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培训内科住院医生进行远程医疗访问:一种基于技能的新课程
Sarah Jones1, Melissa McNeil2, Scott D Rothenberger3
1Assistant Professor, Division of General Internal Medicine, University of Pittsburgh School of Medicine.
内科医生通过新的课程提高了远程医疗技能. 该培训结合了案例讨论和直接观察,提高了对虚拟患者护理的信心.
科学领域:
- 医学教育 医学教育
- 数字健康数字健康
- 内部医学培训培训 内部医学培训
背景情况:
- 内科住院医生越来越多地通过远程医疗为患者提供护理.
- 远程医疗技能的正式培训往往缺乏居民.
- 在准备居民进行虚拟患者接触方面存在教育差距.
研究的目的:
- 开发和评估一个课程,以提高内科医生在门诊远程医疗的自我认知能力.
- 解决住院医生在远程医疗方面的正式培训需求.
主要方法:
- 实施了两部分课程,包括一个45分钟的基于案例的互动讨论.
- 学院教师在住户远程医疗访问时提供了直接观察和形成性反.
- 住院人员完成了会议前和会议后的调查,评估了他们在15个远程医疗技能中的自我认知能力.
主要成果:
- 119名居民参与了调查,51%完成了调查前后调查.
- 在所有远程医疗技能中,自我认知能力显著增加 (p < .001).
- 在患者分拣,虚拟体检,预防性护理和后续安排方面发现了最大的改善.
结论:
- 结合案例讨论和直接观察的易于实施的课程有效地提高了居民的远程医疗能力.
- 这种课程可以很容易地被内科住院计划和其他专业所采用.
- 实习生获得了提供有效虚拟患者护理的必要技能.
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