Evaluation of the Education “Clinical Telemedicine/e-Health” in the Curriculum of Medical Students at the University of Zurich

Brockes, Christiane; Grischott, Thomas; Dutkiewicz, M; Schmidt-Weitmann, Sabine

doi:10.1089/tmj.2017.0011

Cited by 33 publications

(43 citation statements)

References 9 publications

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“…19,20 Literature on telemedicine ET for medical students was limited; however, telemedicine ET modules introduced at the University Medical Centre Mainz in Germany helped students improve their knowledge, skills and attitudes towards telemedicine, 21 and 93% of medical students indicated they would use telemedicine at the Faculty of Medicine of Zurich. 22 The high confidence in telemedicine practice and opportunity for medical practice indicates that confidence was not a barrier for telemedicine ET implementation in France. Barriers such as lack of knowledge, resources and support, practice and funding in telemedicine may have contributed to the insufficient implementation.…”

Section: Discussionmentioning

confidence: 99%

National survey of telemedicine education and training in medical schools in France

Yaghobian¹,

Ohannessian²,

Mathieu-Fritz

et al. 2019

J Telemed Telecare

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Introduction Telemedicine is a remote medical practice using information communication technology (ICT), and has been increasing in France since 2009. With all new forms of medical practice, education and training (ET) is required for quality and safety. To date, implementation of telemedicine ET has not been assessed in France. The objective of this study was to describe the implementation of telemedicine ET and evaluate the knowledge, attitudes and practices (KAP) of deans and associate deans from all medical schools in France. Methods A cross-sectional non-mandatory, descriptive online survey with a self-administered questionnaire was performed from 15 November to 6 December, 2017. Respondents were accessed through the ‘ Conférence des doyens des Facultés de médecine’. Results There were 48 respondents with a 47.4% response rate among deans. Telemedicine ET was limited in France; 10.4% in 1st year medicine (PACES); 4% in the final 3 years of medical school (D.F.A.S.M.) and 18.8% in medical residency. Emergency medicine, dermatology, radiology, neurology and geriatrics were specialties with implemented telemedicine training during residency. Of all respondents, 90% expressed a need to increase telemedicine ET, among which 75% accepted external support. A highly positive attitude towards telemedicine practice was reflected by 60.4% of respondents, and 56.2% practiced telemedicine at least once. Discussion This study was the first to assess national telemedicine ET implementation in France. Telemedicine was integrated into initial medical education; however, telemedicine ET remains limited despite the positive attitudes of deans and associate deans. Further research would need to be conducted on telemedicine ET implementation and KAP of medical students and residents.

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Section: Discussionmentioning

confidence: 99%

National survey of telemedicine education and training in medical schools in France

Yaghobian¹,

Ohannessian²,

Mathieu-Fritz

et al. 2019

J Telemed Telecare

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“…As such, integrating eHealth learning programmes into the medical curriculum is suggested as a key factor in the successful implementation of eHealth in primary care [74]. For example, a recent study performed in Zurich demonstrated that after the addition of a module on ‘clinical telemedicine and eHealth’ to the medical curriculum, 93% of students indicated they would use eHealth in their future practice as a physician [75]. Finally, another innovative way to increase some patients’ engagement with and uptake of eHealth application is incorporating features such as gamification and telepresence [76].…”

Section: Conditions For Developing Ehealth In Primary Carementioning

confidence: 99%

SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges

Kleij

Kasteleyn

Meijer

et al. 2019

European Journal of General Practice

106

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KEY MESSAGES eHealth should support the transition towards personalized medicine, self-management and shared decisions in primary care. Several conditions need to be met to ensure that eHealth applications are safe, evidence-based and of high quality. Innovative but valid research methodology-e.g. adaptive (action research) designs-is a prerequisite for ongoing success and sustainability of eHealth.

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“…First, the opinion of the future medical experts, that is, students of medicine or psychology, has not been studied. Apart from the integration of eHealth topics in single universities in the medical curriculum [26,27] and the willingness to use mental health apps by students themselves [28,29], data on the attitudes of students toward the topic are limited.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Expectations of Medical Experts, Students, and Patients Toward Electronic Mental Health Apps: Cross-Sectional Quantitative and Qualitative Survey Study

Mayer¹,

Gronewold²,

Alvarez³

et al. 2019

JMIR Ment Health

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BackgroundThe acceptability of electronic mental (e-mental) health apps has already been studied. However, the attitudes of medical experts, students, and patients taking into account their knowledge of and previous experiences with e-mental health apps have not been investigated.ObjectiveThe aim of this study was to explore the attitudes, expectations, and concerns of medical experts, including physicians, psychotherapists and nursing staff, students of medicine or psychology, and patients toward e-mental health apps when considering their knowledge of and former experiences with e-mental health apps.MethodsThis cross-sectional quantitative and qualitative survey was based on a self-developed questionnaire. A total of 269 participants were included (104 experts, 80 students, and 85 patients), and 124 eligible participants answered a paper version and 145 answered an identical online version of the questionnaire. The measures focused on existing knowledge of and experiences with e-mental health apps, followed by a question on whether electronic health development was generally accepted or disliked. Further, we asked about the expectations for an ideal e-mental health app and possible concerns felt by the participants. All items were either presented on a 5-point Likert scale or as multiple-choice questions. Additionally, 4 items were presented as open text fields.ResultsAlthough 33.7% (35/104) of the experts, 15.0% (12/80) of the students, and 41.2% (35/85) of the patients knew at least one e-mental health app, few had already tried one (9/104 experts [8.7%], 1/80 students [1.3%], 22/85 patients [25.9%]). There were more advocates than skeptics in each group (advocates: 71/104 experts [68.3%], 50/80 students [62.5%], 46/85 patients [54.1%]; skeptics: 31/104 experts [29.8%], 20/80 students [25.0%], 26/85 patients [30.6%]). The experts, in particular, believed, that e-mental health apps will gain importance in the future (mean 1.08, SD 0.68; 95% CI 0.94-1.21). When asked about potential risks, all groups reported slight concerns regarding data security (mean 0.85, SD 1.09; 95% CI 0.72-0.98). Patient age was associated with several attitudes toward e-mental health apps (future expectations: r=–0.31, P=.005; total risk score: r=0.22, P=.05). Attitudes toward e-mental health apps correlated negatively with the professional experience of the experts (rs(94)=–0.23, P=.03).ConclusionsAs opposed to patients, medical experts and students lack knowledge of and experience with e-mental health apps. If present, the experiences were assessed positively. However, experts show a more open-minded attitude with less fear of risks. Although some risks were perceived regarding data security, the attitudes and expectations of all groups were rather positive. Older patients and medical experts with long professional experience tend to express more skepticism.Trial RegistrationGerman Clinical Trials Register DRKS00013095; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00013095

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Evaluation of the Education “Clinical Telemedicine/e-Health” in the Curriculum of Medical Students at the University of Zurich

Abstract: The positive assessment of the module indicates the successful introduction of the topics of telemedicine and e-health to medical students at the University of Zurich. Throughout the course, the students gained confidence and basic skills.

Cited by 33 publications

References 9 publications

National survey of telemedicine education and training in medical schools in France

National survey of telemedicine education and training in medical schools in France

SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges

Acceptance and Expectations of Medical Experts, Students, and Patients Toward Electronic Mental Health Apps: Cross-Sectional Quantitative and Qualitative Survey Study

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