通过预录视频会诊在临床培训中实施远程医疗。

IF 3.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Medical Teacher Pub Date : 2025-04-01 Epub Date: 2024-09-25 DOI:10.1080/0142159X.2024.2407575
Goksel Altinisik, Nazli Cetin
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引用次数: 0

摘要

尽管真实的病人会诊对医学教育的贡献众所周知,但在临床教育中需要解决的常见障碍包括缺乏合适的病例、病人不同意学生参与、物理空间的限制使每个学生都无法参与、无法复制相同的病人会诊以及在非常时期医疗机构的病人入院人数减少等。为了克服这些挑战,我们收集了经远程医疗会诊患者同意而制作的视频会诊(VC)记录,作为涵盖各种肺部疾病的医学访谈记录档案。学生们在临床实习期间在课堂上观看了这些录像,并穿插了病例讨论。这篇文章还讨论了临床实习评估的结果,指出使用预先录制的 VC 课程可以成为一种有效的工具,通过医学访谈的理想方法、诊断方法、检验结果评估、与患者及其亲属的沟通技巧,以及解决疾病的社会心理问题和社会影响,教授良好的临床实践。作为一种创新尝试,在发展的早期阶段分享这一过程可能会激发实施这种方法的热情,并为进一步发展开辟道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing Telemedicine into Clinical Training Through Pre-recorded Video Consultations.

Although the contribution of real patient encounters to medical education is well known, challenges such as a lack of suitable cases, patients not consenting to student involvement, physical space limitations that prevent every student from participating, the inability to replicate the same patient encounter, and reduced patient admissions to healthcare facilities during extraordinary periods are common obstacles that need to be addressed in clinical education. To overcome these challenges, video consultation (VC) recordings, which were made with the consent of patients having a telemedicine consultation, were collected as an archive of medical interview recordings covering a wide spectrum of pulmonary diseases. These recordings were watched by students in a classroom setting during clinical clerkships, with case discussions interspersed. This article, which also discusses the results of clinical clerkship evaluations, indicates that the use of pre-recorded VC sessions can be an effective tool for teaching good clinical practices through the ideal method of medical interviews, diagnostic approaches, evaluation of test results, communication skills with patients and their relatives, and addressing the socio-psychological aspects and social impacts of diseases. As an innovative attempt, sharing this process at an early stage of development may inspire enthusiasm for implementing this approach and open the field for further development.

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来源期刊
Medical Teacher
Medical Teacher 医学-卫生保健
CiteScore
7.80
自引率
8.50%
发文量
396
审稿时长
3-6 weeks
期刊介绍: Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.
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