Knowledge, attitudes and practices of telemedicine education and training of French medical students and residents

Introduction Telemedicine is a remote medical practice that is progressively expanding in France. In 2018, regulatory changes authorised telemedicine to become part of daily clinical practice. Telemedicine education and training (ET), however, has not been widespread, despite its integration in the medical curriculum since 2009. The objective of this study was to examine the self-perceived knowledge, attitudes and practices (KAP) and ET of telemedicine ET from medical students and residents in France. Methods A national survey was distributed online (15 December 2018 to 3 March 2019) to approximately 135,000 medical students and residents in medical schools ( n = 38). The survey consisted of a total of 24 binary and Likert-scale questions covering telemedicine ET and KAP. Results In total, 3,312 medical students and residents completed the survey. Synchronous video consultation was the most well-known telemedicine activity (86.9%); asynchronous tele-expertise was the least recognised (40.3%). Most respondents (84.8%) stated they were not familiar with telemedicine regulations. The relevance of telemedicine for improving access to care was acknowledged by 82.8% of students and residents; 14% of respondents stated they had previously practised telemedicine during their studies; 14.5% stated they had received telemedicine ET; however, 97.9% stated they were not sufficiently trained. Discussion This is the first national scale study on telemedecine ET by medical students and residents, to date. Despite positive attitudes, participants were found to have limited telemedicine ET, knowledge and practices. The demand for telemedicine ET is increasing. Such studies that incorporate the perspectives of medical students and residents may strengthen the implementation of telemedicine ET in the future.

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National survey on telemedicine education and training among medical students and residents in France

European Journal of Public Health ◽

10.1093/eurpub/ckz185.097 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

R Ohannessian ◽

S Yaghobian ◽

T Iampetro ◽

I Riom ◽

N Salles ◽

...

Keyword(s):

Medical Students ◽

Medical School ◽

National Survey ◽

Education And Training ◽

French Society ◽

Online Questionnaire ◽

National Union ◽

Residency Programs ◽

Attitudes And Practices ◽

And Training

Abstract Telemedicine was defined in France in 2009 and until 2017 integrated into the official medical school and residency programs. A national survey among medical school deans indicated a lack of implementation of telemedicine education and training despite positive attitudes towards it. In September 2018, teleconsultation started to be reimbursed for all doctors and patients by the National Health Insurance. The objective was to describe the knowledge, attitudes, and practices of medical students and residents in France on telemedicine. A national voluntary online questionnaire-based survey was conducted from December 15th, 2018 to March 3rd, 2019. The survey was shared by the French Society of Telemedicine (SFTelemed), the National Association of French Medical Students (ANEMF), and the National Union of Medical Residents (ISNI). There were 3329 answers, with 67.5% of participants being women and 69.8% being medical students and 30.2% residents. In total, 82.8% declared telemedicine was relevant to improve access to care. 84.8% did not know telemedicine regulations at all. 86.9% declared they knew the definition of teleconsultation and only 40.3% for tele-expertise. 14.4% received telemedicine theoretical education, and 97.9% stated they were not trained enough. 7% practised telemedicine during their medical school education and 30% during residency. Among them 60.2% practiced telemedicine less than 5 occasions. Among those who did not practise telemedicine during their education, 82.6% answered that they would want to practice telemedicine before the end of their studies. Medical students and residents in France have a positive attitude towards telemedicine, however, were limited to its practice. Majority of participants declared they want to be educated and trained for telemedicine during their studies. This is the first national scale study in the world and should be applied in France for other healthcare professionals and other countries. Key messages Telemedicine education and training should be provided to medical students and resident during their curriculum. Medical schools and residency programs need to integrate and apply telemedicine in their programs.

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National survey of telemedicine education and training in medical schools in France

Journal of Telemedicine and Telecare ◽

10.1177/1357633x18820374 ◽

2019 ◽

Vol 26 (5) ◽

pp. 303-308 ◽

Cited By ~ 4

Author(s):

Sarina Yaghobian ◽

Robin Ohannessian ◽

Alexandre Mathieu-Fritz ◽

Thierry Moulin

Keyword(s):

