Evidence map›Paper›PMID 34791821›Full record

ArticleACR open rheumatology2022

Rapid Adoption of Telemedicine in Rheumatology Care During the COVID-19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees.

Su-Ann Yeoh, Kristen Young, Michael Putman, Sebastian Sattui, Richard Conway, Elizabeth Graef, Adam Kilian, Maximilian Konig, Jeffrey Sparks, Manuel Ugarte-Gil and 15 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

25 authors at 20 institutions in 8 countries.

Su-Ann YeohUniversity College London, United Kingdom.ORCID https://orcid.org/0000-0002-4692-4669
Kristen YoungUniversity of Arizona College of Medicine, Phoenix.ORCID https://orcid.org/0000-0001-8570-2228
Michael PutmanMedical College of Wisconsin, Milwaukee.ORCID https://orcid.org/0000-0001-9699-4000
Sebastian SattuiUniversity of Pittsburgh, Pittsburgh, PA.ORCID https://orcid.org/0000-0002-3945-6828
Richard ConwaySt James's Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2538-3362
Elizabeth GraefEmerson Hospital, Concord, Massachusetts.ORCID https://orcid.org/0000-0001-5973-3477
Adam KilianThe George Washington University, Washington, DC.
Maximilian KonigJohns Hopkins University, Baltimore, Maryland.ORCID https://orcid.org/0000-0001-5045-5255
Jeffrey SparksBrigham and Women's Hospital, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-5556-4618
Manuel Ugarte-GilUniversidad Cientifica del Sur, Lima, Peru.ORCID https://orcid.org/0000-0003-1728-1999
Laura UptonGeorgetown University, Washington, DC.
Francis BerenbaumHopital Saint-Antoine, Paris, France.
Suleman BhanaCrystal Run Health, Middletown, New York.
Wendy CostelloIrish Children's Arthritis Network, Tipperary, Ireland.
Jonathan HausmannBoston Children's Hospital, Massachusetts.
Pedro MachadoUniversity College London, United Kingdom.ORCID https://orcid.org/0000-0002-8411-7972
Philip RobinsonUniversity of Queensland, Brisbane, Queensland, Australia.
Emily SirotichCanadian Arthritis Patient Alliance, McMaster University, Hamilton, Ontario, Canada.
Paul SufkaHealthPartners, St. Paul, Minnesota.
Jinoos YazdanyUniversity of California in San Francisco.ORCID https://orcid.org/0000-0002-3508-4094
Jean LiewBoston University, Massachusetts.
Rebecca GraingerUniversity of Otago, Wellington, New Zealand.ORCID https://orcid.org/0000-0001-9201-8678
Zachary WallaceMassachusetts General Hospital, Boston.
Arundathi JayatillekeTemple University Philadelphia, Pennsylvania.
Global Rheumatology Alliance
University College London · GBBoston Children's Hospital · USBoston University · USBrigham and Women's Hospital · USCanadian Arthritis Patient Alliance · CACrystal Run Healthcare · USEmerson Hospital · USGeorgetown University · USGeorge Washington University · USHealthPartners · USIrish Children's Arthritis Network · IEJohns Hopkins University · USMassachusetts General Hospital · USMedical College of Wisconsin · USSorbonne Université · FRSt. James's Hospital · IETemple University · USThe University of Queensland · AUUniversidad Científica del Sur · PEUniversity of Arizona · US

Funding

Multidisciplinary Rheumatology Training ProgramT32AR048522 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CLIFTON O BINGHAM, LIVIA A CASCIOLA-ROSEN · 2003 to 2026
$6.4M
NIAMS NIH HHS T32 AR048522
6 · The paper itself

Abstract

objectiveTo evaluate the impact of telemedicine use during the coronavirus disease 2019 (COVID-19) pandemic on rheumatology trainees.

methodsA voluntary, anonymous, web-based survey was administered in English, Spanish, or French from August 19 to October 5, 2020. Adult and pediatric rheumatology trainees were invited to participate via social media and email. Using multiple-choice questions and Likert scales, the survey assessed prior and current telemedicine use, impact on training, and supervision after COVID-19 prompted rapid telemedicine implementation.

resultsSurveys were received from 302 trainees from 33 countries, with 83% in adult rheumatology training programs. Reported telemedicine use increased from 13% before the pandemic to 82% during the pandemic. United States trainees predominantly used video visits, whereas outside the United States telemedicine was predominantly audio only. Most (65%) evaluated new patients using telemedicine. More respondents were comfortable using telemedicine for follow-up patients (69%) than for new patients (25%). Only 39% of respondents reported receiving telemedicine-focused training, including instruction on software, clinical skills, and billing, whereas more than half of United States trainees (59%) had training. Postconsultation verbal discussion was the most frequent form of supervision; 24% reported no supervision. Trainees found that telemedicine negatively impacted supervision (50%) and the quality of clinical teaching received (70%), with only 9% reporting a positive impact.

conclusionsDespite widespread uptake of telemedicine, a low proportion of trainees received telemedicine training, and many lacked comfort in evaluating patients, particularly new patients. Inadequate supervision and clinical teaching were areas of concern. If telemedicine remains in widespread use, ensuring appropriate trainee supervision and teaching should be prioritized.

Identifiers

PMID34791821
PMCPMC8652624
OpenAlexW3213124118

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.