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

Cantone, Rebecca E.; Palmer, Ryan; Dodson, Lisa; Biagioli, Frances E.

doi:10.15766/mep_2374-8265.10867

Cited by 53 publications

(96 citation statements)

References 5 publications

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“…In addition to practical guidelines for those undertaking telemedicine practice, there is urgent need for the rigorous translation and evaluation of "core" trainee competencies into virtual care environments. Until recently, the majority of telemedicine curricula and learner evaluation has focused on technical proficiency or adapted history and exam skills [18][19][20] . While domains such as professionalism, communication, and other interpersonal skills are often asked of evaluators as part of a general evaluation of trainees, these domains are rarely explicitly adapted to the virtual encounter.…”

Section: Recommendations For the Training Of Residents During The Covmentioning

confidence: 99%

Building Telemedicine Capacity for Trainees During the Novel Coronavirus Outbreak: a Case Study and Lessons Learned

et al. 2020

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INTRODUCTION: Hospital and ambulatory care systems are rapidly building their virtual care capacity in response to the novel coronavirus (COVID-19) pandemic. The use of resident trainees in telemedicine is one area of potential development and expansion. To date, however, training opportunities in this field have been limited, and residents may not be adequately prepared to provide high-quality telemedicine care. AIM: This study evaluates the impact of an adapted telemedicine Objective Structured Clinical Examination (OSCE) on telemedicine-specific training competencies of residents. SETTING: Primary Care Internal Medicine residents at a large urban academic hospital. PROGRAM DESCRIPTION: In March 2020, the New York University Grossman School of Medicine Primary Care program adapted its annual comprehensive OSCE to a telemedicine-based platform, to comply with distance learning and social distancing policies during the COVID-19 pandemic. A previously deployed in-person OSCE on the subject of a medical error was adapted to a telemedicine environment and deployed to 23 primary care residents. Both case-specific and core learning competencies were assessed, and additional observations were conducted on the impact of the telemedicine context on the encounter. PROGRAM EVALUATION: Three areas of telemedicine competency need were identified in the OSCE case: technical proficiency; virtual information gathering, including history, collateral information collection, and physical exam; and interpersonal communication skills, both verbal and nonverbal. Residents expressed enthusiasm for telemedicine training, but had concerns about their preparedness for telemedicine practice and the need for further competency and curricular development. DISCUSSION: Programs interested in building capacity among residents to perform telemedicine, particularly during the COVID-19 pandemic, can make significant impact in their trainees' comfort and preparedness by addressing key issues in technical proficiency, history and exam skills, and communication. Further research and curricular development in digital professionalism and digital empathy for trainees may also be beneficial.

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Section: Recommendations For the Training Of Residents During The Covmentioning

confidence: 99%

Building Telemedicine Capacity for Trainees During the Novel Coronavirus Outbreak: a Case Study and Lessons Learned

et al. 2020

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“…11 Although objective structured clinical examinations (OSCEs) have been used in telehealth training, most interventions are limited to single encounter e-visits at the undergraduate medical level of training. [12][13][14] Only one study reported that an OSCE with nurse practitioners and occupational/physical therapy students utilized an interdisciplinary teaching model. 15 Primary care can be challenging, and for patients with complex psychosocial needs, we should use interdisciplinary telehealth modalities to manage patients.…”

Section: Introductionmentioning

confidence: 99%

Expanding Telehealth Competencies in Primary Care: A Longitudinal Interdisciplinary Simulation to Train Internal Medicine Residents in Complex Patient Care

Wong

Spinnato

et al. 2020

Journal of Graduate Medical Education

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Background Despite increasing use of telehealth, there are limited published curricula training primary care providers in utilizing telehealth to deliver complex interdisciplinary care. Objective To describe and evaluate a telehealth curriculum with a longitudinal objective structured clinical examination (OSCE) to improve internal medicine residents' confidence and skills in coordinating complex interdisciplinary primary care via televisits, electronic consultation, and teleconferencing. Methods In 2019, 56 first- and third-year residents participated in a 3-part, 5-week OSCE training them to use telehealth to manage complex primary care. Learners conducted a standardized patient (SP) televisit in session 1, coordinated care via inter-visit e-messaging, and led a simulated interdisciplinary teleconference in session 2. Surveys measured confidence before session 1 (pre), post-session 1 (post-1), and post-session 2 (post-2). SP televisit checklists and investigators' assessment of e-messages evaluated residents' telehealth skills. Results Response rates were pre 100%, post-1 95% (53 of 56), and post-2 100%. Post-intervention, more residents were “confident/very confident” in adjusting their camera (33%, 95% CI 20–45 vs 85%, 95% CI 75–95, P < .0001), e-messaging (pre 36%, 95% CI 24–49 vs post-2 80%, 95% CI 70–91, P < .0001), and coordinating interdisciplinary care (pre 35%, 95% CI 22–47 vs post-2 84%, 95% CI 74–94, P < .0001). More residents were “likely/very likely” to use telemedicine in the future (pre 56%, 95% CI 43–69, vs post-2 79%, 95% CI 68–89, P = .001). Conclusions A longitudinal, interdisciplinary telehealth simulation is feasible and can improve residents' confidence in using telemedicine to provide complex patient care.

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“…Use of online role plays offers an interesting way to expose students to telemedicine and tele-supervision which are rarely addressed during undergraduate training. 18 Tutors quickly adapted to such changes, although they reported facing more technical difficulties than students in using new IT tools. This may be related to tutors having to perform substantially more handling of technical aspects (sharing a video, use of whiteboard, etc.)…”

Section: Discussionmentioning

confidence: 99%

Online Synchronous Clinical Communication Training During the Covid-19 Pandemic

Perron¹,

Dao²,

Rieder³

et al. 2020

AMEP

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Purpose As the COVID-19 pandemic outbreak occurred, most structured clinical communication training were transformed from in-person to remote seminars. The aim of our study was to evaluate the usefulness and feasibility of online synchronous clinical communication training from both students’ and tutors’ perspectives. Patients and Methods We conducted a cross-sectional study. Geneva Faculty of Medicine’ 3rd year medical students and tutors involved in clinical communication were asked to respond to an online survey. Results Eighty-five of 149 students and 15/16 tutors responded. Students highly valued both online seminars and reported little technical difficulty. They felt that tutors were well prepared and actively involved them in experiential learning. Tutors globally reported little technical difficulty and felt rather well prepared to do so online. Although both students and tutors preferred the in-person format, half of them could still consider using an online format in the future outside the pandemic but mentioned it required specific rules. Conclusion Our results suggest that clinical communication can be taught and practiced online and that tutors can quickly adapt to such changes.

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

Cited by 53 publications

References 5 publications

Building Telemedicine Capacity for Trainees During the Novel Coronavirus Outbreak: a Case Study and Lessons Learned

Building Telemedicine Capacity for Trainees During the Novel Coronavirus Outbreak: a Case Study and Lessons Learned

Expanding Telehealth Competencies in Primary Care: A Longitudinal Interdisciplinary Simulation to Train Internal Medicine Residents in Complex Patient Care

Online Synchronous Clinical Communication Training During the Covid-19 Pandemic

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