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Telemedicine in Anesthesiology: Using Simulation to Teach Remote Preoperative Assessment
Stacey A Watt1, Roseanne C Berger1, Laura E Hirshfield2
1The following authors are at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY: is Clinical Professor of Anesthesiology; is Associate Professor of Family Medicine.
The Journal of Education in Perioperative Medicine : JEPM
|March 24, 2023
Summary
Anesthesiology residents can enhance telemedicine skills through virtual preoperative assessments. A pilot curriculum using simulated patients proved more effective than didactics alone for improving virtual assessment competency.
Area of Science:
- Medical Education
- Anesthesiology
- Telemedicine
Background:
- The COVID-19 pandemic accelerated telemedicine adoption.
- Anesthesia residents require training in virtual preoperative assessments.
- A pilot telemedicine curriculum was developed for anesthesiology residents.
Purpose of the Study:
- To evaluate a pilot telemedicine curriculum for anesthesiology residents.
- To assess resident confidence and performance in virtual preoperative assessments.
- To compare the effectiveness of didactic sessions versus simulated encounters.
Main Methods:
- A curriculum included virtual didactics and simulated preoperative assessments with standardized patients (SPs).
- Feedback was provided by faculty and SPs using checklists.
- Residents completed surveys on perceived effectiveness, helpfulness, and cognitive workload.
Main Results:
- Most residents (11/12) felt confident in conducting telemedicine assessments post-didactics.
- Fewer residents ensured adequate lighting (42%) and patient privacy (33%).
- The SP encounter was valued more than didactics; residents felt successful and not rushed.
Conclusions:
- Virtual standardized patient encounters enhance didactic learning for telemedicine skills.
- This approach helps residents practice essential virtual preoperative assessment techniques.
- The curriculum effectively prepares residents for telemedicine in anesthesiology.
