Abstract Details

Title Telephone, Telemedicine, and Direct Faculty Supervision of Neurology Residents during Neurological Emergencies

Topic Neurologic ��ɫ��

Presentation(s) P05 - (-)

Poster/Presentation
Number 001

Objective

Background BACKGROUND: Telemedicine is used for specialist consultation, patient evaluation, and remote monitoring. We propose that telemedicine can play a valuable role in medical education by facilitating faculty supervision of trainees. Specifically, we asked faculty and trainees to compare their experiences with telephone, RTP, and direct interaction over patients with neurological emergencies.

Design/Methods DESIGN/METHODS: Mayo Clinic trainees and faculty who provided service for acute neurologic consultations over 29 months were surveyed. Consenting participants answered ten questions using 5-point Likert scale or ranking, addressing their experience with interaction quality, supervision, and mentorship achieved with the three communication modalities under study.

Results RESULTS: Surveys were received from 20/36 (56%) trainees and 8/10 (80%) faculty. Over 90% of trainees and faculty strongly agreed in-person communication was satisfactory for patient data review, history re-acquisition, problem synthesis, and refinement of trainee's impression, with RTP a close second. Moreover 38% of faculty and 70% of trainees, respectively, reported the telephone method to be unsatisfactory for re-acquisition of history, synthesis of patient data, and direct observation of trainees' clinical skills. Of faculty, 88 % agreed that RTP was a satisfactory modality for influencing patient's care and patient counseling. Over 90% of trainees reported that RTP provided them with sufficient staff support, was efficient, and allowed for trainee autonomy and learning. In regards to receiving and providing feedback, 89% trainees and 88% faculty felt RTP was satisfactory. Overall, 85% of trainees and faculty most preferred direct in-person supervision, with RTP a close second, and telephone least favored.

Conclusions CONCLUSIONS: Although direct in-person faculty supervision of trainees' management of neurological emergencies is always preferred, it is not always practical. This survey highlights that RTP supervision is preferred over telephone as an adjunctive supervision tool in residency.

Authors/Disclosures
Neha M. Kramer, MD (Rush University Medical Center) PRESENTER	Dr. Kramer has nothing to disclose.
Linda Lieberman	No disclosure on file
Bart Demaerschalk, MD, MSc, FRCPC, FAAN (Mayo Clinic)	Dr. Demaerschalk has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Genentech. Dr. Demaerschalk has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Shionogi. Dr. Demaerschalk has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for The Neurologist . The institution of Dr. Demaerschalk has received research support from NICHD.
Douglas L. Arnold, MD, FAAN (Montreal Neurological Institute, McGill Univ)	Dr. Arnold has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Biogen. Dr. Arnold has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for BMS. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Frequency Therapeutics. Dr. Arnold has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Merck. Dr. Arnold has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Novartis. Dr. Arnold has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Roche. Dr. Arnold has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanofi. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Shionogi. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Xfacto communications. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Eli Lilly. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for EMD Serono. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Biohaven. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Find therapeutics. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for GSK. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Idorsia. Dr. Arnold has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Kiniksa. Dr. Arnold has received personal compensation in the range of $100,000-$499,999 for serving as a Consultant for Clario.

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