The Silver Lining in the Black Cloud of COVID-19

T. Matt, Natasha Bellinger, K. McDonald
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Abstract

Little did we imagine that the effects of COVID-19 would ultimately make us a stronger and more accessible clinic. The sudden halt of providing in-person services clouded the entire University of Exeter clinical programme with uncertainty. However, we could not simply stop our clinical provision – we had existing clients that still needed assistance, as well as students who were taking the clinic as a module. Furthermore, we wanted to continue servicing the community. To consider converting to a remote service, there are fundamental questions a university clinical programme must address: Why does the clinic exist? What are the goals of the clinic and can they still be achieved by a remote service? This paper outlines the process of converting our in-person clinic to a remote service, by detailing steps taken such as developing a remote operating student training manual, establishing a new case triage system, utilising Zoom sessions, and developing a user focused website. It reflects upon the process of finding effective ways of communicating and collaborating with students and clients, while managing and mitigating the potential barriers to technology. Both the successes and the challenges taught us more about the human connection and the human experience. Ultimately, the lessons learned from a swift shut down to reopening a fully remote clinic made us better organised, better communicators, and more accessible for clients. Once we safely return to in-person meetings, the value gained in providing a remote service will remain embedded in our offering, committing us to a hybrid service of in-person and remote meetings to provide a better service to our clients. For the next academic year, our strengthened service enables us to move seamlessly between a fully remote service and our new hybrid model with minimal disruption, should COVID-19 continue to cast a dark cloud.
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2019冠状病毒病乌云中的一线希望
我们没有想到,COVID-19的影响最终会使我们成为一个更强大、更容易获得的诊所。面对面服务的突然中断给埃克塞特大学的整个临床项目蒙上了一层不确定的阴影。然而,我们不能简单地停止我们的临床服务——我们有现有的客户仍然需要帮助,以及将诊所作为一个模块的学生。此外,我们希望继续为社区提供服务。要考虑转换为远程服务,大学临床项目必须解决几个基本问题:诊所为什么存在?诊所的目标是什么?远程服务是否仍然可以实现这些目标?本文概述了将我们的面对面诊所转变为远程服务的过程,详细介绍了所采取的步骤,如开发远程操作学生培训手册,建立新的病例分诊系统,利用Zoom会议,以及开发以用户为中心的网站。它反映了寻找与学生和客户沟通和合作的有效方法的过程,同时管理和减轻技术的潜在障碍。无论是成功还是挑战,都让我们更多地了解了人与人之间的联系和人类的经历。最终,从迅速关闭到重新开放一个完全远程诊所的经验教训使我们更好地组织,更好地沟通,更容易为客户服务。一旦我们安全回到面对面会议,提供远程服务所获得的价值将继续嵌入我们的产品中,使我们承诺提供面对面和远程会议的混合服务,为客户提供更好的服务。对于下一学年,我们加强的服务使我们能够在完全远程服务和我们的新混合模式之间无缝切换,即使COVID-19继续给我们蒙上阴云,也能将中断降到最低。
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