Evidence map›Paper›PMID 33391599›Full record

ArticleJournal of graduate medical education2020

Expanding Telehealth Competencies in Primary Care: A Longitudinal Interdisciplinary Simulation to Train Internal Medicine Residents in Complex Patient Care.

Rachel Wong, Patricia Ng, Tracey Spinnato, Erin Taub, Amit Kaushal, Mark Lerman, Alice Fernan, Erin Dainer, Kimberly Noel

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Telehealth Utilization in Response to the COVID-19 Pandemic: Current State of Medical Provider Training.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  12. The Role of Technology in Health Professions Education During the COVID-19 Pandemic.Academic medicine : journal of the Association of American Medical Colleges · 2022
    Article
  13. Article
  14. 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

9 authors.

Rachel WongAssistant Professor, Division of General, Geriatrics, and Hospital Medicine, Stony Brook University Hospital.
Patricia NgAssistant Professor, Division of General, Geriatrics, and Hospital Medicine, Stony Brook University Hospital.
Tracey SpinnatoAssistant Professor, Division of General, Geriatrics, and Hospital Medicine, Stony Brook University Hospital.
Erin TaubBiostatistician, Department of Medicine, Stony Brook University Hospital.
Amit KaushalAssistant Professor, Chronic Pain Division, Department of Anesthesiology, Stony Brook University Hospital.
Mark LermanAssistant Professor, Department of Psychiatry, Stony Brook University Hospital.
Alice FernanRegistered Nurse, Division of General, Geriatrics, and Hospital Medicine, Stony Brook University Hospital.
Erin DainerAssistant Professor, Department of Psychiatry, Stony Brook University Hospital.
Kimberly NoelAssistant Professor, Department of Family, Population and Preventive Medicine, Stony Brook University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite increasing use of telehealth, there are limited published curricula training primary care providers in utilizing telehealth to deliver complex interdisciplinary care.

objectiveTo describe and evaluate a telehealth curriculum with a longitudinal objective structured clinical examination (OSCE) to improve internal medicine residents' confidence and skills in coordinating complex interdisciplinary primary care via televisits, electronic consultation, and teleconferencing.

methodsIn 2019, 56 first- and third-year residents participated in a 3-part, 5-week OSCE training them to use telehealth to manage complex primary care. Learners conducted a standardized patient (SP) televisit in session 1, coordinated care via inter-visit e-messaging, and led a simulated interdisciplinary teleconference in session 2. Surveys measured confidence before session 1 (pre), post-session 1 (post-1), and post-session 2 (post-2). SP televisit checklists and investigators' assessment of e-messages evaluated residents' telehealth skills.

resultsResponse rates were pre 100%, post-1 95% (53 of 56), and post-2 100%. Post-intervention, more residents were "confident/very confident" in adjusting their camera (33%, 95% CI 20-45 vs 85%, 95% CI 75-95,

conclusionsA longitudinal, interdisciplinary telehealth simulation is feasible and can improve residents' confidence in using telemedicine to provide complex patient care.

Indexed as

Internship and ResidencyTelemedicineClinical CompetenceCurriculumHumansPatient CarePatient SimulationPrimary Health Care

Identifiers

PMID33391599
PMCPMC7771597

What OpenQuestion holds

Textmetadata
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.