Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees
Objective To evaluate the impact of telemedicine use during the coronavirus disease 2019 (COVID‐19) pandemic on rheumatology trainees. Methods A voluntary, anonymous, web‐based survey was administered in English, Spanish, or French from August 19 to October 5, 2020. Adult and pediatric rheumatology...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-02-01
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| Series: | ACR Open Rheumatology |
| Online Access: | https://doi.org/10.1002/acr2.11355 |
| _version_ | 1828855831818403840 |
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| author | Su‐Ann Yeoh Kristen Young Michael Putman Sebastian Sattui Richard Conway Elizabeth Graef Adam Kilian Maximilian Konig Jeffrey Sparks Manuel Ugarte‐Gil Laura Upton Francis Berenbaum Suleman Bhana Wendy Costello Jonathan Hausmann Pedro Machado Philip Robinson Emily Sirotich Paul Sufka Jinoos Yazdany Jean Liew Rebecca Grainger Zachary Wallace Arundathi Jayatilleke The Global Rheumatology Alliance |
| author_facet | Su‐Ann Yeoh Kristen Young Michael Putman Sebastian Sattui Richard Conway Elizabeth Graef Adam Kilian Maximilian Konig Jeffrey Sparks Manuel Ugarte‐Gil Laura Upton Francis Berenbaum Suleman Bhana Wendy Costello Jonathan Hausmann Pedro Machado Philip Robinson Emily Sirotich Paul Sufka Jinoos Yazdany Jean Liew Rebecca Grainger Zachary Wallace Arundathi Jayatilleke The Global Rheumatology Alliance |
| author_sort | Su‐Ann Yeoh |
| collection | DOAJ |
| description | Objective To evaluate the impact of telemedicine use during the coronavirus disease 2019 (COVID‐19) pandemic on rheumatology trainees. Methods A voluntary, anonymous, web‐based survey was administered in English, Spanish, or French from August 19 to October 5, 2020. Adult and pediatric rheumatology trainees were invited to participate via social media and email. Using multiple‐choice questions and Likert scales, the survey assessed prior and current telemedicine use, impact on training, and supervision after COVID‐19 prompted rapid telemedicine implementation. Results Surveys were received from 302 trainees from 33 countries, with 83% in adult rheumatology training programs. Reported telemedicine use increased from 13% before the pandemic to 82% during the pandemic. United States trainees predominantly used video visits, whereas outside the United States telemedicine was predominantly audio only. Most (65%) evaluated new patients using telemedicine. More respondents were comfortable using telemedicine for follow‐up patients (69%) than for new patients (25%). Only 39% of respondents reported receiving telemedicine‐focused training, including instruction on software, clinical skills, and billing, whereas more than half of United States trainees (59%) had training. Postconsultation verbal discussion was the most frequent form of supervision; 24% reported no supervision. Trainees found that telemedicine negatively impacted supervision (50%) and the quality of clinical teaching received (70%), with only 9% reporting a positive impact. Conclusions Despite widespread uptake of telemedicine, a low proportion of trainees received telemedicine training, and many lacked comfort in evaluating patients, particularly new patients. Inadequate supervision and clinical teaching were areas of concern. If telemedicine remains in widespread use, ensuring appropriate trainee supervision and teaching should be prioritized. |
| first_indexed | 2024-12-13T01:02:03Z |
| format | Article |
| id | doaj.art-d1c79cbca674444e9f5cc724f0346bb9 |
| institution | Directory Open Access Journal |
| issn | 2578-5745 |
| language | English |
| last_indexed | 2024-12-13T01:02:03Z |
| publishDate | 2022-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | ACR Open Rheumatology |
