telehealth curriculum, including a telehealth workshop, site-specific telehealth clinical encounters, and telemedicine objective structured clinical examinations (teleOSCEs) between July 2020 and August 2021. Their workshop communication and physical examination competencies were assessed in two teleOSCEs utilizing a novel telehealth assessment tool. Students' attitudes, skills, and self-efficacy were assessed through voluntary pre-clerkship, post-workshop, and post-OSCE surveys. DISCUSSION: Most learners reported low confidence in their telehealth physical examinations [n = 79, mean = 1.6 (scale 0–5, 5 = very confident, SD = 1.0)], which improved post-workshop [n = 69, 3.3 (0.9), p < 0.001]; almost all (97%, 70/72) felt the workshop prepared them to see patients in the clinic. In formative OSCEs, learners demonstrated appropriate “webside manner” (communication scores 94–99%, four items) but did not confirm confidentiality (21%) or review limitations of the visit (35%). In a low back pain OSCE, most learners assessed pain location (90%) and range of motion (87%); nearly half (48%) omitted strength testing. CONCLUSION: Our telehealth curriculum demonstrated that telehealth competencies can be taught and assessed in medical student education. Improvement in self-efficacy scores suggests that an 80-min workshop can prepare students to see patients in the clinical setting. Assessment of OSCE data informs opportunities for growth for further development in the curriculum, including addressing visit limitations and confidentiality in telehealth visits.
format Online
Article
Text
id pubmed-10577422
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105774222023-10-17 Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center Bajra, Rika Srinivasan, Malathi Torres, Elise Cheng Rydel, Tracy Schillinger, Erika Front Med (Lausanne) Medicine BACKGROUND: This study describes the program and learning outcomes of a telehealth skills curriculum based on the Association of American Medical Colleges (AAMC) telehealth competencies for clerkship-level medical students. METHODS: A total of 133 third- and fourth-year medical students in a required family medicine clerkship at Stanford University School of Medicine participated in a telehealth curriculum, including a telehealth workshop, site-specific telehealth clinical encounters, and telemedicine objective structured clinical examinations (teleOSCEs) between July 2020 and August 2021. Their workshop communication and physical examination competencies were assessed in two teleOSCEs utilizing a novel telehealth assessment tool. Students' attitudes, skills, and self-efficacy were assessed through voluntary pre-clerkship, post-workshop, and post-OSCE surveys. DISCUSSION: Most learners reported low confidence in their telehealth physical examinations [n = 79, mean = 1.6 (scale 0–5, 5 = very confident, SD = 1.0)], which improved post-workshop [n = 69, 3.3 (0.9), p < 0.001]; almost all (97%, 70/72) felt the workshop prepared them to see patients in the clinic. In formative OSCEs, learners demonstrated appropriate “webside manner” (communication scores 94–99%, four items) but did not confirm confidentiality (21%) or review limitations of the visit (35%). In a low back pain OSCE, most learners assessed pain location (90%) and range of motion (87%); nearly half (48%) omitted strength testing. CONCLUSION: Our telehealth curriculum demonstrated that telehealth competencies can be taught and assessed in medical student education. Improvement in self-efficacy scores suggests that an 80-min workshop can prepare students to see patients in the clinical setting. Assessment of OSCE data informs opportunities for growth for further development in the curriculum, including addressing visit limitations and confidentiality in telehealth visits. Frontiers Media S.A. 2023-10-02 /pmc/articles/PMC10577422/ /pubmed/37849494 http://dx.doi.org/10.3389/fmed.2023.1222181 Text en Copyright © 2023 Bajra, Srinivasan, Torres, Rydel and Schillinger. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Bajra, Rika
Srinivasan, Malathi
Torres, Elise Cheng
Rydel, Tracy
Schillinger, Erika
Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title_full Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title_fullStr Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title_full_unstemmed Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title_short Training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleOSCEs at an academic medical center
title_sort training future clinicians in telehealth competencies: outcomes of a telehealth curriculum and teleosces at an academic medical center
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577422/
https://www.ncbi.nlm.nih.gov/pubmed/37849494
http://dx.doi.org/10.3389/fmed.2023.1222181
work_keys_str_mv AT bajrarika trainingfuturecliniciansintelehealthcompetenciesoutcomesofatelehealthcurriculumandteleoscesatanacademicmedicalcenter
AT srinivasanmalathi trainingfuturecliniciansintelehealthcompetenciesoutcomesofatelehealthcurriculumandteleoscesatanacademicmedicalcenter
AT torreselisecheng trainingfuturecliniciansintelehealthcompetenciesoutcomesofatelehealthcurriculumandteleoscesatanacademicmedicalcenter
AT rydeltracy trainingfuturecliniciansintelehealthcompetenciesoutcomesofatelehealthcurriculumandteleoscesatanacademicmedicalcenter
AT schillingererika trainingfuturecliniciansintelehealthcompetenciesoutcomesofatelehealthcurriculumandteleoscesatanacademicmedicalcenter