학술논문

Simulated video-based telehealth training for emergency physicians
Document Type
article
Source
Frontiers in Medicine, Vol 10 (2023)
Subject
simulation
telehealth
standardized patients
physicians
assessment
Medicine (General)
R5-920
Language
English
ISSN
2296-858X
Abstract
IntroductionLittle exists in the literature describing video-based telehealth training, especially for practicing Emergency Physicians.Materials and methodsThis was a retrospective, pre- and post-assessment of physicians’ knowledge and confidence on video-based telehealth after two simulated telehealth encounters. Attending physicians voluntarily participated in Zoom-based trainings and received feedback from the patient actors immediately after each simulation. Post-experience surveys queried participants on the training, aspects of telehealth, and confidence in features of optimal telehealth practice.ResultsThe survey had 100% response rate (13/13 physicians). Participants recommended the simulated training experience, mean of 8.38 (SD 1.89; 0 = Not at all likely, 10 = Extremely likely). Pre- and post-response means increased in two questions: “I can describe at least two ways to improve my video-based clinical care”: delta: 1.54, t(12) = 3.83, p = 0.002, Cohen’s d effect size of 1.06, and “I know when video-based telehealth could be helpful in clinical practice”: delta: 0.99, t(12) = 3.09, p = 0.009, Cohen’s d effect size of 0.86.ConclusionIn this pilot, participants viewed telehealth more favorably after the experience and indicated improved confidence in focused telehealth skills. Further study is needed to determine what simulated case content provides the most value for decision-making via telehealth.