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Hailemariam RT, Nigatu AM, Melaku MS. Medical students' knowledge and attitude towards tele-education and associated factors at University of Gondar, Ethiopia, 2022: mixed method. BMC MEDICAL EDUCATION 2023; 23:599. [PMID: 37608276 PMCID: PMC10463493 DOI: 10.1186/s12909-023-04579-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 08/08/2023] [Indexed: 08/24/2023]
Abstract
BACKGROUND Tele-education is the use of ICTs to conduct remote learning. It has been utilized to deliver ongoing training for many years. The world's modern culture is increasingly reliant on the use of information technology to enhance standards of education. However, in order to deploy successful e-learning systems in a developing nation, understanding of user characteristics is required in the creation and usage of e-learning systems. Thus, this study will enable us to understand the user's level of knowledge and attitude towards tele-education. METHODS An institution-based quantitative cross-sectional study supported by qualitative design was used 397 medical students at University of Gondar from May to June 2022. A pre-tested self-administered structured questionnaires and in-depth interview were used to collect quantitative and qualitative data respectively. Thematic-content analysis was conducted using open-code software for analyzing qualitative data. Quantitative data was entered to Epi-data version 4.6 and exported to SPSS version 25 software for further statistical analysis. Binary logistic regression was conducted. The adjusted odds ratio(AOR) was used to measure the association between the dependent and independent variables. RESULTS A total of 397 medical students were participated in this study with a response rate of 93.63%. In this study nearly six out of ten 230(57.9%) of study participants had good knowledge towards tele-education. More than half. 211(53.1%) of medical students participated on the study also had a favorable attitude towards tele-education. Factors associated with knowledge about tele-education is training related to ICT (AOR = 2.27 95% CI; (1.13,4.55)), knowledge of medical education digitization (AOR = 3.80 95% CI; (2.12,6.84)), high computer literacy (AOR = 2.82 95% CI; (1.68,4.72)) and favorable attitude towards tele-education (AOR = 3.52 95% CI; (2.12,5.84)). Factors associated with attitude towards tele-education is age group > 21 (AOR = 3.89, 95% CI; (1.33,11.39)) and good knowledge towards tele-education (AOR = 3.42,95%CI;(2.06,5.66)). CONCLUSION The study revealed that the knowledge of the medical students was good and nearly five out of ten of them had a favorable attitude towards tele-education. The study shows that training related to ICT, knowledge of medical education digitization, high computer literacy and favorable attitude towards tele-education were associated significantly with knowledge of tele-education. In this study age group > 21 and good knowledge towards tele-education of study participants were associated significantly with attitude towards tele-education.
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Affiliation(s)
- Rorisa Tadele Hailemariam
- Department of Health Informatics, School of Public Health, Arbaminch University, Arbaminch, Ethiopia.
| | - Araya Mesfin Nigatu
- Department of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia
| | - Mequannent Sharew Melaku
- Department of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia
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Eyles JP, Sharma S, Telles RW, Namane M, Hunter DJ, Bowden JL. Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries. FRONTIERS IN REHABILITATION SCIENCES 2022; 2:826765. [PMID: 36188801 PMCID: PMC9397802 DOI: 10.3389/fresc.2021.826765] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 12/24/2021] [Indexed: 12/04/2022]
Abstract
The "Joint Effort Initiative" (JEI) is an international consortium of clinicians, researchers, and consumers under the auspices of the Osteoarthritis Research Society International (OARSI). The JEI was formed with a vision to improve the implementation of coordinated programs of best evidence osteoarthritis care globally. To better understand some of the issues around osteoarthritis care in low- and middle-income countries (LMICs), the JEI invited clinician researcher representatives from South Africa, Brazil, and Nepal to discuss their perspectives on challenges and opportunities to implementing best-evidence osteoarthritis care at the OARSI World Pre-Congress Workshop. We summarize and discuss the main themes of the presentations in this paper. The challenges to implementing evidence-based osteoarthritis care identified in LMICs include health inequities, unaffordability of osteoarthritis management and the failure to recognize osteoarthritis as an important disease. Fragmented healthcare services and a lack of health professional knowledge and skills are also important factors affecting osteoarthritis care in LMICs. We discuss considerations for developing strategies to improve osteoarthritis care in LMICs. Existing opportunities may be leveraged to facilitate the implementation of best-evidence osteoarthritis care. We also discuss strategies to support the implementation, such as the provision of high-quality healthcare professional and consumer education, and systemic healthcare reforms.
