Evidence map›Paper›PMID 25795687›Full record

ArticleBMJ open2015

Remote supervision of medical training via videoconference in northern Australia: a qualitative study of the perspectives of supervisors and trainees.

Miriam Cameron, Robin Ray, Sabe Sabesan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Comparing Presence and Absence of Initial In-Person Contact and Written Feedback in RE&CBT E-Supervision.Journal of rational-emotive and cognitive-behavior therapy : RET · 2023
    Article
  6. Article
  7. Review
  8. Medical Psychotherapy Training and the COVID-19 Pandemic.British journal of psychotherapy · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cancer care in regional Australia from the health professional's perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  14. Article
  15. Managing Emergencies in Rural North Queensland: The Feasibility of Teletraining.International journal of telemedicine and applications · 2018
    Article
  16. Article
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Miriam CameronCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.ORCID http://orcid.org/0000-0001-9464-8796
Robin RayCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Sabe SabesanCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia Townsville Hospital, Townsville, Queensland, Australia.
James Cook University · AUTownsville Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTelemedicine has revolutionised the ability to provide care to patients, relieve professional isolation and provide guidance and supervision to junior medical officers in rural areas. This study evaluated the Townsville teleoncology supervision model for the training of junior medical officers in rural areas of North Queensland, Australia. Specifically, the perspectives of junior and senior medical officers were explored to identify recommendations for future implementation.

designA qualitative approach incorporating observation and semistructured interviews was used to collect data. Interviews were uploaded into NVivo 10 data management software. Template analysis enabled themes to be tested and developed through consensus between researchers.

settingOne tertiary level and four secondary level healthcare centres in rural and regional Queensland, Australia.

participants10 junior medical officers (Interns, Registrars) and 10 senior medical officers (Senior Medical Officers, Consultants) who participated in the Townsville teleoncology model of remote supervision via videoconference (TTMRS) were included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: Perspectives on the telemedicine experience, technology, engagement, professional support, satisfaction and limitations were examined. Perspectives on topics raised by participants were also examined as the interviews progressed.

resultsFour major themes with several subthemes emerged from the data: learning environment, beginning the learning relationship, stimulus for learning and practicalities of remote supervision via videoconference. While some themes were consistent with the current literature, new themes like increased professional edge, recognising non-verbal cues and physical examination challenges were identified.

conclusionsRemote supervision via videoconference provides readily available guidance to trainees supporting their delivery of appropriate care to patients. However, resources required for upskilling, training in the use of supervision via videoconference, administration issues and nursing support, as well as physical barriers to examinations, must be addressed to enable more efficient implementation.

Indexed as

Decision Support Systems, ClinicalTelemedicineVideoconferencingAustraliaClinical CompetenceHealth Services, IndigenousHumansInternship and ResidencyProgram EvaluationQualitative ResearchQueenslandRural Health ServicesStudents, MedicalWorkforceMEDICAL EDUCATION & TRAININGQUALITATIVE RESEARCH

Identifiers

PMID25795687
PMCPMC4368981
OpenAlexW2116053098

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.