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Training in telehealth and shared decision-making (SDM) improved rheumatology fellows' confidence and skills. This educational intervention enhanced their ability to provide patient-centered care via telehealth, preparing them for the evolving rheumatology workforce.

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Area of Science:

  • Rheumatology
  • Medical Education
  • Digital Health

Background:

  • Telehealth and shared decision-making (SDM) are crucial for effective rheumatic disease care.
  • There is a recognized need for training rheumatology fellows-in-training (FITs) in these areas.

Purpose of the Study:

  • To develop and evaluate an educational intervention for rheumatology FITs focused on telehealth and SDM.
  • To assess the impact of the intervention on FITs' telehealth skills, SDM capabilities, and confidence.

Main Methods:

  • FITs participated in pre- and post-intervention telehealth encounters.
  • An online module and simulation focused on SDM during telehealth were implemented.
  • Feedback forms and surveys assessed skills, confidence, and qualitative experiences.

Main Results:

  • Significant improvements were observed in overall feedback form scores and visit coordination (p=0.011, p=0.049).
  • Confidence in conducting SDM during telehealth significantly increased (p < 0.001), though SDM scores themselves did not change.
  • Qualitative feedback indicated opportunities to enhance technology use for SDM in telehealth.

Conclusions:

  • Dedicated education in telehealth and SDM boosts FITs' confidence and general telehealth skills.
  • The intervention effectively prepares FITs for delivering patient-centered telehealth care in rheumatology.
  • This training supports the integration of new professionals into the rheumatology workforce.