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Affiliation(s)
- Jillian P. Eyles
- Kolling Institute of Medical Research, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Saurab Sharma
- Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, NSW, Australia
| | - Rosa Weiss Telles
- Universidade Federal de Minas Gerais, Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Musculoskeletal, Belo Horizonte, Brazil
| | - Mosedi Namane
- School of Public Health and Family Medicine, The University of Cape Town, Cape Town, South Africa
| | - David J. Hunter
- Kolling Institute of Medical Research, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
- Rheumatology Department, Royal North Shore Hospital, Sydney, NSW, Australia
| | - Jocelyn L. Bowden
- Kolling Institute of Medical Research, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
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Chandra DK, Moll AP, Altice FL, Didomizio E, Andrews L, Shenoi SV. Structural barriers to implementing recommended tuberculosis preventive treatment in primary care clinics in rural South Africa. Glob Public Health 2021; 17:555-568. [PMID: 33650939 DOI: 10.1080/17441692.2021.1892793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The World Health Organization (WHO) recommends tuberculosis preventive treatment (TPT) in people with HIV (PWH), yet implementation remains poor, especially in rural communities. We examined factors influencing TPT initiation in PWH on antiretroviral therapy (ART) in rural South Africa using the Promoting Action on Research Implementation in Health Services (PARiHS) framework to identify contextual factors and facilitation strategies to successfully implement TPT. Patient and clinical factors were extracted from medical records at two primary healthcare clinics (PHCs). Among 455 TPT eligible indivdiuals, only 263 (57.8%) initiated TPT. Patient-level characteristics (older age and symptoms of fever or weight loss) were significantly associated with TPT initiation in bivariate analysis, but PHC was the only independent correlate of TPT initiation (aOR: 2.24; 95% CI: 1.49-3.38). Clinic-level factors are crucial targets for implementing TPT to reduce the burden of HIV-associated TB. Gaps in knowledge of HCW, staff shortages, and non-integrated HIV/TB services were identified barriers to TPT implementation. Evidence-based strategies for facilitating TPT implementation that might be under-prioritized include ongoing reprioritization, expanding training for primary care providers, and quality improvement strategies (organisational changes, multidisciplinary teams, and monitoring and feedback). Addressing contextual barriers through these facilitation strategies may improve future TPT implementation in this setting.
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Affiliation(s)
- Divya K Chandra
- Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA.,University of Connecticut School of Medicine, Farmington, CT, USA
| | | | - Frederick L Altice
- Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA
| | - Elizabeth Didomizio
- Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA
| | - Laurie Andrews
- Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA
| | - Sheela V Shenoi
- Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA
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Kiberu VM, Scott RE, Mars M. Assessing core, e-learning, clinical and technology readiness to integrate telemedicine at public health facilities in Uganda: a health facility - based survey. BMC Health Serv Res 2019; 19:266. [PMID: 31035976 PMCID: PMC6489273 DOI: 10.1186/s12913-019-4057-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 04/03/2019] [Indexed: 11/17/2022] Open
Abstract
Background In developing countries like Uganda, there are shortages of health workers especially medical specialists. The referral process is frustrating to both patients and health workers (HWs). This is due to delays in accessing laboratory results/tests, costs of travel with resultant delay in consulting specialists. Telemedicine can help reduce these problems. To facilitate successful and sustainable telemedicine implementation the eHealth readiness of different stakeholders should be undertaken. This study was conducted at public health facilities (HFs) in Uganda to assess eHealth readiness across four domains; core, e-learning, clinical and