Evidence map›Paper›PMID 39898451›Full record

Trial reportPrimary health care research & development2025

Novel educational strategies to improve the telemedicine clinical skills of medical students.

Judith Greengold, Harisa Spahic, Janet Serwint, Sharon Dlhosh, Lili Barouch, Karina Gattamorta, Amit Pahwa, Helen Hughes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Primary health care research & development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Judith GreengoldJohns Hopkins University School of Medicine, Baltimore, USA.ORCID 0009-0009-8267-8037
Harisa SpahicUniversity of Colorado School of Medicine, Aurora, USA.
Janet SerwintJohns Hopkins University School of Medicine, Baltimore, USA.
Sharon DlhoshJohns Hopkins University School of Medicine, Baltimore, USA.
Lili BarouchJohns Hopkins University School of Medicine, Baltimore, USA.ORCID 0000-0001-8320-0806
Karina GattamortaUniversity of Miami School of Nursing and Health Studies, Coral Gables, USA.ORCID 0000-0001-5827-1389
Amit PahwaJohns Hopkins University School of Medicine, Baltimore, USA.ORCID 0000-0002-8219-9564
Helen HughesJohns Hopkins University School of Medicine, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTest educational interventions to increase the quality of care in telemedicine.

backgroundTelemedicine (TM) has become an essential tool to practise medicine around the world. However, education to address clinical skills in TM remains an area of need globally across the health professions. We aim to evaluate the impact of a pilot online learning platform (OLP) and standardized coaching programme on the quality of medical student TM clinical skills.

methodsA randomized pilot study was conducted with fourth-year medical students (n = 12). All participants engaged in video-recorded standardized patient (SP) simulated encounters to assess TM clinical skills before and after the intervention. Participants were randomized to either the OLP or OLP + Virtual Coaching Institute (VCI) intervention cohort. Quantitative and qualitative data were collected to address self-reported skills, attitudes, and self-efficacy before the 1st SP encounter and after the 2nd SP encounter. SP encounter recordings were scored by two blinded non-investigator raters based on a standardized rubric to measure the change in TM care delivered pre- and post-intervention. Statistical analysis of quantitative data included descriptive statistics and mixed effects ANOVA.

findingsRecruitment and retention of participants exceeded expectations, pointing to significant enthusiasm for this educational opportunity. Self-reported skills and scored simulation skills demonstrated significant improvements for all participants receiving the interventions. Both OLP and VCI interventions were well received, feasible, and demonstrated statistically significant efficacy in improving TM clinical skills. Participants who received coaching described more improvements in self-efficacy, confidence, and overall virtual clinical skills. This study provides evidence that virtualized clinical learning environments can positively impact the development of TM clinical skills among medical students. As TM continues to evolve, the implementation of innovative training approaches will be crucial in preparing the next generation of healthcare professionals for the demands of modern healthcare delivery.

Indexed as

Clinical CompetenceEducation, Medical, UndergraduateStudents, MedicalTelemedicineAdultEducation, DistanceFemaleHumansMalePilot ProjectsCoachingextraneousinnovationmedical educationsimulationtelehealthtelemedicine

Identifiers

PMID39898451
PMCPMC11836869

What OpenQuestion holds

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Registered trials

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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.