Virtual Care in Undergraduate Medical Education: perspectives beyond the pandemic. How medical education can support a change of culture towards virtual care delivery in Canada
DOI:
https://doi.org/10.36834/cmej.73879Abstract
The pandemic has led to further the importance of telemedicine, teleconsultation and technology as essential components for delivering of care in all settings. Prior to the pandemic, the instruction surrounding the safe delivery of virtual care in undergraduate medical education was sparse and informal. For care to be delivered to the high standards expected of Canadian physicians, the University of Ottawa undergraduate medical program (UGME) made the decision to define virtual care as a series of tools to facilitate and support the safe delivery of care. By focusing on virtual care as a set of tools, it provides the framework for skill development for future clinicians early in their careers and provides a critical thinking pathway to support the ever-evolving landscape of digital technology in the provision of safe, effective, timely and patient-centered care. This white paper shares our experience creating a virtual care curriculum and the possible implications for medical education.
References
Roberts JM, House, A. M. Telemedicine in Canada. CMAJ. 1977; 117: 386.
COVID-19 - Virtual care is here to stay. Digital health; 11.
FMRAC. FMRAC Framework on telemedicine. 2019. https://fmrac.ca/fmrac-framework-on-telemedicine [Accessed Oct 20, 2021].
Canadian Medical Association. Virtual care: Recommendations for scaling up virtual medical services. https://www.cma.ca/virtual-care-recommendations-scaling-virtual-medical-services [Accessed Oct 27, 2021].
Smith A. Virtual care playbook. 16.
Best Advice Guide: Advanced and Meaningful Use of EMRs. Patient’s Medical Home, https://patientsmedicalhome.ca/resources/best-advice-guides/best-advice-guide-advanced-and-meaningful-use-of-emrs/ [Accessed Oct 20, 2021].
Royal College of Physicians and Surgeons of Canada. Telemedicine and virtual care guidelines for health professionals. https://www.royalcollege.ca/rcsite/documents/about/covid-19-resources-telemedicine-virtual-care-e [Accessed Oct 20, 2021].
CMPA. COVID-19 Hub Updated Jun 14, 2022.. https://www.cmpa-acpm.ca/en/covid19 [Accessed Oct 20, 2021].
Glazier RH, Green ME, Wu FC, et al. Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada. CMAJ. 2021; 193: E200–E210. https://doi.org/10.1503/cmaj.202303
Family Physician’s Response to the Covid-19 Pandemic. 5.
Bestsennyy O, Gilbert G, Harris A, et al. Telehealth: a quarter-trillion-dollar post-COVID-19 reality? 2020. [Accessed Dec 30, 2021].
Deloitte Insights. The future of virtual health. https://www2.deloitte.com/us/en/insights/industry/health-care/future-of-virtual-health.html [Accessed Oct 20, 2021].
COVID-19 - Virtual care is here to stay. Digital health; 11.
Sharma R, Nachum S, Davidson KW, et al. It’s not just FaceTime: core competencies for the medical virtualist. Intern J Emerg Med. 2019; 12: 1–5. https://doi.org/10.1186/s12245-019-0226-y
Heart and Stroke Foundation of Canada. People with stroke heart conditions want virtual care to continue post pandemic. https://www.heartandstroke.ca/en/what-we-do/media-centre/news-releases/people-with-stroke-heart-conditions-want-virtual-care-to-continue-post-pandemic/ [Accessed Oct 20, 2021].
Virtual medical care is here to stay post-pandemic, Doctors of B.C. says | CBC News,
https://www.cbc.ca/news/canada/british-columbia/virtual-medical-care-1.6057454 [Accessed Oct 20, 2021].
Personal Health Information Protection Act, 2004, S.O. 2004, c. 3, Sched. A, https://www.ontario.ca/laws/statute/04p03 [Accessed Oct 20, 2021].
Ansary AM, Martinez JN, Scott JD. The virtual physical exam in the 21st century J Telemed Telecare. 2021; 27: 382–392. https://doi.org/10.1177/1357633X19878330
Sept L, Kirkwood J, Korownyk CS. Virtual versus in-person primary care visits. Can Fam Physician. 2020; 66: 904–904. https://doi.org/10.46747/cfp.6612904
Lui, J, Buckley, H, Ho, Kendall et al. A proposed learning environment framework for virtual care Can Med Ed J.2021; 12(6): 28-34 https://doi.org/10.36834/cmej.71373
Meskó B, Drobni Z, Bényei É, et al. Digital health is a cultural transformation of traditional healthcare. Mhealth; 3. https://doi.org/10.21037/mhealth.2017.08.07
Touchie C, Streefkerk C. Blueprint project–qualifying examinations blueprint and content specifications. Medical Council of Canada: Ottawa Canada.
TBnewswatch.com. Ontario doctors ratify new three-year agreement with province. The agreement includes a permanent framework for virtual care by telephone and video. Mar 28, 2022. https://www.tbnewswatch.com/local-news/ontario-doctors-ratify-new-three-year-agreement-with-province-5205948#:~:text=TORONTO%20%E2%80%94%20Ontario's%20doctors%20have%20ratified,telephone%20and%20video%2C%20when%20appropriate [Accessed on Mar 29, 2022].
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