Telemedicine in Adult Rheumatology: In Practice and in Training

Many rheumatology providers, including fellows-in-training, responded to the immediate need for maintaining patient access to care via telerheumatology during the COVID-19 pandemic. The rapidity of this transition did not permit an intentional approach to integrating fellow education and training into virtual patient care. Virtual patient care has since become an integrated, and perhaps, an embedded part of rheumatology practice that will likely endure beyond the COVID-19 pandemic. Thus, the development of best practices in telerheumatology, including those for fellow education and training as these new entrants prepare to enter our workforce, will benefit the entire specialty. In this work, we seek to describe current models for training learners in virtual patient care, characterize existing barriers to virtual care models, and offer strategies to integrate telerheumatology into curriculum development and training.