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1. Telehealth in emergency medicine residency training: A model curriculum

Author

Laura Oh, Rahul Bhat, Michael J. Carr, Aditi U. Joshi, Bruce M. Lo, Ashley C. Rider, Lulu Wang, Michael C. Wadman, and Samuel D. Luber

Subjects
Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Emergency physicians are well‐positioned to take a leadership role in telehealth, particularly in emerging categories such as triage, direct acute unscheduled care, and virtual observation. However, the growth of telehealth has outpaced curricular development in emergency medicine (EM) residency programs. This manuscript presents a model longitudinal telehealth curriculum, developed by the consensus of education experts, including representatives from the telehealth interest groups from EM's two primary specialty societies: the American College of Emergency Physicians and the Society for Academic Emergency Medicine. The curriculum describes overarching goals and components that may serve as a foundation for individual institutions seeking to train future operational and academic leaders in telehealth.

Published
2024
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2. Telehealth Success : How to Thrive in the New Age of Remote Care

Author

Brandon M. Welch, Aditi U. Joshi, Brandon M. Welch, and Aditi U. Joshi

Subjects
Medical telematics, Telecommunication in medicine
Abstract

The Definitive Guide to Mastering Telehealth In the wake of the COVID-19 pandemic, the healthcare landscape experienced an unprecedented transformation, thrusting millions of clinicians into telehealth. What was once a niche method of providing care rapidly became the new standard overnight. While some healthcare providers have adapted well, many find themselves wrestling with the challenges of telehealth. Mastering telehealth requires an entirely different set of tools and practices—ones that are not typically taught in medical schools. So what distinguishes those who flourish from those who struggle? In what is becoming the quintessential guide to telehealth, experts Dr. Brandon M. Welch and Dr. Aditi U. Joshi invite readers to explore what it takes to be successful with telemedicine. Enriched by captivating case studies, groundbreaking research, and firsthand experiences, Drs. Welch and Joshi unravel the complexities of telehealth, offering invaluable insights into its failures, successes, and untapped potential. They point out that success in telehealth requires success in each of the five critical domains: Patient Success: Ensuring that patients not only receive the quality of care they expect but also experience it in a manner most suited to their preferences. Clinician Success: Empowering clinicians and healthcare organizations to deliver world-class care in a manner that complements their practice. Technology Success: Demystifying the technology that underpins telehealth, emphasizing the importance of intuitive, reliable platforms. Financial Success: Providing a framework for clinicians, insurers, and patients to reap the financial benefits of telehealth adoption. Compliance Success: Navigating the legal landscape of telehealth, helping clinicians leverage healthcare laws and regulations to their advantage. By following the actionable strategies outlined in this comprehensive book, healthcare providers can transition from merely adopting telehealth to thriving with it. Telehealth holds the promise of shaping a healthcare future that is more accessible, convenient, affordable, and equitable than we've ever known. And this book is your ultimate roadmap to that future.

Published
2023

3. Telehealth in the time of COVID-19

Author

Resa E. Lewiss and Aditi U. Joshi

Subjects
Male, Program evaluation, medicine.medical_specialty, Referral, Coronavirus disease 2019 (COVID-19), Pneumonia, Viral, education, Staffing, Telehealth, Severe Acute Respiratory Syndrome, Critical Care and Intensive Care Medicine, Hospitals, University, 03 medical and health sciences, 0302 clinical medicine, Acute care, Pandemic, Health care, medicine, Humans, 030212 general & internal medicine, Program Development, Pandemics, health care economics and organizations, Cross Infection, Infection Control, New Jersey, business.industry, COVID-19, 030208 emergency & critical care medicine, General Medicine, Pennsylvania, Delaware, medicine.disease, Telemedicine, Emergency Medicine, Female, Medical emergency, Coronavirus Infections, business, Program Evaluation
Abstract

Telehealth or using technology for a remote medical encounter has become an efficient solution for safe patient care during the severe acute respiratory syndrome coronavirus 2 or COVID-19 pandemic. This medium allows patient immediate healthcare access without the need for an in-person visit. We designed a time-sensitive, practical, effective and innovative scale-up of telehealth services as a response to the demand for COVID-19 evaluation and testing. As more patients made appointments through the institution’s telehealth programme, we increased the number of clinicians available. JeffConnect, the acute care telehealth programme, was expanded to increase staffing from a standing staff of 37–187 doctors within 72 hours. Telehealth care clinicians primarily trained in emergency medicine, internal medicine and family medicine followed a patient decision pathway to risk stratify patients into three groups: home quarantine no testing, home quarantine with outpatient COVID-19 testing and referral for in-person evaluation in the ED, for symptomatic and potentially unstable patients.

Published
2020
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