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