technology, that might hamper adoption and integration of telemedicine. Methods A cross-sectional study using mixed methods for data collection was conducted at health center IVs, regional and national referral hospitals. The study was conducted in three parts. Quantitative data on core, e-learning and clinical readiness domains were collected from doctors and other healthcare providers (nurses/midwives, public health officers and allied healthcare workers). Respondents were categorised into ‘aware and used telemedicine’, ‘aware and not used’, ‘unaware of telemedicine’. Focus Group Discussions were conducted with patients to further assess core readiness. Technology readiness was assessed using a questionnaire with purposively selected respondents; directors, heads of medical sections, and hospital managers/superintendents. Descriptive statistics and correlations were performed using Spearman’s rank order test for relationship between technology readiness variables at the HFs. Results 70% of health professionals surveyed across three levels of HF were aware of telemedicine and 41% had used telemedicine. However, over 40% of HWs at HC-IV and RRH were unaware of telemedicine. All doctors who had used telemedicine were impressed with it. Telemedicine users and non-users who were aware of telemedicine showed core, clinical, and learning readiness. Patients were aware of telemedicine but identified barriers to its use. A weak but positive correlation existed between the different variables in technology readiness. Conclusion Respondents who were aware of and used telemedicine across all HF levels indicated core, learning and clinical readiness for adoption and integration of telemedicine at the public HFs in Uganda, although patients noted potential barriers that might need attention. In terms of technology readiness, gaps still exit at the various HF levels. Electronic supplementary material The online version of this article (10.1186/s12913-019-4057-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Vincent Micheal Kiberu
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
| | - Richard E Scott
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.,NT Consulting - Global e-Health Inc, Calgary, Alberta, Canada.,University of Calgary, Calgary, Alberta, Canada
| | - Maurice Mars
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
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Dave VP, Pathengay A, Keeffe J, Green C. Concept and Uptake of Just-A-Minute Clinical Pearl: A Novel Tele-Ophthalmology Teaching Tool. Asia Pac J Ophthalmol (Phila) 2018; 7:442-445. [PMID: 30044062 DOI: 10.22608/apo.2018107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
PURPOSE To describe the concept and report the uptake of a novel tele-ophthalmology educational tool, Just-A-Minute (JAM) clinical pearl, which was sent to all ophthalmologists in the email database of L V Prasad Eye Institute on a daily basis from September 2016 to August 2017. DESIGN A survey was conducted among the recipients of JAM clinical pearls. METHODS An online questionnaire was sent to the recipients and their responses were recorded and analyzed to evaluate the JAM pearls regarding qualifications of the recipients, their type of practice and regularity of accessing the pearls, type of pearl most sought, clarity of content, applicability to the clinic, relevance to practice, satisfaction with the format, and likelihood of recommendation. RESULTS Of 14,311 recipients of JAM clinical pearls, 719 (5%) responded to the survey. The majority of respondents were in India (66.5%) followed by the United States (26.4%). Among the respondents, 52.9% were postgraduate ophthalmologists in general practice, 38.3% postfellowship subspecialty practitioners, 5.8% fellows, and 2.9% residents. Private practitioners constituted 57.3% of all respondents. The pearls were accessed "always" by 53.7%, "very regularly" by 34.6%, and "intermittently" by 11.8% of respondents. The subspecialty of the pearls most desired was cornea and anterior segment (48.7%). The JAM pearls scored high in clarity of content (9/10), applicability to the clinic (9/10), satisfaction with the format (9/10), and recommendation to a colleague (10/10). CONCLUSIONS In this survey, it was found that the JAM clinical pearls are a unique, beneficial mode of tele-education with easily understandable and clinically applicable concepts.
