A call for formal telemedicine training during stroke fellowship
A call for formal telemedicine training during stroke fellowship
复制标题
DOI：
10.1212/wnl.0000000000002568
复制
发表时间：
2016-05-10
期刊：
影响因子：
9.9
通讯作者：
Wu, Tzu-Ching
中科院分区：
文献类型：
--
作者：
Jagolino, Amanda L.;Jia, Judy;Wu, Tzu-Ching
自美国食品药品监督管理局批准静脉注射组织纤溶酶原激活剂治疗急性缺血性卒中以来的20年中，通过远程医疗进行的血管神经病学咨询有助于增加静脉注射组织纤溶酶原激活剂的频率，并扩大了该药物的地理可及性。尽管如此，对急性卒中覆盖率的需求仍在不断增长，在神经科医生服务不足的农村社区发现的差距最大。为了提供有效和一致的急性护理，神经血管奖学金期间的远程医疗正式培训是必要的。在此，我们描述了我们的经验，将远程中风纳入血管神经病学奖学金课程，并提出建议，将正式的远程医疗培训纳入研究生医学教育血管神经病学奖学金认证理事会。
During the 20 years since US Food and Drug Administration approval of IV tissue plasminogen activator for acute ischemic stroke, vascular neurology consultation via telemedicine has contributed to an increased frequency of IV tissue plasminogen activator administration and broadened geographic access to the drug. Nevertheless, a growing demand for acute stroke coverage persists, with the greatest disparity found in rural communities underserved by neurologists. To provide efficient and consistent acute care, formal training in telemedicine during neurovascular fellowship is warranted. Herein, we describe our experiences incorporating telestroke into the vascular neurology fellowship curriculum and propose recommendations on integrating formal telemedicine training into the Accreditation Council for Graduate Medical Education vascular neurology fellowship.