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Teaching Telemedicine in the COVID-19 Era: a National Survey of Internal Medicine Clerkship Directors.
Henschen, Bruce L; Jasti, Harish; Kisielewski, Michael; Pincavage, Amber T; Levine, Diane.
  • Henschen BL; Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. b-henschen@northwestern.edu.
  • Jasti H; Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Kisielewski M; Alliance for Academic Internal Medicine, Alexandria, VA, USA.
  • Pincavage AT; Division of General Internal Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
  • Levine D; Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
J Gen Intern Med ; 36(11): 3497-3502, 2021 11.
Article in English | MEDLINE | ID: covidwho-1525608
ABSTRACT

BACKGROUND:

Prior to the COVID-19 pandemic, telemedicine (TM) experiences in undergraduate medical education were uncommon. When students' clinical experiences were interrupted due to the pandemic, TM education provided opportunities for students to participate in clinical care while adhering to social distancing guidelines.

OBJECTIVE:

To assess the prevalence of TM experiences in the internal medicine (IM) core clerkship experience prior to the COVID-19 pandemic, during interruption in clinical clerkships, and following the return to in-person activities at US medical schools.

DESIGN:

The Clerkship Directors in Internal Medicine (CDIM) survey is a national, annually recurring thematic survey of IM core clerkship directors. The 2020 survey focused on effects of the COVID-19 pandemic, including a section about TM. The survey was fielded online from August through October 2020.

PARTICIPANTS:

A total of 137 core clinical medicine clerkship directors at Liaison Committee on Medical Education fully accredited US/US territory-based medical schools. MAIN

MEASURES:

A 10-item thematic survey section assessing student participation in TM and assessment of TM-related competencies. KEY

RESULTS:

The response rate was 73.7% (101/137 medical schools). No respondents reported TM curricular experiences prior to the pandemic. During clinical interruption, 39.3% of respondents reported TM experiences in the IM clerkship, whereas 24.7% reported such experiences occurring at the time they completed the survey. A higher percentage of clerkships with an ambulatory component reported TM to be an important competency compared to those without an ambulatory component.

CONCLUSIONS:

The extent to which TM was used in the IM clinical clerkship, and across clinical clerkships, increased substantially when medical students were removed from in-person clinical duties as a response to COVID-19. When students returned to in-person clinical duties, experiences in TM continued, suggesting the continued value of TM as part of the formal education of students during the medicine clerkship. Curricula and faculty development will be needed to support TM education.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Clinical Clerkship / Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Gen Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11606-021-07061-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Clinical Clerkship / Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Gen Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11606-021-07061-4