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. 2023 Oct 1;98(10):1204-1210.
doi: 10.1097/ACM.0000000000005291. Epub 2023 Jun 5.

A Qualitative Study on Using Telemedicine for Precepting and Teaching in the Academic Setting

Brittany J Raffa  1 , Kimberly A Muellers  2 , Katerina Andreadis  3 , Jessica S Ancker  4 , Kori B Flower  5 , Carol R Horowitz  6 , Rainu Kaushal  7 , Jenny J Lin  8
Affiliations

A Qualitative Study on Using Telemedicine for Precepting and Teaching in the Academic Setting

Brittany J Raffa et al. Acad Med. .

Abstract

Purpose: To examine the impact of telemedicine use on precepting and teaching among preceptors and patients during the COVID-19 pandemic.

Method: The authors conducted a secondary analysis of a qualitative study focusing on providers' and patients' experiences with and attitudes toward telemedicine at 4 academic health centers. Teaching and precepting were emergent codes from the data and organized into themes. Themes were mapped to domains from the 2009 Consolidated Framework for Implementation Research (CFIR), a framework that assists with effective implementation and consists of 5 domains: intervention characteristics, outer settings, inner settings, characteristics of individuals, and process.

Results: In total, 86 interviews were conducted with 65 patients and 21 providers. Nine providers and 3 patients recounted descriptions related to teaching and precepting with telemedicine. Eight themes were identified, mapping across all 5 CFIR domains, with the majority of themes (n = 6) within the domains of characteristics of individuals, processes, and intervention characteristics. Providers and patients described how a lack of prepandemic telemedicine experience and inadequate processes in place to precept and teach with telemedicine affected the learning environment and perceived quality of care. They also discussed how telemedicine exacerbated existing difficulties in maintaining resident continuity. Providers described ways communication changed with telemedicine use during the pandemic, including having to wear masks while in the same room as the trainee and sitting closely to remain within range of the camera, as well as the benefit of observing trainees with the attending's camera off. Providers expressed a lack of protected structure and time for teaching and supervising with telemedicine, and a general view that telemedicine is here to stay.

Conclusions: Efforts should focus on increasing knowledge of telemedicine skills and improving processes to implement telemedicine in the teaching setting in order to best integrate it into undergraduate and graduate medical education.

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References

    1. Centers for Medicare and Medicaid Services. Medicare Telemedicine Health Care Provider Fact Sheet. https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-ca... . Updated March 17, 2020. Accessed May 19, 2023.
    1. Koonin LM, Hoots B, Tsang CA, et al. Trends in the use of telehealth during the emergence of the COVID-19 pandemic—United States, January-March 2020. MMWR Morb Mortal Wkly Rep. 2020;69:1595–1599.
    1. Nasca TJ. ACGME response to the coronavirus (COVID-19). Accreditation Council for Graduate Medical Education. https://www.acgme.org/newsroom/2020/3/acgme-response-to-the-coronavirus-... . Published March 18, 2020. Accessed May 18, 2023.
    1. Waseh S, Dicker AP. Telemedicine training in undergraduate medical education: Mixed-methods review. JMIR Med Educ. 2019;5:e12515.
    1. Wong CJ, Nath JB, Pincavage AT, et al. Telehealth attitudes, training, and preparedness among first-year internal medicine residents in the COVID-19 era. Telemed J E Health. 2022;28:240–247.

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