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Addressing Competency in Rheumatology Telehealth Care Delivery.

Lisa Zickuhr1, Daniel A Albert2, Connie Herndon3

  • 1Washington University in St. Louis, St. Louis, Missouri.

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The American College of Rheumatology adapted telehealth competencies for rheumatology care, defining 24 essential skills for clinicians. These guidelines enhance telehealth delivery for rheumatic disease patients.

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Area of Science:

  • Rheumatology
  • Medical Education
  • Digital Health

Background:

  • Telehealth is crucial for rheumatic disease patient care.
  • The Association of American Medical Colleges (AAMC) established general telehealth competencies (TCs).
  • There was a need to adapt these TCs for the specific needs of rheumatology.

Purpose of the Study:

  • To adapt the AAMC TCs for rheumatology practice.
  • To define knowledge, skills, and behaviors for rheumatology telehealth.
  • To focus on competencies for recent rheumatology fellowship graduates.

Main Methods:

  • A collaborative working group adapted the AAMC TCs.
  • The adapted rheumatology TCs were peer-reviewed at the ACR 2021 Convergence conference.
  • The process involved adapting existing domains and creating new ones.

Main Results:

  • Developed 24 essential skills for synchronous telehealth in rheumatology.
  • Adapted 20 AAMC TCs across 6 domains.
  • Added skills in patient safety, appropriate use, data collection, and systems-based requirements.

Conclusions:

  • These rheumatology TCs are the first subspecialty adaptation of AAMC TCs.
  • They provide a framework for curriculum development and proficiency assessment.
  • Enhance telehealth care for patients with rheumatic diseases.