远程医疗和远程培训:对妇产科培训的影响

Sughashini Murugesu, S. Saso, Jennifer Barcroft, Shankar Visvanathan, Tom Bourne, K. Joash
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摘要

在 COVID-19 大流行期间,远程医疗在妇产科临床实践中的使用显著增加。本文提出了一个框架,以确保在远程医疗会诊期间继续提供培训机会,让受训人员在远程医疗框架内发展技能,优化会诊和安全临床实践。远程教学与面对面教学相比各有利弊。每种教学方法的价值都需要根据具体情况加以考虑,并相应地调整教学内容。在基础设施到位的情况下,混合授课是一种选择。远程教学包括对门诊的远程监督以及专家对阴道镜检查和超声波图像等的审查。这种技术可用于对超声波检查和手术进行实时远程监督,使专家能够在非工作时间或地理位置偏僻的地区进行指导。远程模拟培训可在远程进行,并可利用人工智能进行远程评估。模拟技术的使用可促进妇产科实践技能评估的标准化。
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Telemedicine and remote training: the impact on obstetrics and gynaecology training
The use of telemedicine in obstetrics and gynaecology clinical practice increased significantly during the COVID‐19 pandemic. This article presents a framework to ensure training opportunities continue during telemedicine consultations, allowing trainees to develop their skills within the framework of telemedicine to optimise consultations and safe clinical practice. Remote teaching offers several advantages and disadvantages over face‐to‐face teaching. The value of each teaching method needs to be considered for the specific setting and the content tailored accordingly. Hybrid delivery is an option now that the infrastructure is in place. Telementoring includes remote supervision of clinics and expert review of, for example, colposcopy and ultrasound images. The technology is available for live‐stream remote supervision of ultrasound and surgery, allowing expert input out of hours or in geographically isolated areas. Telesimulation training can occur remotely and offers the possibility of remote assessment with artificial intelligence. The use of simulation technology may facilitate the standardisation of practical skills assessment in obstetrics and gynaecology.
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