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Affiliation(s)
- Vivek Pravin Dave
- Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, India
- Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad, India
| | - Avinash Pathengay
- Vitreo-Retina & Uveitis Service, GMR Varalakshmi Campus, L V Prasad Eye Institute, Visakhapatnam, India
| | - Jill Keeffe
- Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad, India
| | - Catherine Green
- The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia
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Celes RS, Rossi TRA, de Barros SG, Santos CML, Cardoso C. [Telehealth as state response strategy: systematic reviewLa telesalud como estrategia de respuesta del Estado: revisión sistemática]. Rev Panam Salud Publica 2018; 42:e84. [PMID: 31093112 PMCID: PMC6385855 DOI: 10.26633/rpsp.2018.84] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Accepted: 04/07/2018] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To identify telehealth initiatives described in the literature as a strategy for national health policies. METHOD A systematic review was performed to identify articles focusing on the use of telehealth as a state response strategy to health problems or needs. The Virtual Health Library, PubMed, and Google Scholar were searched using the following keywords: "telessaude politicas", "implantacao telessaude", "telehealth policy", "telehealth America", "telehealth Asia", "telehealth Antartida", "telehealth Europe", "telehealth Africa", "telehealth Oceania". Data collection was performed from March 2016 to February 2017. RESULTS Twenty-one articles describing telehealth initiatives in various countries, published in Portuguese, Spanish, and English, were analyzed. Concentration of studies on specific areas or regions was not detected. Most articles were published from 2014 to 2017. Telehealth initiatives have been used mainly to decrease health costs, for continued education of health care professionals, consultations between health care professionals, to strengthen primary health care, and to improve the access to health care in remote areas. CONCLUSIONS Telehealth is used as state policy across the five continents, with variations in the degree of implementation. The main differences in telehealth among countries refer to infrastructure, financing, engagement of patients and caretakers, and position of the state regarding the role of telehealth.
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Affiliation(s)
- Rafaela Santana Celes
- Universidade do Estado da Bahia, Programa de Residência Multiprofissional, Salvador (BA), Brasil.
| | | | - Sandra Garrido de Barros
- Universidade Federal da Bahia (UFBa), Faculdade de Odontologia, Departamento de Odontologia Social e Pediátrica, Salvador (BA), Brasil.
| | | | - Carla Cardoso
- Universidade do Estado da Bahia, Departamento de Ciências da Vida, Salvador (BA), Brasil.
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Walters LEM, Scott RE, Mars M. Teledermatology scale-up frameworks: a structured review and critique. BMC Health Serv Res 2018; 18:613. [PMID: 30086738 PMCID: PMC6081905 DOI: 10.1186/s12913-018-3418-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 07/24/2018] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The South African public health sector embarked on a National Telemedicine System implementation program in 1999 and although unsuccessful, the Province of KwaZulu-Natal subsequently implemented teledermatology in 2003, with two currently active services (synchronous and asynchronous). Although sustained these have not been scaled-up to meet the needs of all hospitals in the Province. A recent teledermatology scale-up design requirements elicitation process within KwaZulu-Natal confirmed the need for a framework, and identified requirements through key stakeholders, programme observations, the literature, and experts. This study aimed to identify and characterise existing teledermatology or related eHealth scale-up frameworks, determine whether any met the previously elicited scale-up framework requirements, and were suitable for use in the KwaZulu-Natal public health sector. METHODS A structured literature search was performed of electronic databases (Scopus, Science Direct, IEEE, PubMed, and Google Scholar) seeking proposed or developed teledermatology or related scale-up frameworks. Global public health publications were also hand-searched. The teledermatology or telemedicine, telehealth or eHealth related scale-up frameworks identified were critiqued against the previously elicited teledermatology scale-up framework requirements to determine their suitability for use. RESULTS No specific teledermatology scale-up framework was found. Seven related scale-up frameworks were identified, although none met all the previously identified teledermatology scale-up framework requirements. The identified frameworks were designed for specific scale-up phases and lacked a more holistic and comprehensive approach. CONCLUSIONS There is an evidenced-based need for the development of a health sector aligned, holistic framework that meets the identified teledermatology scale-up framework requirements. The findings of this paper will inform development of such a framework.