| spelling | doaj.art-d1c79cbca674444e9f5cc724f0346bb92022-12-22T00:04:39ZengWileyACR Open Rheumatology2578-57452022-02-014212813310.1002/acr2.11355Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology TraineesSu‐Ann Yeoh0Kristen Young1Michael Putman2Sebastian Sattui3Richard Conway4Elizabeth Graef5Adam Kilian6Maximilian Konig7Jeffrey Sparks8Manuel Ugarte‐Gil9Laura Upton10Francis Berenbaum11Suleman Bhana12Wendy Costello13Jonathan Hausmann14Pedro Machado15Philip Robinson16Emily Sirotich17Paul Sufka18Jinoos Yazdany19Jean Liew20Rebecca Grainger21Zachary Wallace22Arundathi Jayatilleke23The Global Rheumatology AllianceUniversity College London United KingdomUniversity of Arizona College of Medicine PhoenixMedical College of Wisconsin MilwaukeeUniversity of Pittsburgh Pittsburgh PASt James's Hospital Dublin IrelandEmerson Hospital Concord MassachusettsThe George Washington University Washington DCJohns Hopkins University Baltimore MarylandBrigham and Women's Hospital Boston MassachusettsUniversidad Cientifica del Sur Lima PeruGeorgetown University Washington DCHopital Saint‐Antoine Paris FranceCrystal Run Health Middletown New YorkIrish Children's Arthritis Network Tipperary IrelandBoston Children's Hospital MassachusettsUniversity College London United KingdomUniversity of Queensland Brisbane Queensland AustraliaCanadian Arthritis Patient Alliance McMaster University Hamilton Ontario CanadaHealthPartners St. Paul MinnesotaUniversity of California in San FranciscoBoston University MassachusettsUniversity of Otago Wellington New ZealandMassachusetts General Hospital BostonTemple University Philadelphia PennsylvaniaObjective To evaluate the impact of telemedicine use during the coronavirus disease 2019 (COVID‐19) pandemic on rheumatology trainees. Methods A voluntary, anonymous, web‐based survey was administered in English, Spanish, or French from August 19 to October 5, 2020. Adult and pediatric rheumatology trainees were invited to participate via social media and email. Using multiple‐choice questions and Likert scales, the survey assessed prior and current telemedicine use, impact on training, and supervision after COVID‐19 prompted rapid telemedicine implementation. Results Surveys were received from 302 trainees from 33 countries, with 83% in adult rheumatology training programs. Reported telemedicine use increased from 13% before the pandemic to 82% during the pandemic. United States trainees predominantly used video visits, whereas outside the United States telemedicine was predominantly audio only. Most (65%) evaluated new patients using telemedicine. More respondents were comfortable using telemedicine for follow‐up patients (69%) than for new patients (25%). Only 39% of respondents reported receiving telemedicine‐focused training, including instruction on software, clinical skills, and billing, whereas more than half of United States trainees (59%) had training. Postconsultation verbal discussion was the most frequent form of supervision; 24% reported no supervision. Trainees found that telemedicine negatively impacted supervision (50%) and the quality of clinical teaching received (70%), with only 9% reporting a positive impact. Conclusions Despite widespread uptake of telemedicine, a low proportion of trainees received telemedicine training, and many lacked comfort in evaluating patients, particularly new patients. Inadequate supervision and clinical teaching were areas of concern. If telemedicine remains in widespread use, ensuring appropriate trainee supervision and teaching should be prioritized.https://doi.org/10.1002/acr2.11355 |
| spellingShingle | Su‐Ann Yeoh Kristen Young Michael Putman Sebastian Sattui Richard Conway Elizabeth Graef Adam Kilian Maximilian Konig Jeffrey Sparks Manuel Ugarte‐Gil Laura Upton Francis Berenbaum Suleman Bhana Wendy Costello Jonathan Hausmann Pedro Machado Philip Robinson Emily Sirotich Paul Sufka Jinoos Yazdany Jean Liew Rebecca Grainger Zachary Wallace Arundathi Jayatilleke The Global Rheumatology Alliance Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees ACR Open Rheumatology |
| title | Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees |
| title_full | Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees |
| title_fullStr | Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees |
| title_full_unstemmed | Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees |
| title_short | Rapid Adoption of Telemedicine in Rheumatology Care During the COVID‐19 Pandemic Highlights Training and Supervision Concerns Among Rheumatology Trainees |
| title_sort | rapid adoption of telemedicine in rheumatology care during the covid 19 pandemic highlights training and supervision concerns among rheumatology trainees |
| url | https://doi.org/10.1002/acr2.11355 |
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