Using Tele-Education to Train Civilian Physicians in an Area of Active Conflict: Certifying Iraqi Physicians in Pediatric Advanced Life Support from the United States

Donaldson, Ross I.; Mulligan, Deborah Ann; Nugent, Kevin; Cabral, M; Saleeby, Eli R.; Ansari, Waleed; Tajer, salah M.; Gausche‐Hill, Marianne

doi:10.1016/j.jpeds.2011.05.003

Cited by 13 publications

(18 citation statements)

References 11 publications

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“…Live AV links also create the ability to distribute information quickly and accurately in response to disasters, acts of terror, and pandemics (such as the H1N1 influenza epidemic), providing an ideal platform for rapid dissemination of clinical guidelines and research for providers on the front line of pediatric care. 8,24,25 …”

Section: Tele-educationmentioning

confidence: 99%

Telemedicine: Pediatric Applications

Burke¹,

Hall²

2015

Pediatrics

350

267

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Telemedicine is a technological tool that is improving the health of children around the world. This report chronicles the use of telemedicine by pediatricians and pediatric medical and surgical specialists to deliver inpatient and outpatient care, educate physicians and patients, and conduct medical research. It also describes the importance of telemedicine in responding to emergencies and disasters and providing access to pediatric care to remote and underserved populations. Barriers to telemedicine expansion are explained, such as legal issues, inadequate payment for services, technology costs and sustainability, and the lack of technology infrastructure on a national scale. Although certain challenges have constrained more widespread implementation, telemedicine’s current use bears testimony to its effectiveness and potential. Telemedicine’s widespread adoption will be influenced by the implementation of key provisions of the Patient Protection and Affordable Care Act, technological advances, and growing patient demand for virtual visits.

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Section: Tele-educationmentioning

confidence: 99%

Telemedicine: Pediatric Applications

Burke¹,

Hall²

2015

Pediatrics

350

267

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“…Despite being a relatively new tool for trauma assessment, Focused Assessment of Sonography in Trauma has become a preferred screening tool in acute trauma management (11)(12)(13)(14) due to the ease of learning and nature of portable ultrasound deviceshand-held, highly portably battery-operated devices-especially because almost all field hospitals lack computed tomography scanners. Using a simple algorithm adopted by the course trainers, trainees have learned to use point-of-care ultrasonography to do a quick differential diagnosis and assessment of traumatic Tele-education offers another alternative to conventional medical education for students and trainees whose education was interrupted due to the war, siege, or unsafe travel (22). SAMS and other NGOs have organized educational webinars in key medical fields and specialties to provide continued medical education to trapped trainees and medical practitioners who have limited access to educational opportunities (Figure 7).…”

Section: Distance Learningmentioning

confidence: 99%

War is the Enemy of Health. Pulmonary, Critical Care, and Sleep Medicine in War-Torn Syria

et al. 2016

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The Syrian crisis, now in its fifth year, has created an unprecedented strain on health services and systems due to the protracted nature of the warfare, the targeting of medics and health care infrastructure, the exodus of physicians and nurses, the shortage of medical supplies and medications, and the disruption of medical education and training. Within a few short years, the life expectancy of resident Syrians has declined by 20 years. Over the first 4 years of the conflict, more than 75,000 civilians died from injuries incurred in the violence. More than twice as many civilians, including many women and children, have died prematurely of infectious and noninfectious chronic diseases for want of adequate health care. Doctors, local administrators, and nongovernmental organizations are struggling to manage the consequences of the conflict under substandard conditions, often using unorthodox methods of health care delivery in field hospitals and remotely by telehealth communication. Much-needed medical supplies are channeled through dangerous routes across the borders from Lebanon, Jordan, and Turkey. Physicians in the United States and other western nations have helped Syrian physicians make the most of the situation by providing training on introducing innovations in technology and treatment. Portable ultrasound machines have been introduced and are being used extensively in the management of trauma and shock. This report, prepared by members of the Syrian American Medical Society, documents current needs for health care relief within Syria, focusing on pulmonary, critical care, and sleep medicine, and some of the efforts currently underway to meet those needs.

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“…Telesimulation has been used to teach a variety of technical emergency medicine skills, such as surgical knots [17] and intraosseous needles [18]. It has also been used to teach resuscitations that require team communication skills [19-20]. However, little has been reported on its utility for teaching both (a) a high-stakes low-frequency procedure and (b) communication skills between rural health practitioners and distantly-placed urban consultants.…”

Section: Discussionmentioning

confidence: 99%