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Updated: Dec 18, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Real-Time Learning Through Telemedicine Enhances Professional Training in Rural Emergency Departments.

Xi Zhu1, Kimberly A S Merchant1, Nicholas M Mohr2,3,4

  • 1Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, Iowa, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|June 20, 2020
PubMed
Summary

Telemedicine offers valuable training for rural emergency department (ED) clinicians. Both structured and spontaneous real-time telemedicine consultations enhance clinical skills, confidence, and practice updates for rural healthcare providers.

Keywords:
emergency departmentreal-timeruraltele-EDtelehealthtelemedicinetraining

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Area of Science:

  • Medical Education
  • Rural Health
  • Telemedicine

Background:

  • Rural emergency departments (EDs) face challenges in providing professional training due to low patient volumes and unpredictable emergency cases.
  • Telemedicine presents a viable solution for delivering continuous education and skill development to rural ED clinicians.
  • This study explores the multifaceted role of telemedicine in enhancing professional training within rural ED settings.

Purpose of the Study:

  • To investigate how telemedicine facilitates professional training for rural ED clinicians.
  • To differentiate between structured and unstructured telemedicine training approaches.
  • To assess the perceived impact of telemedicine-based training on rural ED practice.

Main Methods:

  • A qualitative study was conducted involving 18 rural hospitals across 6 Midwestern states within a telemedicine network.
  • Twenty-eight interviews were performed with physicians, advanced practice providers, and nurses.
  • Inductive qualitative analysis identified key themes regarding telemedicine training experiences and their effects on practice.

Main Results:

  • Rural ED clinicians utilized asynchronous sessions more than live sessions for structured training, though full utilization was limited by workload.
  • Unstructured, real-time training during telemedicine consultations was highly valued by all professional groups.
  • Real-time training, characterized by respectful guidance and rationale explanation, was perceived to improve clinical knowledge, confidence, and performance.

Conclusions:

  • Telemedicine effectively provides both formal and informal training opportunities for rural ED providers and nurses.
  • The frequent and spontaneous nature of real-time telemedicine training offers significant advantages, complementing formal educational programs.
  • Telemedicine is a crucial tool for maintaining up-to-date practices and enhancing the capabilities of rural emergency care teams.