Design and implementation of an interactive, competency-based pilot pediatric telemedicine curriculum.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9806550 Publication Model: Print Cited Medium: Internet ISSN: 1087-2981 (Electronic) Linking ISSN: 10872981 NLM ISO Abbreviation: Med Educ Online Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Philadelphia, PA : Taylor & Francis
      Original Publication: [E. Lansing, MI] : Medical Education Online, [1996-
    • Subject Terms:
      Curriculum* ; Pediatrics* ; Telemedicine*; COVID-19 ; Child ; Female ; Humans ; Internship and Residency ; Pandemics ; Pilot Projects ; SARS-CoV-2 ; Surveys and Questionnaires ; User-Computer Interface
    • Abstract:
      During the height of the COVID-19 pandemic, telemedicine visits surged to increase access and maintain continuity of care, while reducing transmission of disease. However, few curricula exist for training residents on how to care for patients via telemedicine, especially in pediatrics. We aimed to create and evaluate an interactive, competency-based pilot curriculum, to meet the urgent need to train residents in telemedicine. The curriculum was developed in 2020 and includes a didactic, cased-based discussions, and direct observation exercise. A model for precepting residents, adhering to new ACGME guidelines, was also created to further engage residents in telemedicine in the outpatient general pediatrics settings. To evaluate the curriculum, we assessed feasibility of a direct observation to provide feedback and we conducted pre and post surveys to assess for changes in residents' self-reported skills in performing telemedicine visits following implementation of the curriculum. 16 residents participated in the curriculum and 15 completed both the pre and post surveys (93%). Residents' self-reported efficacy in performing key components of telemedicine visits, including completion of telemedicine visit (p = 0.023), initiation of visits (p = 0.01), and documentation (p = 0.001) all improved significantly following implementation. Residents' perception of patient satisfaction with telemedicine and personal perception of ease of use of the telemedicine system increased, though neither were statistically significant. Uptake of the direct observation exercise was nearly universal, with all but one resident having a direct observation completed during their ambulatory month. This novel, interactive telemedicine pilot curriculum for residents addresses ACGME competencies and provides residents with a toolkit for engaging in telemedicine.
    • References:
      J Med Internet Res. 2016 Sep 12;18(9):e246. (PMID: 27619564)
      Pediatr Clin North Am. 2020 Aug;67(4):735-757. (PMID: 32650870)
      Acad Med. 2019 Jun;94(6):833-837. (PMID: 30870152)
      J Gen Intern Med. 2020 Sep;35(9):2675-2679. (PMID: 32642929)
      Med Teach. 2020 Nov;42(11):1234-1242. (PMID: 32757675)
      J Telemed Telecare. 2003;9(1):1-7. (PMID: 12641885)
    • Contributed Indexing:
      Keywords: Telemedicine; curriculum; pediatrics; primary care; residents
    • Publication Date:
      Date Created: 20210402 Date Completed: 20210414 Latest Revision: 20210423
    • Publication Date:
      20240104
    • Accession Number:
      PMC8023591
    • Accession Number:
      10.1080/10872981.2021.1911019
    • Accession Number:
      33794754