Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation

Arthritis Care Res (Hoboken)Published Educational intervention study with needs assessment and pre–post evaluation

Authors' conclusion

Using a vROSCE station, needs assessments, and targeted learning with videos and discussion-guidance materials enhanced the confidence level of FITs in VC delivery.

Study context

Population
Rheumatology fellows in training (FITs) from 7 rheumatology fellowship training programs19 first-year, 18 second- plus third-year
Participants
37 participants
Comparison
Confidence in delivering virtual care before (survey 1) vs after (survey 2) educational materials
Outcome
Change in FITs' confidence levels for delivering VC
Methodological detailsmulticentre (7 rheumatology fellowship training programs), virtual rheumatology objective structured clinical examination (vROSCE), pre- and post-intervention surveys
  • Multicentre (7 rheumatology fellowship training programs)
  • Virtual rheumatology objective structured clinical examination (vROSCE)
  • Pre- and post-intervention surveys

Main finding

As reported in the abstract

Survey questions with significantly improved confidence

Confidence improved significantly from survey 1 to survey 2 for questions

22 of 34

65%

Further findings

Skill gaps in vROSCE

Gaps in skills mapping to several Rheumatology Telehealth Competency domains

Helpfulness and usefulness of educational materials

Usefulness "moderately" or "a lot"
18 FITs (64%)
All participating FITs found materials helpful

Implemented skills from instructional videos into virtual care (VC) visits

FITs reporting implementation
17 FITs (61%)

Original publication

Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation. Arthritis Care Res (Hoboken). Published 13 July 2023. doi:10.1002/acr.25165

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