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Distant supervision of trainee emergency physicians undertaking a remote placement: A preliminary evaluation
Stephen D Gill1,2, Julian Stella1, Marija Blazeska1
1Emergency Department, University Hospital Geelong, Geelong, Victoria, Australia.
Emergency Medicine Australasia : EMA
|February 12, 2020
Summary
Distant supervision in emergency medicine training offers unique learning experiences but has drawbacks like reduced communication and technology issues. Trainees provided key insights into optimizing remote placements for better clinical supervision.
Area of Science:
- Medical Education
- Emergency Medicine
- Telemedicine
Background:
- Clinical supervision is crucial for post-graduate medical training.
- Information and Communication Technology (ICT) offers potential for remote supervision.
Purpose of the Study:
- To investigate emergency medicine trainees' experiences and preferences with distant supervision using ICT.
- To identify essential requirements for successful remote medical training placements.
Main Methods:
- Four emergency medicine trainees underwent a 6-month rural placement with remote supervision via ICT.
- Data collection included trainee logs of supervision frequency/content and semi-structured interviews.
- Quantitative data were analyzed descriptively; qualitative data used thematic analysis.
Main Results:
- Trainees cared for 1458 patients, with supervision for 8.6% (126 patients) via phone or audio-visual ICT.
- Positive outcomes included enhanced independent practice, communication, leadership, and confidence.
- Negative aspects involved reduced supervision quality/quantity, ICT failures, and lack of hands-on assistance.
Conclusions:
- Distant supervision presents both benefits and challenges for trainee experience, professional development, and patient care.
- Trainees utilized ICT infrequently, highlighting potential barriers to its effectiveness.
- Trainee perspectives offer valuable insights into designing effective remote supervision programs.