Medical Practice ◽

Online Survey ◽

Medical Schools ◽

Education And Training ◽

External Support ◽

Cross Sectional ◽

Attitudes And Practices ◽

Associate Deans ◽

Positive Attitudes ◽

And Training

Introduction Telemedicine is a remote medical practice using information communication technology (ICT), and has been increasing in France since 2009. With all new forms of medical practice, education and training (ET) is required for quality and safety. To date, implementation of telemedicine ET has not been assessed in France. The objective of this study was to describe the implementation of telemedicine ET and evaluate the knowledge, attitudes and practices (KAP) of deans and associate deans from all medical schools in France. Methods A cross-sectional non-mandatory, descriptive online survey with a self-administered questionnaire was performed from 15 November to 6 December, 2017. Respondents were accessed through the ‘ Conférence des doyens des Facultés de médecine’. Results There were 48 respondents with a 47.4% response rate among deans. Telemedicine ET was limited in France; 10.4% in 1st year medicine (PACES); 4% in the final 3 years of medical school (D.F.A.S.M.) and 18.8% in medical residency. Emergency medicine, dermatology, radiology, neurology and geriatrics were specialties with implemented telemedicine training during residency. Of all respondents, 90% expressed a need to increase telemedicine ET, among which 75% accepted external support. A highly positive attitude towards telemedicine practice was reflected by 60.4% of respondents, and 56.2% practiced telemedicine at least once. Discussion This study was the first to assess national telemedicine ET implementation in France. Telemedicine was integrated into initial medical education; however, telemedicine ET remains limited despite the positive attitudes of deans and associate deans. Further research would need to be conducted on telemedicine ET implementation and KAP of medical students and residents.

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Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan

PLoS ONE ◽

10.1371/journal.pone.0243696 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243696

Author(s):

Khola Noreen ◽

Zil-e- Rubab ◽

Muhammad Umar ◽

Rehana Rehman ◽

Mukhtiar Baig ◽

...

Keyword(s):

Medical Students ◽

Well Being ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Well Being ◽

Good Practices ◽

Attitudes And Practices ◽

Adequate Knowledge ◽

Positive Attitudes ◽

Knowledge Attitudes And Practices

Background On account of the COVID-19 pandemic, many changes have been implicated in university medical students. We are cognizant that pandemic can be controlled with dedicated contributions from all involved in the healthcare profession. Therefore, it is important to know the pandemic and application of knowledge by the medical students to formulate a further line of management in Pakistan. Objective We aimed toinvestigate the knowledge, attitudes, and practices (KAP) regarding COVID-19 and its impact on medical students of Pakistan. Methods A cross-sectional survey was conducted in June 2020 by a validated self—administered questionnaire. The survey instrument was tailored from a published questionnaire comprised of questions on demographics (6), knowledge (14), attitudes (4), and practices (6). Results Of the 1474 medical students in the study, 576(39.1%) were males, and 898(60.1%) were females. Two-thirds of the participants 1057(71.7%) had adequate knowledge, and almost all the students had positive attitudes (1363(92.5%), and good practices 1406(95.4%) to COVID-19. Two-thirds of the medical students 1023(69%) believed that the COVID-19 outbreak had affected their social, mental, and psychological well-being. One-quarter of the medical students 391(26%) become more religious, 597(40%) realized the importance of life, and 1140(77%) became careless because of the pandemic. The female medical students were 2.545 times (p < .001) and 4.414 times (p < .001) more likely to have positive attitudes and good practices toward COVID-19 as compared to males. Conclusion Medical students, especially females and senior year scholars, were well-versed with desired levels of knowledge, attitudes, and preventive measures toward COVID-19. Most of them recognized COVID 19, is shaping their social, mental, and psychological well-being and encroaching on the healthcare system and economy. The information acquired by the KAP study may help to devise effective preventive strategies for future events.

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P87 Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students

BJS Open ◽

10.1093/bjsopen/zrab032.086 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Eddy Lincango-Naranjo ◽

Paola Solis-Pazmino ◽

Eddy Lincango-Naranjo

Keyword(s):

Medical Students ◽

Healthcare Workers ◽

Online Survey ◽

National Curriculum ◽

Negative Attitude ◽

Front Line ◽

Macroeconomic Factors ◽

Attitudes And Practices ◽

And Behavior ◽

Knowledge Attitudes And Practices

Abstract Introduction As new coronavirus has spread globally, economic instability in healthcare systems has been significant. This reality is especially accentuated in Ecuador where, the shortage of healthcare workers combined with cultural and macroeconomic factors have led it to face the most aggressive outbreak in Latin America. In this context, the participation of medical students on the front line is indispensable. Appropriate training on COVID-19 is an urgent need that universities and health systems must guarantee. We aimed to describe the knowledge, attitudes and practices in Ecuadorian final year medical students in order to identify the knowledge gaps, perceptions and behavior patterns which could guide the desig3n of better medical education curricula regarding COVID-19. Methods This descriptive 33-item online survey conducted between April 6 to April 20 sent by email and by Facebook and WhatsApp. Results 309 students responded to the survey. 88% scored high (≥ 70% correct) for knowledge of the disease. The majority of students were pessimistic about possible government actions, which is reflected in the negative attitude towards the control of COVID19 in Ecuador and volunteering during the outbreak (77%, and 58% of the students, respectively). Moreover, 91% of students said they did not have adequate protective equipment or training in their health facilities. Conclusions Ecuador has a capable upcoming workforce that could benefit from an opportunity to strengthen, improve and advance their training in preparation for COVID-19. Creating a national curriculum may be one of the most effective ways for all students to be trained, while simultaneously focusing on the students’ most pressing concerns.

