Student Hotline Improves Remote Clinical Skills and Access to Rural Care.
Student Hotline Improves Remote Clinical Skills and Access to Rural Care.
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DOI：
10.22454/primer.2020.581719
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Huynh, Jacqueline
中科院分区：
文献类型：
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作者：
Carson, Samantha;Peraza, Lazaro R;Huynh, Jacqueline
导言：在新冠肺炎大流行期间，医学院需要将学生重新引导到其他教育机会。内华达大学里诺医学院解决了这个问题，它与内华达州北部的农村县建立了合作伙伴关系，创建了多国新冠肺炎热线临床体验。医科学生为热线配备了工作人员，并通过远程医疗提供咨询和教育，帮助内华达州北部服务不足的农村人口。在指导老师的支持下，学生填写筛查表，利用纯音频体检技能和临床决策将潜在患者分流到适当的护理水平。方法：采用回顾性的前后评估方法，评估医学生在热线志愿服务前后通过几个热线任务的舒适度。结果：热线培训后，学生在回答有关SARS-CoV-2的问题(P=.006)、SARS-CoV-2筛查(P=.0446)、仅使用音频格式评估检查结果(P=.0429)、对老年患者(P=.0103)的舒适度方面有了显著改善；结论：参与多国新冠肺炎热线提高了学生在各个领域的舒适度，在回答有关SARS-CoV-2的问题、进行纯音频检查、对患者进行筛查和分诊以及解决经济障碍方面有显著改善。参与使学生能够在大流行期间进一步磨练他们的临床技能。这一经验可以作为其他学术机构培训医科学生的类似项目的典范，同时提供外联服务，特别是向农村社区等服务不足的人群提供培训。
INTRODUCTION: During the COVID-19 pandemic, medical schools needed to redirect students to alternative educational opportunities. The University of Nevada, Reno School of Medicine addressed this issue by forming a partnership with rural counties in northern Nevada to create a multicounty COVID-19 hotline clinical experience. Medical students staffed the hotline and assisted the underserved rural populations of northern Nevada by providing counseling and education via telehealth. With the support of preceptors, students completed screening forms with patients, utilized audio-only physical exam skills and clinical decision making to triage potential patients to the appropriate level of care.METHODS: We utilized retrospective pre- and postassessments to assess medical students' comfort level with several hotline tasks before and after their experience as a hotline volunteer.RESULTS: Results indicate significant improvements after hotline training and experience in students' comfort level with answering questions about SARS-CoV-2 (P=.006); screening patients for SARS-CoV-2 (P=.0446); assessing exam findings using audio only format ( P=.0429); triaging patients (P=.0103); and addressing financial access to care barriers ( P=.0127).CONCLUSION: Participation in the multicounty COVID-19 hotline improved students' comfort levels in all areas, with significant improvement in answering questions about SARS-CoV-2, conducting audio-only exams, screening and triaging patients, and addressing financial barriers to care. Participation allowed students to further hone their clinical skills during a pandemic. This experience can serve as a model for similar projects for other academic institutions to train their medical students while providing outreach, particularly to underserved populations such as rural communities.