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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Current Surgical Trainee Perceptions and Experiences in Telehealth.

Emaad J Iqbal1, Thomas Sutton2, Mudassir S Akther2

  • 1Department of Surgery, Columbia University, New York City, New York, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|October 12, 2021
PubMed
Summary

The coronavirus disease 2019 (COVID-19) pandemic accelerated telehealth adoption in surgical training. Surgical trainees experienced increased integration into virtual clinics and desire more telehealth curriculum development.

Keywords:
COVID-19surgical educationsurgical residentssurgical traineestelehealthtelemedicinevideo visit

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Area of Science:

  • Medical Education
  • Surgical Training
  • Telehealth

Background:

  • The COVID-19 pandemic necessitated a broad expansion of telehealth technologies in healthcare.
  • While telehealth's impact on patients, payors, and practitioners is studied, its educational effects, particularly on trainees, remain largely unexamined.
  • Understanding the surgical trainee experience with telehealth is crucial for adapting medical education.

Purpose of the Study:

  • To investigate the experience and perceptions of surgical trainees regarding telehealth during the COVID-19 pandemic.
  • To assess the educational impact of telehealth expansion on resident training.

Main Methods:

  • An anonymous survey was distributed to members of the American College of Surgeons Resident and Associate Society (RAS).
  • Descriptive analysis was employed to summarize trainee experiences and perceptions.
  • Chi-square analysis compared cohorts with and without telehealth exposure.

Main Results:

  • Of 465 respondents, 62.8% were aware of telehealth technologies at their institutions.
  • The pandemic led to decreased in-person clinic volume (94.4%) and increased virtual clinic volume (95.7%).
  • Trainee integration into telehealth workflows significantly increased from 11% pre-pandemic to 54.5% (p < 0.001), associated with university-based or larger programs.
  • Surgical trainees expressed a strong desire for enhanced telehealth integration and curriculum development.

Conclusions:

  • This study provides the first description of surgical trainee experiences and opinions on telehealth.
  • Trainees acknowledge the importance of telehealth integration and training in their education.
  • Findings should inform the development of optimized workflows and curricula for integrating trainees into telemedicine.