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Assessing the Knowledge, Attitudes and Practices of COVID-19 among Quarantine Hotel Workers in China

Healthcare ◽

10.3390/healthcare9060772 ◽

2021 ◽

Vol 9 (6) ◽

pp. 772

Author(s):

Yi-Man Teng ◽

Kun-Shan Wu ◽

Wen-Cheng Wang ◽

Dan Xu

Keyword(s):

Descriptive Analysis ◽

Binary Logistic Regression ◽

Sociodemographic Factors ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Attitudes And Practices ◽

Positive Attitudes ◽

Hotel Workers ◽

Knowledge Attitudes And Practices

During the pandemic, quarantine hotel workers face a higher risk of infection while they host quarantine guests from overseas. This study’s aim is to gain an understanding of the knowledge, attitudes, and practices (KAP) of quarantine hotel workers in China. A total of 170 participants took part in a cross-sectional survey to assess the KAP of quarantine hotel workers in China, during the COVID-19 pandemic. The chi-square test, independent t-test, one-way analysis of variance (ANOVA), descriptive analysis, and binary logistic regression were used to examine the sociodemographic factors associated with KAP levels during the COVID-19 pandemic. The results show that 62.41% have good knowledge, 94.7% have a positive attitude towards COVID-19, but only 78.2% have good practices. Most quarantine hotel workers (95.3%) are confident that COVID-19 will be successfully controlled and that China is handling the COVID-19 crisis well (98.8%). Most quarantine hotel workers are also taking personal precautions, such as avoiding crowds (80.6%) and wearing facemasks (97.6%). The results evidence that quarantine hotel workers in China have acquired the necessary knowledge, positive attitudes and proactive practices in response to the COVID-19 pandemic. The results of this study can provide a reference for quarantine hotel workers and their targeted education and intervention.

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Knowledge, Attitudes, and Practices on COVID-19 Among Medical Students in Sri Lanka

Asia Pacific Journal of Public Health ◽

10.1177/1010539521993663 ◽

2021 ◽

pp. 101053952199366

Author(s):

Anne Thushara Matthias ◽

Mathotage Sathiesha Nihari Padmasiri ◽

Uduwaka Gam Aacharige Navoda Dharani

Keyword(s):

Medical Students ◽

Sri Lanka ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

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Essentials for Education and Training for Tomorrow's Physicians

Advances in Medical Education, Research, and Ethics - Exploring the Pressures of Medical Education From a Mental Health and Wellness Perspective ◽

10.4018/978-1-5225-2811-1.ch010 ◽

2017 ◽

pp. 230-252

Author(s):

Timothy Edward A. Barrett

Keyword(s):

Mental Health ◽

Medical Students ◽

Personal Growth ◽

Growth And Development ◽

Well Being ◽

Education And Training ◽

Current Approach ◽

Changing Times ◽

Health And Well Being ◽

And Training

Education and training of medical students and postgraduate residents must undergo a critical review in light of the changing times and attitudes. The demands of life in general are enough to provide significant stressors for today's students in addition to coping with pressures of balancing passing exams with meeting the expectations of family and instructors. This chapter will highlight the realities of the effect of the pressures of study on the students' mental health and well-being. It will then describe several changes that can be made to the way medical students are trained which then shifts the focus to personal growth and development and away from the traditional goals of knowledge, skills and competencies for the goal of passing the exams. In the end, this chapter will challenge readers and institutions to pause and reconsider the current approach to training of medical students.

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Medical students’ perceptions and expectations regarding digital health education and training: A qualitative study

Journal of Telemedicine and Telecare ◽

10.1177/1357633x20932436 ◽

2020 ◽

pp. 1357633X2093243

Author(s):

Sisira Edirippulige ◽

Sophie Gong ◽

Malshi Hathurusinghe ◽

Sarah Jhetam ◽

Jasmine Kirk ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Health Education ◽

Focus Groups ◽

Online Survey ◽

Care Delivery ◽

Digital Health ◽

Education And Training ◽

Perceptions And Expectations ◽

And Training

Introduction Digital health – the convergence of digital technologies within health and health care to enhance the efficiency of health-care delivery – is fast becoming an integral part of routine medical practice. The integration of digital health into traditional practice brings significant changes. Logic dictates that for medical practitioners to operate in this new digitally enabled environment, they require specific knowledge, skills and competencies relating to digital health. However, very few medical programmes in Australia and globally include digital health within their regular curriculum. This pilot study aimed to explore medical students’ perceptions and expectations of digital health education and training (ET). Methods An online survey and focus groups were used to collect information about medical students’ perceptions and expectations relating to digital health and ET relating to this field within the medical programme at the University of Queensland. Sixty-three students took part in the survey, and 17 students were involved in four focus groups. Results Most participants had no formal ET in digital health. Most participants ( n = 43; 68%) expressed a willingness to learn about digital health as part of their medical programme. Discussion Primarily, knowledge- and practice-related factors have motivated students to learn about digital health. The analysis of focus group data identified two superordinate themes: (a) drivers of digital health ET and (b) expectations relating to digital health ET. Students agreed that digital health is a relevant field for their future practice that should be taught as part of their regular curriculum.

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