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Simulated video-based telehealth training for emergency physicians.

Emily M Hayden1, Christopher J Nash1, Susan E Farrell2

  • 1Department of Emergency Medicine, Massachusetts General Hospital (MGH), Boston, MA, United States.

Frontiers in Medicine
|September 13, 2023
PubMed
Summary

Simulated video-based telehealth training improved emergency physicians' confidence and knowledge. This pilot study suggests telehealth is viewed more favorably after simulated patient encounters, highlighting the need for further research.

Keywords:
assessmentphysicianssimulationstandardized patientstelehealth

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Area of Science:

  • Medical Education
  • Telehealth Technology
  • Emergency Medicine

Background:

  • Limited literature exists on video-based telehealth training for practicing emergency physicians.
  • Telehealth adoption is increasing, necessitating effective training for healthcare providers.

Purpose of the Study:

  • To assess the impact of simulated telehealth encounters on emergency physicians' knowledge and confidence.
  • To evaluate physician perceptions of video-based telehealth after a simulated training experience.

Main Methods:

  • Retrospective pre- and post-assessment of 13 physicians after two simulated Zoom telehealth encounters.
  • Physicians received immediate feedback from patient actors post-simulation.
  • Post-experience surveys measured training satisfaction and confidence in telehealth skills.

Main Results:

  • 100% survey response rate; participants rated the training highly (mean 8.38/10).
  • Significant pre- to post-training increases in ability to describe improvements in video-based care (p=0.002) and knowledge of telehealth utility (p=0.009).
  • Physicians reported increased favorability towards telehealth and improved confidence in specific telehealth skills.

Conclusions:

  • Simulated telehealth training positively impacts physician confidence and perception of telehealth.
  • Further research is needed to optimize simulated case content for telehealth decision-making training.