Leveraging Telehealth and Medical Student Volunteers to Bridge Gaps in Education Access for Providers in Limited-Resource Settings.
Acad Med
; 96(3): 390-394, 2021 03 01.
Article
en En
| MEDLINE
| ID: mdl-33264112
ABSTRACT
PROBLEM:
High-quality training opportunities for providers in limited-resource settings are often scarce or nonexistent. This can lead to a dearth of boots-on-the-ground workers capable of translating knowledge into effective action. The tested telehealth education model of Project ECHO (Extension for Community Healthcare Outcomes) can help address this disparity. However, the planning and logistical coordination required can be limiting.APPROACH:
Medical student volunteers interested in health disparities and global health can be leveraged to reduce the costs of administration for Project ECHO programs. From mid-2018 to present (2020), student organizations have been formed at Vanderbilt University School of Medicine, University of California, San Francisco, School of Medicine, and Albert Einstein College of Medicine. These organizations have recruited and trained volunteers, who play an active role in assessing the needs of local clinics and providers, developing curricula, and coordinating the logistical aspects of programs.OUTCOMES:
In the first 4 student-coordinated Project ECHO cohorts (2019-2020), 25 clinics in 14 countries participated, with a potential impact on over 20,000 cancer patients annually. Satisfaction with the telehealth education programs was high among local clinicians and expert educators. Students' perceived ability to conduct activities important to successfully orchestrating a telehealth education program was significantly greater among students who had coordinated one or more Project ECHO programs than among students who had yet to participate for 7 of 9 competencies. There also appears to be an additive effect of participating in additional Project ECHO programs on perceived confidence and career path intentions. NEXTSTEPS:
The student-led model of coordinating telehealth education programs described here can be readily expanded to medical schools across the nation and beyond. With continued expansion, efforts are needed to develop assessments that provide insights into participants' learning, track changes in patient outcomes, and provide continuing medical education credits to local clinicians.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
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1_ASSA2030
/
2_ODS3
Problema de salud:
11_delivery_arrangements
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11_multisectoral_coordination
/
1_acesso_equitativo_servicos
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1_desigualdade_iniquidade
/
2_cobertura_universal
/
2_salud_sexual_reprodutiva
Asunto principal:
Estudiantes de Medicina
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Voluntarios
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Telemedicina
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
Aspecto:
Equity_inequality
Límite:
Adult
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Acad Med
Asunto de la revista:
EDUCACAO
Año:
2021
Tipo del documento:
Article