Managing Emergencies in Rural North Queensland: The Feasibility of Teletraining.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES International Journal of Telemedicine and Applications Pub Date : 2018-04-23 eCollection Date: 2018-01-01 DOI:10.1155/2018/8421346
Tarsh Pandit, Robin A Ray, Sabe Sabesan
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引用次数: 1

Abstract

Introduction: Historically, the use of videoconference technologies in emergency medicine training has been limited. Whilst there are anecdotal reports of the use of teletraining for emergency medicine by rural doctors in Australia, minimal evidence exists in the literature. This paper aimed to explore the use of teletraining in the context of managing emergency presentations in rural hospitals.

Methods: Using a qualitative approach, a mixture of junior and senior doctors were invited to participate in semistructured interviews. Data were transcribed and analysed line by line. Applying the grounded theory principles of open and axial coding, themes and subthemes were generated.

Results: A total of 20 interviews were conducted with rural doctors, rural doctors who are medical educators, and emergency medicine specialists. Two major themes-(1) teletraining as education and (2) personal considerations-and ten subthemes were evident from the data. Most participants had some previous experience with teletraining. Access to peer teaching over videoconference was requested by rural generalist registrars. There was a preference for interactive training sessions, over didactic lectures with little mention of technical barriers to engagement. The ability of teletraining to reduce professional isolation was a major benefit for doctors practicing in remote locations.

Discussion: For these rural doctors, teletraining is a feasible method of education delivery. Wider application of teletraining such as its use in peer teaching needs to be explored. The benefits of teletraining suggest that teletraining models need to be core business for health services and training providers, including specialist colleges.

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北昆士兰农村突发事件管理:远程培训的可行性。
从历史上看,视频会议技术在急诊医学培训中的应用是有限的。虽然有关于澳大利亚农村医生在急诊医学中使用远程培训的轶事报道,但文献中存在的证据很少。本文旨在探讨远程培训在农村医院急诊就诊管理中的应用。方法:采用定性方法,邀请初级和高级医生参加半结构化访谈。逐行记录和分析数据。应用开放和轴向编码的扎根理论原则,生成主题和子主题。结果:共对20名农村医生、从事医学教育的农村医生和急诊医学专家进行了访谈。从数据中可以明显看出两个主要主题——(1)作为教育的远程培训和(2)个人考虑——以及十个副主题。大多数参与者以前都有过远程培训的经验。农村通才登记员要求通过视频会议进行同侪教学。他们更喜欢互动式培训课程,而不是很少提及参与技术障碍的说教式讲座。远程培训减少专业隔离的能力对在偏远地区执业的医生来说是一大好处。讨论:对于这些乡村医生来说,远程培训是一种可行的教育方式。需要探索远程培训的更广泛应用,例如在同伴教学中的应用。远程培训的好处表明,远程培训模式必须成为保健服务和培训提供者(包括专业学院)的核心业务。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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