Learning at a social distance: A medical student telehealth service for COVID-19 patients.
Learning at a social distance: A medical student telehealth service for COVID-19 patients.
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DOI：
10.15694/mep.2020.000249.2
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Lio, Jonathan
中科院分区：
文献类型：
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作者：
Server, Steven;Uddin, Sophia;GoodSmith, Matthew;Zhang, Annie;Sherer, Renslow;Lio, Jonathan
这篇文章已迁移。该文章被标记为推荐。 COVID-19 扰乱了住院和门诊的传统临床实践形式。这种新型的、可能致命的感染扩散到了如此程度，以至于许多轻症患者不得不在家进行自我护理。临床服务的中断也颠覆了全国范围内的面对面见习教育，导致学生持续休假。我们为建议在家中自我护理的 COVID-19 患者开发了远程医疗服务学习机会。该服务由接受临床培训的医学生组成，为患者、患者家属和同居者提供分诊建议，直到他们的症状改善。来电者将围绕危险信号症状进行患者教育作为首要任务，但也提供有关家庭感染控制和自我隔离策略的建议，撰写工作信，提供有关食品和卫生等家庭管理问题的资源，并关注患者及其家人的心理健康需求。每天都有一名主治人员值班，帮助和教育学生有关临床决策和健康社会决定因素的问题。一项调查评估了医学生对该服务的看法。学生受访者认为该服务很有价值，100% 同意或强烈同意该服务值得他们花时间并且很重要。受访者表示学习了重要的远程医疗技能，例如分诊和患者教育。绝大多数学生发现与患者的情感联系是服务中最有意义的方面。我们的远程医疗服务使学生能够纵向向患者学习，同时安全地远离临床环境。在再次爆发疫情的情况下，尤其是当医学生休假时，这项服务可能会成为其他人的有用模式。我们希望为医学生的未来发展更多的远程医疗临床经验。
This article was migrated. The article was marked as recommended. COVID-19 has disrupted traditional forms of clinical practice in both inpatient and outpatient settings. This novel, potentially-fatal infection proliferated to such a degree that many patients with mild disease had to engage in self-care at home. This disruption to clinical services has also upended in-person clerkship education across the country, leading to sustained periods of student furloughing. We developed a telehealth service-learning opportunity for COVID-19 patients who were advised to self-care in their homes. The service was staffed by medical students in their clinical training years, providing triage advice to patients, their families, and co-habitants until their symptoms improved. Callers set patient education around red flag symptoms as their first priority, but also offered counsel on home infection control and self-isolation strategies, composed work letters, offered resources regarding home management issues such as food and sanitation, and attended to the mental health needs of the patients and their families. An attending was on-call daily to assist and educate students about issues relating to clinical decision-making and the social determinants of health. A survey assessed medical students’ opinions on the service. Student respondents found the service valuable, with 100% agreeing or strongly agreeing that the service was worth their time and important. Respondents reported learning important telehealth skills such as triage and patient education. Overwhelmingly, students found emotional connections with patients to be the most meaningful aspects of the service. Our telehealth service allowed students to learn from patients in a longitudinal manner, while remaining safely away from clinical settings. This service may prove a useful model for others in the case of another outbreak, particularly when medical students are furloughed. We hope to develop more clinical experiences in telehealth for medical students moving forward.