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Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation.

Publication ,  Journal Article
Bolster, MB; Kolfenbach, J; Poeschla, A; Criscione-Schreiber, L; Hant, F; Ishizawar, R; Jonas, B; Leverenz, D; O'Rourke, KS; Wolfe, RM; Zickuhr, L
Published in: Arthritis Care Res (Hoboken)
May 25, 2023

OBJECTIVE: To increase the confidence of rheumatology fellows in training (FITs) in delivering virtual care (VC) and prepare them for independent practice, we developed educational materials addressing gaps in their skills. METHODS: We identified gaps in telemedicine skills based on FIT performance in a virtual rheumatology objective structured clinical examination (vROSCE) station on VC delivery using video teleconference technology and survey (survey 1) responses. We created educational materials including videos of "mediocre" and "excellent" VC examples, discussion/reflection questions, and a document summarizing key practices. We measured change in the confidence levels of FITs for delivering VC with a post-intervention survey (survey 2). RESULTS: Thirty-seven FITs (19 first-year, 18 second- plus third-year fellows) from 7 rheumatology fellowship training programs participated in a vROSCE and demonstrated gaps in skills mapping to several Rheumatology Telehealth Competency domains. Confidence levels of FITs improved significantly from survey 1 to survey 2 for 22 of 34 (65%) questions. All participating FITs found the educational materials helpful for learning and reflecting on their own VC practice; 18 FITs (64%) qualified usefulness as "moderately" or "a lot." Through surveying, 17 FITs (61%) reported implementing skills from the instructional videos into VC visits. CONCLUSION: Continually assessing our learners' needs and creating educational materials addressing gaps in training are requisite. Using a vROSCE station, needs assessments, and targeted learning with videos and discussion-guidance materials enhanced the confidence level of FITs in VC delivery. It is imperative to incorporate VC delivery into fellowship training program curricula to ensure breadth in skills, attitudes, and knowledge of new entrants into the rheumatology workforce.

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Published In

Arthritis Care Res (Hoboken)

DOI

EISSN

2151-4658

Publication Date

May 25, 2023

Location

United States

Related Subject Headings

  • 1701 Psychology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Bolster, M. B., Kolfenbach, J., Poeschla, A., Criscione-Schreiber, L., Hant, F., Ishizawar, R., … Zickuhr, L. (2023). Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation. Arthritis Care Res (Hoboken). https://doi.org/10.1002/acr.25165
Bolster, Marcy B., Jason Kolfenbach, Alexandra Poeschla, Lisa Criscione-Schreiber, Faye Hant, Rumey Ishizawar, Beth Jonas, et al. “Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation.Arthritis Care Res (Hoboken), May 25, 2023. https://doi.org/10.1002/acr.25165.
Bolster MB, Kolfenbach J, Poeschla A, Criscione-Schreiber L, Hant F, Ishizawar R, et al. Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation. Arthritis Care Res (Hoboken). 2023 May 25;
Bolster, Marcy B., et al. “Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation.Arthritis Care Res (Hoboken), May 2023. Pubmed, doi:10.1002/acr.25165.
Bolster MB, Kolfenbach J, Poeschla A, Criscione-Schreiber L, Hant F, Ishizawar R, Jonas B, Leverenz D, O’Rourke KS, Wolfe RM, Zickuhr L. Incorporating Telemedicine in Rheumatology Fellowship Training Programs: Needs Assessment, Curricular Intervention, and Evaluation. Arthritis Care Res (Hoboken). 2023 May 25;
Journal cover image

Published In

Arthritis Care Res (Hoboken)

DOI

EISSN

2151-4658

Publication Date

May 25, 2023

Location

United States

Related Subject Headings

  • 1701 Psychology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences