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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

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Competency-Based Training for Entrustment in Telehealth Consultations.

Elaine Lum¹, Louise Sandra van Galen², Josip Car³

¹Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Level 18, Clinical Sciences Building, 11 Mandalay Road, Singapore 308232, Singapore; School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Australia.

Pediatric Clinics of North America

|July 12, 2020

Summary

Doctors require telehealth consultation skills to provide quality care in a strained healthcare system. Competency-based training, including for medical residents, ensures safe and effective virtual patient care.

Keywords:

Assessment Competency Entrustable professional activities Medical education Telehealth Telemedicine Telephone consultation Virtual consultation

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Area of Science:

Medical Education
Digital Health
Health Systems Science

Background:

The healthcare system faces increasing pressure due to a shrinking workforce and high-volume demands.
High-quality healthcare delivery necessitates thoroughness and clinical judgment, comparable to in-person visits.
Distinct differences between telehealth and face-to-face consultations highlight the need for specialized training.

Purpose of the Study:

To describe a competency-based training program for telehealth consultations.
To pilot this training with medical residents.
To establish a framework for integrating telehealth competency into medical education.

Main Methods:

A competency-based training model for telehealth was developed.
The training was operationalized as an entrustable professional activity (EPA).
The program was piloted with a cohort of medical residents.

Main Results:

The competency-based training approach provides a structured method for acquiring telehealth skills.
Operationalizing telehealth training as an EPA facilitates assessment and assurance of competence.
The pilot program demonstrated the feasibility of this training model for residents.

Conclusions:

Competency-based training is essential for equipping healthcare professionals with necessary telehealth skills.
Integrating telehealth training into medical school curricula and continuing medical education is crucial.
The described EPA model supports the development of high-quality, safe, and effective telehealth consultations.