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Affiliation(s)
- Laticha Elizabeth Marolana Walters
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
- Council for Scientific and Industrial Research (CSIR), Meraka Institute, Pretoria, South Africa
| | - Richard Ernest Scott
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
- Department of Community Health Sciences, University of Calgary, Calgary, Canada
- NT Consulting - Global e-Health Inc., Calgary, Canada
| | - Maurice Mars
- Department of TeleHealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
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Mahadevan SV, Walker R, Kalanzi J, Stone LT, Bills C, Acker P, Apfeld JC, Newberry J, Becker J, Mantha A, Tecklenburg Strehlow AN, Strehlow MC. Comparison of Online and Classroom-based Formats for Teaching Emergency Medicine to Medical Students in Uganda. AEM EDUCATION AND TRAINING 2018; 2:5-9. [PMID: 30051058 PMCID: PMC6001592 DOI: 10.1002/aet2.10066] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 08/25/2017] [Accepted: 09/14/2017] [Indexed: 05/06/2023]
Abstract
OBJECTIVES Severe global shortages in the health care workforce sector have made improving access to essential emergency care challenging. The paucity of trained specialists in low- and middle-income countries translates to large swathes of the population receiving inadequate care. Efforts to expand emergency medicine (EM) education are similarly impeded by a lack of available and appropriate teaching faculty. The development of comprehensive, online medical education courses offers a potentially economical, scalable, and lasting solution for universities experiencing professional shortages. METHODS An EM course addressing core concepts and patient management was developed for medical students enrolled at Makerere University College of Health Sciences in Kampala, Uganda. Material was presented to students in two comparable formats: online video modules and traditional classroom-based lectures. Following completion of the course, students were assessed for knowledge gains. RESULTS Forty-two and 48 students enrolled and completed all testing in the online and classroom courses, respectively. Student knowledge gains were equivalent (classroom 25 ± 8.7% vs. online 23 ± 6.5%, p = 0.18), regardless of the method of course delivery. CONCLUSIONS A summative evaluation of Ugandan medical students demonstrated that online teaching modules are effectively equivalent and offer a viable alternative to traditional classroom-based lectures delivered by on-site, visiting faculty in their efficacy to teach expertise in EM. Web-based curriculum can help alleviate the burden on universities in developing nations struggling with a critical shortage of health care educators while simultaneously satisfying the growing community demand for access to emergency medical care. Future studies assessing the long-term retention of course material could gauge its incorporation into clinical practice.
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Affiliation(s)
| | - Rebecca Walker
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
| | - Joseph Kalanzi
- Makerere University College of Health SciencesKampalaUganda
| | | | - Corey Bills
- Department of Emergency MedicineUniversity of California San Francisco School of MedicineSan FranciscoCA
| | - Peter Acker
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
| | - Jordan C. Apfeld
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
| | - Jennifer Newberry
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
| | - Joseph Becker
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
| | - Aditya Mantha
- University of California Irvine School of MedicineIrvineCA
| | | | - Matthew C. Strehlow
- Department of Emergency MedicineStanford University School of MedicineStanfordCA
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Cubo E, Doumbe J, López E, Lopez GA, Gatto E, Persi G, Guttman M. Telemedicine Enables Broader Access to Movement Disorders Curricula for Medical Students. TREMOR AND OTHER HYPERKINETIC MOVEMENTS (NEW YORK, N.Y.) 2017; 7:501. [PMID: 29123943 PMCID: PMC5673687 DOI: 10.7916/d8708cxw] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Accepted: 09/28/2017] [Indexed: 12/01/2022]
Abstract
Background The impact of tele-education for movement disorders on medical students is unknown. The present study had three objectives. First, to create a tele-education program for medical students in regions with limited access to movement disorders curricula. Second, to analyze the feasibility, satisfaction, and improvement of medical knowledge. Third, to assess the main reasons of medical students for attending this course. Methods In 2016, a program was piloted in a low-middle income (Cameroon) and a middle-high income (Argentina) country. Medical students were offered a free movement disorder tele-education program (four medical schools in Argentina, and 1 medical school in Cameroon). Six real-time videoconferences covering hyperkinetic and hypokinetic movement disorders were included. Evaluations included attendance, pre- and post-medical knowledge, and satisfaction questionnaires. Results The study included 151 undergraduate medical students (79.4% from Argentina, 20.6% from Cameroon). Feasibility was acceptable with 100% and 85.7% of the videoconferences completed in Argentina and Cameroon, respectively. Attendance was higher in Argentina compared to Cameroon (75% vs. 33.1%). According to student reports, the topics and innovative educational environment were the main reasons for attendance. Both groups ranked satisfaction as moderate to high, and medical knowledge improved similarly in both countries. Discussion Tele-education can improve movement disorders knowledge in medical schools in high-middle and low-middle income countries lacking access to other educational opportunities.
