好色先生

好色先生

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Abstract Details

Bed Side to Web Side Neurological Care
Research Methodology, 好色先生, and History
P1 - Poster Session 1 (5:30 PM-6:30 PM)
4-079
NA
Teleneurology is an effective way to ease the burden of travel, improve access and compliance, but little training exists. The 好色先生 has recommended establishing teleneurology training, and we attempted to determine feasibility and lay a groundwork at our institution by following patients with established Parkinson’s disease while assessing stroke risk factors.
10 patients were recruited using informed consent and IRB approved protocol. Two residents evaluated 5 participants each over two visits using vetted and secure online software.  During first clinic visit, teleneurology training was given to the patients. Disease severity was rated by resident and principal investigator using Unified Parkinson Disease Rating Scale and evaluated simultaneously through computer and in person.  During second, teleneurology only interaction, where patients were seen remotely and scored by the resident.
Patients had mean age of 54.7 year with mean disease duration of 7.6 years. Mean satisfaction of 91% was seen among the patients using teleneurology system. Technical issues including software and connection issues occurred in 6 of the teleneurology visits but were able to be handled remotely. Patients enjoyed the flexibility and reduced caregiver fatigue offered by the teleneurology appointment. Residents were satisfied to have an additional educational opportunity which helped in enhancing patient care and exposure to new technology.
We successfully tested a teleneurology pilot program that benefited both residents and patients, despite initial technological barriers. Patients appear to enjoy and benefit from limited travel flexibility and time commitments.  The residents also benefited from the exposure to a future aspect of medicine.  This newer technology has potential to improve long term management of PD and even allow for remote diagnosis. Due to its success, we are developing a teleneurology curriculum for residents to expose them early to the future of Neurology.
Authors/Disclosures
William K. Jens, DO, FAAN (UPMC)
PRESENTER 		Dr. Jens has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Abvie.
Balaji Krishnaiah, MD, FAAN (University of Tennessee Health Sciences Center) Dr. Krishnaiah has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for ACP. Dr. Krishnaiah has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Merck Manual. Dr. Krishnaiah has received publishing royalties from a publication relating to health care.
Papul Chalia, MD (Penn State Health Milton S. Hershey Medical Center) Dr. Chalia has nothing to disclose.
Samyuktha Ravi (Penn State College of Medicine) No disclosure on file
No disclosure on file
Natalie Aucutt-Walter, MD (Penn State Milton S. Hershey Medical Center, Dept Neurology) No disclosure on file
Thyagarajan Subramanian, MD, MBBS, FAAN (University of Toledo) Dr. Subramanian has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Neurocrine. Dr. Subramanian has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Supernus. Dr. Subramanian has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Teva. The institution of Dr. Subramanian has received research support from National Institutes of Health. The institution of Dr. Subramanian has received research support from Ann and Phillip Gladfetler III Foundation. The institution of Dr. Subramanian has received research support from Department of Defense . Dr. Subramanian has received publishing royalties from a publication relating to health care. Dr. Subramanian has received personal compensation in the range of $500-$4,999 for serving as a Grant Reviewer with National Institutes of Health.