Leveraging Telehealth and Medical Student Volunteers to Bridge Gaps in Education Access for Providers in Limited-Resource Settings
| Autor: | Jinxuan Hao, Megan McLeod, B. Li, Oluwadamilola T. Oladeru, Sameeksha H Malhotra, Betty T Chang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Volunteers Models Educational Students Medical Medical psychology 020205 medical informatics education 02 engineering and technology Telehealth Medical classification Education 03 medical and health sciences 0302 clinical medicine Continuing medical education Health care 0202 electrical engineering electronic engineering information engineering Global health Humans Learning Community Health Services 030212 general & internal medicine Healthcare Disparities Curriculum Schools Medical Medical education Career Choice business.industry General Medicine Telemedicine United States Health equity Educational Status business Psychology Program Evaluation |
| Zdroj: | Academic Medicine. 96:390-394 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0000000000003865 |
| Popis: | Problem High-quality training opportunities for providers in limited-resource settings are often scarce or nonexistent. This can lead to a dearth of boots-on-the-ground workers capable of translating knowledge into effective action. The tested telehealth education model of Project ECHO (Extension for Community Healthcare Outcomes) can help address this disparity. However, the planning and logistical coordination required can be limiting. Approach Medical student volunteers interested in health disparities and global health can be leveraged to reduce the costs of administration for Project ECHO programs. From mid-2018 to present (2020), student organizations have been formed at Vanderbilt University School of Medicine, University of California, San Francisco, School of Medicine, and Albert Einstein College of Medicine. These organizations have recruited and trained volunteers, who play an active role in assessing the needs of local clinics and providers, developing curricula, and coordinating the logistical aspects of programs. Outcomes In the first 4 student-coordinated Project ECHO cohorts (2019-2020), 25 clinics in 14 countries participated, with a potential impact on over 20,000 cancer patients annually. Satisfaction with the telehealth education programs was high among local clinicians and expert educators. Students' perceived ability to conduct activities important to successfully orchestrating a telehealth education program was significantly greater among students who had coordinated one or more Project ECHO programs than among students who had yet to participate for 7 of 9 competencies. There also appears to be an additive effect of participating in additional Project ECHO programs on perceived confidence and career path intentions. Next steps The student-led model of coordinating telehealth education programs described here can be readily expanded to medical schools across the nation and beyond. With continued expansion, efforts are needed to develop assessments that provide insights into participants' learning, track changes in patient outcomes, and provide continuing medical education credits to local clinicians. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|