Telehealth Attitudes, Training, and Preparedness Among First-Year Internal Medicine Residents in the COVID-19 Era
Autor: | Amber Bird, Julie Oyler, Maryann K. Overland, Julia B. Nath, Eric Palecek, Christopher J. Wong, Amber T. Pincavage, Karen Kimel-Scott, Katherine Gill |
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Rok vydání: | 2022 |
Předmět: |
medicine.medical_specialty
Telemedicine 020205 medical informatics education Graduate medical education Health Informatics 02 engineering and technology Telehealth computer.software_genre Videoconferencing Health Information Management Ambulatory care Phone Internal medicine 0202 electrical engineering electronic engineering information engineering medicine Humans Pandemics health care economics and organizations Response rate (survey) SARS-CoV-2 business.industry COVID-19 General Medicine United States Cross-Sectional Studies Attitude Preparedness business computer |
Zdroj: | Telemedicine and e-Health. 28:240-247 |
ISSN: | 1556-3669 1530-5627 |
DOI: | 10.1089/tmj.2021.0005 |
Popis: | Background: Telehealth, especially the use of real-time video and phone visits in ambulatory care, is increasingly important in the wake of the COVID-19 pandemic. The current state of internal medicine (IM) interns' telehealth training at the start of residency is unknown. Objective: To characterize the attitudes, training, and preparedness of IM interns regarding the use of telehealth video and phone visits in ambulatory care. Methods: We conducted a cross-sectional survey of IM interns at four IM residency programs in the United States in 2020. Results: One hundred fifty-six surveys were analyzed (response rate 82%). Seventy-five percent of interns rated training in the use of real-time video and phone visits for ambulatory care as important or very important. The vast majority received no training (74%) or clinical experience (90% no prior video visits, 81% no prior phone visits) during medical school. More interns believed that primary care may be effectively delivered via video visits compared with phone visits (77% vs. 35%). Most interns (69%) missed clinical time during medical school due to the COVID-19 pandemic; 41% felt that the pandemic negatively affected their ambulatory care preparation. Overall, the majority of interns (58%) felt prepared for primary care; only 12% felt prepared to deliver primary care using either video or phone visits. Conclusions: Although IM interns had favorable attitudes toward video and phone visits, few had training or clinical experience; most felt unprepared. Residency programs may need to close training gaps for current interns in conducting telehealth video and phone visits. |
Databáze: | OpenAIRE |
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