Telementoring - Transforming Healthcare, Episode 5
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Topic Overview
Key Takeaways
- Telementoring enables expert surgeons to remotely guide less experienced practitioners through new techniques using telecommunication technology.
- Traditional surgical training ends at graduation; telementoring extends expert supervision into independent practice for learning new procedures.
- Effective telementoring follows a 4-step model: didactic course → observe expert → simulation → perform with remote expert observation.
- Proximie and similar platforms allow virtual scrub-in, enabling experts to certify trainees' competency without repeated in-person travel.
- Telementoring addresses the challenge of adopting new surgical devices and techniques after residency training is complete.
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Transcript
Hi, this is Emre Tombash from Cincinnati Children's Hospital. In a previous video, we introduced the concept of telemedicine and telehealth. In this video, we'll discuss telementoring as one of the main categories in telemedicine. By definition, telementoring is a relationship facilitated by telecommunication technology in which an expert provides guidance to a less experienced learner from a remote location. Previous research has shown us that telementoring can be used effectively and reliably as a surgical training aid. Here's Dr. Todd Ponsky from Cincinnati Children's Hospital explains how. Resident trainee spends day in and day out with an expert, first watching the expert, and then the expert watches the trainee over and over again. And over time, the trainee gets more and more autonomy. But then we graduate and we go off into practice, and we're like on an island by ourselves, especially as all these new devices and technologies are developed. How do we learn new techniques once we're in practice? So they created a model of how a practicing surgeon can learn a new technique. Step one is a course or didactic instruction. Step two is that the trainee watches the expert physically in the operating room. And at this point, they institute a simulation model, one of that exists in preparation for step three, which is that the trainee actually performs the case and the experts watching them physically in the operating room. So then, because it's difficult in practice to keep traveling to go watch the expert over and over again, we've instituted the concept of telementoring. Telementoring allows for the two surgeons to work together virtually, where the expert can actually watch the trainee and certify that they actually are able to do the case on their own. There are several technologies available for telementoring. One of the leaders is Proximie. Proximie is specifically telepresence software platform. It allows clinicians to virtually scrub in to any operating room or cath lab from anywhere in the world. Download the Stakeholder app, follow us on social media and subscribe on YouTube channel. And remember, knowledge should be free.