Evidence map›Paper›PMID 34171663›Full record

ArticleInternational journal of medical informatics2021

Novel application of telemedicine and an alternate EHR environment for virtual clinical education: A new model for primary care education during the SARS-CoV-2 pandemic.

Margrit M Shoemaker, Cassiopia Lippold, Richard Schreiber, Bruce Levy

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

Margrit M ShoemakerDepartment of Medical Education, Geisinger Commonwealth School of Medicine, Scranton, PA, USA. Electronic address: MShoemaker@som.geisinger.edu.
Cassiopia LippoldAdult Multidisciplinary Critical Care, Geisinger Medical Center, Danville, PA, USA. Electronic address: clippold@geisinger.edu.
Richard SchreiberDepartment of Medical Education, Geisinger Commonwealth School of Medicine, 431 North 21st Street, Suite 101, Camp Hill, PA, 17011, USA; Penn State Health Holy Spirit Medical Center, USA. Electronic address: rschreiber@pennstatehealth.psu.edu.
Bruce LevyDepartment of Medical Education, Geisinger Commonwealth School of Medicine, USA; Geisinger Health, Danville, PA, USA(1). Electronic address: blevy2@geisinger.edu.
Geisinger Commonwealth School of Medicine · USGeisinger Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRestrictions to direct patient contact resulting from the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic left some medical students near graduation in need of a required critical care medicine (CCM) sub-internship. A group of educators deployed a virtual curriculum utilizing telemedicine and electronic health record (EHR) technologies.

methodsNine students participated in a formal curriculum of high-value critical care medicine topics designed to meet the learning objectives of the in-person experience. Students obtained patient histories and directed physical examinations virtually via telemedicine. They followed assigned patients, submitted clinical documentation, and practiced electronic order entry using a non-production EHR copy. At conclusion these students completed the same evaluation used for "in-person" CCM rotations earlier in the year.

resultsStudents rated the virtual rotation comparably to the traditional rotation in most evaluated criteria. Lower rated areas included "perform minor procedures", "patient counseling", and "interprofessional experiences". Students' narrative responses specifically noted strengths of the "student focus" and the ability to practice in an EHR copy. DISCUSSION: Students and preceptors generally found that the virtual curriculum provided adequate educational opportunities. Certain areas were clearly lacking, as expected. Students felt the dedication of the faculty to the students' educational needs was the most important factor contributing to the success of the program. The results suggest several ways telemedicine and EHR technologies might enhance clinical medical education in the future.

conclusionThis methodology was successful in providing elements of a CCM rotation experience. This technology could prove efficacious for primary care rotations where in-person training is not feasible due to the SARS-CoV-2 pandemic.

Indexed as

COVID-19Students, MedicalTelemedicineCurriculumElectronic Health RecordsHumansPandemicsPrimary Health CareSARS-CoV-2Professional training<EducationRemote monitoring<Clinical documentation and communications<Specific types<Clinical information systemsTelemedicine and telehealth<Clinical documentation and communications<Specific types<Clinical information systemsTraining and education requirements<Clinical Informatics

Identifiers

PMID34171663
PMCPMC9760421
OpenAlexW3171978228

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.