Table 2.
Clinical education development via telemedicine n = 17.
Author | Key findings | Clinical competencies | Site | Specialty | Country |
---|---|---|---|---|---|
Dawoud et al. [8] | Students guided through curated surgical video content of select neurosurgical procedures by faculty. Students joined telemedicine clinics observing and participating after prior completion of online telehealth training modules | 2,3,4,9,11,12 | Univ | Surgery | US |
Pellegrini et al. [9] | 1-on-1 attending and 4th yr. med student telemedicine clinic from available exam room. Two computers to access electronic health records. | 1,2,4,8,10 | Univ | ENT | US |
DeVaro et al. [10] | 3-way telehealth clinic with 3rd/4th yr. student, consented patient and ophthalmology attending. History taking and focused ophthalmic exam by student, presentation and feedback. | 4,5,8 | Univ | Ophthalmology | US |
Rupley et al. [11] | Public health, telehealth visit & post-partum outreach teams ran by students. Rapid protocol and practice guideline updates by hospital leadership, EMR education and academic credit reward for student participation. | 1,2,4,8,9,12 | Univ | OBGYN | US |
Coffey et al. [12] | Provision of practice guidelines for telehealth visits. Students joined as observers or participation. | 2,4,5,7 | Univ | MS | US |
Iancu et al. [13] | Based on experience in applying telemedicine consultation as part of core and elective clerkships, 12 tips were suggested in setting stage, needs assessment, creating tools for student integration into telemedicine | 1,2,4,5 | Univ | MS | US |
Ho et al. [14] | 5 h student shifts on remote tele-ICU patient care, performing real interventions (medication, ventilator adjustment, lab recheck) as part of interdisciplinary care. | 1,2,3,4,6,8,9 | Univ | Med | US |
Lal et al. [15] | Flipped classroom over zoom, role-play with faculty assessing symptoms and disclosing prognosis. Outpatient tele-palliative care clinic participation. | 3,8 | Univ | Med | US |
Bhatia et al. [16] | Students guided patients with varying levels of technological literacy leveraging their communication skills. Switching to a telephone visit if the patient was still unable to connect. | 1,2,3,4,6,8,9 | Univ | FM | US |
Hayes et al. [17] | 20+ telemedicine family medicine patient encounters over 4 weeks. Illness script assignments reviewed by attending & different disease templates shared with students via online drive. | 1,2,3,4,6,8,9 | Univ | FM | US |
Weber et al. [18]b | 4-week virtual elective. Prior EMR training and introduction to workflow allowed students to document clinical information after encountering consented patients. | 2,4,7,8 | Univ | FM | US |
Cain et al. [19] | Patients screened in advance, consented and ensured appropriate virtual interfaces in place. Students able to document the visit in patients' EMR and attested by attending. | 2.4,5,7 | Comm | FM | US |
Carson et al. [20]b | Medical students staffed the hotline and assisted the underserved rural populations of northern Nevada; results showed significant improvements in students’ clinical skills including screening patients for COVID19, and triaging patients. | 1,2,3,4,8,9 | Comm | FM | US |
Peterseim and Watson [21] | Telehealth clinic shadowing family medicine attending or student led e-consultation taking history and describing physical exam manoeuvres to patient to perform on themselves. | 4,6,8,9 | Comm | FM | US |
Ruiz Colon et al. [22] | Students performed history taking, delivery of patient education and counselling after receiving basic telehealth training. | 2,4,5 | Comm | FM | US |
Darnton et al. [23]a | Pre-clinical students already educated in basic clinical communication and exam skills consulted from own home whilst supervised by primary care physician in three-way telemedicine clinic. | 1,2,4 | Comm | FM | GB |
Paul et al. [24] | Community care medicine involved final year students in telemedicine clinics and provided online small group teachings. | 1,2,4,5,8,9,12 | Comm | FM | GB |
Clinical Competencies: 1. Professionalism; 2. Communication; 3. Scientific knowledge application; 4. History-taking; 5. Physical and mental examination; 6. Clinical Testing; 7. Clinical Procedures; 8. Information Management; 9. Diagnosis Skill; 10. Treatment, Prevention & Palliation; 11. Prognosis Skill; 12. Care provision in clinical context.
EMR: Electronic Medical Record.
Univ: University; Comm: Community.
ENT: Ear Nose Throat, otorhinolaryngology; FM: Family medicine; Med: medicine; MS: Medical school; OBGYN: Obstetrics and gynaecology.
US: United States of America; GB: United Kingdom (Great Britain).
Pre-clinical phase.
Both clinical and pre-clinical.