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Affiliation(s)
- Esther Cubo
- Neurology Department, Hospital Universitario Burgos, Burgos, Spain
| | - Jacques Doumbe
- Neurology Department, Laquintinie Hospital, Douala, Cameroon
| | - Emiliano López
- Área Gestión de la Información y Conocimiento del Ceunite, University of Buenos Aires, Buenos Aires, Argentina
| | - Guadalupe A Lopez
- Área Gestión de la Información y Conocimiento del Ceunite, University of Buenos Aires, Buenos Aires, Argentina
| | - Emilia Gatto
- Instituto de Neurociencias, Buenos Aires, Argentina.,Sanatorio de la Trinidad Mitre, Buenos Aires, Argentina
| | - Gabriel Persi
- Instituto de Neurociencias, Buenos Aires, Argentina.,Sanatorio de la Trinidad Mitre, Buenos Aires, Argentina
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Campbell JP, Swan R, Jonas K, Ostmo S, Ventura CV, Martinez-Castellanos MA, Anzures RGAS, Chiang MF, Chan RVP. Implementation and evaluation of a tele-education system for the diagnosis of ophthalmic disease by international trainees. AMIA ... ANNUAL SYMPOSIUM PROCEEDINGS. AMIA SYMPOSIUM 2015; 2015:366-375. [PMID: 26958168 PMCID: PMC4765571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Tele-education systems are increasingly being utilized in medical education worldwide. Due to limited human resources in healthcare in low and middle-income countries, developing online systems that are accessible to medical trainees in underserved areas potentially represents a highly efficient and effective method of improving the quantity and quality of the health care workforce. We developed, implemented, and evaluated an interactive web-based tele-education system (based on internationally accepted, image-based guidelines) for the diagnosis of retinopathy of prematurity among ophthalmologists-in-training in Brazil, Mexico, and the Philippines. We demonstrate that participation in this tele-education program improved diagnostic accuracy and reliability, and was preferred to standard pedagogical methods. This system may be employed not only in training, but also in international certification programs, and the process may be generalizable to other image-based specialties, such as dermatology and radiology.
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Affiliation(s)
- J Peter Campbell
- Department of Ophthalmology, Oregon Health & Science University, Portland, OR
| | - Ryan Swan
- Department of Ophthalmology, Oregon Health & Science University, Portland, OR; Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR
| | - Karyn Jonas
- Department of Ophthalmology, Weill Cornell Medical College, New York, NY
| | - Susan Ostmo
- Department of Ophthalmology, Oregon Health & Science University, Portland, OR
| | | | - Maria A Martinez-Castellanos
- Department of Retina Service, Asociacion para Evitar la Ceguera en México, Hospital Luis Sánchez Bulnes, Mexico City, Mexico
| | | | - Michael F Chiang
- Department of Ophthalmology, Oregon Health & Science University, Portland, OR; Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR
| | - R V Paul Chan
- Department of Ophthalmology, Weill Cornell Medical College, New York, NY
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Wootton R, Bonnardot L. Telemedicine in low-resource settings. Front Public Health 2015; 3:3. [PMID: 25654074 PMCID: PMC4300819 DOI: 10.3389/fpubh.2015.00003] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Accepted: 01/02/2015] [Indexed: 01/18/2023] Open
Affiliation(s)
- Richard Wootton
- Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway , Tromsø , Norway ; Faculty of Health Sciences, University of Tromsø , Tromsø , Norway
| | - Laurent Bonnardot
- Fondation Médecins Sans Frontières , Paris , France ; Department of Medical Ethics and Legal Medicine (EA 4569), Paris Descartes University , Paris , France
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