关键词: Case-Based Learning Child Neurology Clinical Reasoning/Diagnostic Reasoning Clinical/Procedural Skills Training Communication Skills Neurology Online/Distance Learning Pediatrics Telehealth Telemedicine

Mesh : Humans Child Pandemics COVID-19 / epidemiology Telemedicine Learning Physicians

来  源:   DOI:10.15766/mep_2374-8265.11340   PDF(Pubmed)

Abstract:
Increasing prevalence of neurologic disorders with an aging global population and limited availability of neurologists may lead to worse patient outcomes. As a result of the COVID-19 pandemic, telehealth services surged, and despite easing public health measures, the demand has remained. Telehealth technology has the potential to close the physical gaps in expanding the reach of care. This academic half-day workshop sought to provide a learning opportunity in response to these concerns.
The workshop consisted of small- and large-group case discussions among pediatric resident physicians (PGY 1-PGY 3) moderated by two child neurology faculty physicians over Zoom. Participants received a learner document with prereading articles and questions for each case. PowerPoint presentations with video demonstrations were used to introduce the cases and guide discussions.
Of the 25 attendees, 14 (56% response rate) answered a nonmandatory postsession survey. Eighty-six percent of the respondents were very or extremely satisfied with the content covered and were similarly satisfied with the effectiveness of content delivery. Seventy-nine percent of the respondents found the content helpful or very helpful in preparation for the board, and 93% anticipated applying the content covered occasionally or frequently in their clinical practice.
Small-group discussions with video demonstrations are helpful in increasing proficiency with telehealth technology and in examining board-relevant cases on pediatric patients. There is strong interest in subsequent telehealth half-day workshops that incorporate teaching through group discussions on relevant patient case scenarios.
摘要:
随着全球人口老龄化和神经科医师的有限可用性,神经系统疾病的患病率增加可能导致患者预后恶化。由于COVID-19大流行,远程医疗服务激增,尽管公共卫生措施有所放松,需求依然存在。远程医疗技术有可能缩小扩大医疗范围的物理差距。这个为期半天的学术研讨会旨在为解决这些问题提供学习机会。
该研讨会包括儿科住院医师(PGY1-PGY3)之间的小型和大型病例讨论,由两名儿童神经科教师主持Zoom。参与者收到了一份学习者文件,其中包含每种情况的预读文章和问题。带有视频演示的PowerPoint演示文稿用于介绍案例并指导讨论。
在25位与会者中,14(56%的回复率)回答了一项非强制性的会后调查。86%的受访者对所涵盖的内容非常或非常满意,并且对内容交付的有效性也同样满意。百分之七十九的受访者认为这些内容对筹备董事会有帮助或非常有帮助,93%的人预计在临床实践中偶尔或频繁地应用所涵盖的内容。
通过视频演示进行小组讨论有助于提高对远程医疗技术的熟练程度,并检查儿科患者与董事会相关的病例。人们对随后的远程医疗半天研讨会产生了浓厚的兴趣,该研讨会将通过有关患者病例情景的小组讨论进行教学。
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