Rapid Adoption of Telemedicine in Rheumatology Care During the COVID ‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees
In: ISSN: 2578-5745 ; ACR Open Rheumatology ; https://hal.sorbonne-universite.fr/hal-03451504 ; ACR Open Rheumatology, 2021, ⟨10.1002/acr2.11355⟩, 2021
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Zugriff:
International audience ; Objective. To evaluate the impact of telemedicine use during the coronavirus disease 2019 (COVID-19) pandemic on rheumatology trainees. Methods. A 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. Results. Surveys 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. Conclusions. Despite 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. No funding was received for this study. The views expressed here are those of the ...
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Rapid Adoption of Telemedicine in Rheumatology Care During the COVID ‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees
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Autor/in / Beteiligte Person: | Yeoh, Su‐ann ; Young, Kristen ; Putman, Michael ; Sattui, Sebastian ; Conway, Richard ; Graef, Elizabeth ; Kilian, Adam ; Konig, Maximilian ; Sparks, Jeffrey ; Ugarte‐gil, Manuel ; Upton, Laura ; Berenbaum, Francis ; Bhana, Suleman ; Costello, Wendy ; Hausmann, Jonathan ; Machado, Pedro ; Robinson, Philip ; Sirotich, Emily ; Sufka, Paul ; Yazdany, Jinoos ; Liew, Jean ; Grainger, Rebecca ; Wallace, Zachary ; Jayatilleke, Arundathi ; University College of London London (UCL) ; University of Arizona ; Medical College of Wisconsin Milwaukee (MCW) ; University of Pittsburgh Medical Center Pittsburgh, PA, États-Unis (UPMC) ; St James's University Hospital ; Leeds Teaching Hospitals NHS Trust ; The George Washington University (GW) ; Johns Hopkins University (JHU) ; Brigham & Women’s Hospital Boston (BWH) ; Harvard Medical School Boston (HMS) ; Universidad Cientifica del Sur (Univ Cient Sur) ; Georgetown University Washington (GU) ; CHU Saint-Antoine AP-HP ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) ; Boston Children's Hospital ; University of Queensland Brisbane ; McMaster University Hamilton, Ontario ; University of California San Francisco (UC San Francisco) ; University of California (UC) ; Boston University School of Medicine (BUSM) ; Boston University Boston (BU) ; University of Otago Dunedin, Nouvelle-Zélande ; Massachusetts General Hospital Boston ; Temple University Philadelphia ; Pennsylvania Commonwealth System of Higher Education (PCSHE) |
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Zeitschrift: | ISSN: 2578-5745 ; ACR Open Rheumatology ; https://hal.sorbonne-universite.fr/hal-03451504 ; ACR Open Rheumatology, 2021, ⟨10.1002/acr2.11355⟩, 2021 |
Veröffentlichung: | HAL CCSD ; Wiley, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1002/acr2.11355 |
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