TelePresence in Rural Medical Education: A Mixed Methods Evaluation

Author:

Gray Katherine1,Krogh Kristian234ORCID,Newsome David1ORCID,Smith Victoria1,Lancaster Donald1,Nestel Debra145ORCID

Affiliation:

1. Gippsland Medical School, Monash University, Churchill, VIC, Australia

2. Centre for Medical Education, Aarhus University, Aarhus, Denmark

3. SkejSim Medical Simulation & Skills Training, Aarhus, Denmark

4. School of Rural Health, Monash University, VIC, Australia

5. Health Professions Education and Educational Research (HealthPEER), Faculty of Medicine, Nursing and Health Sciences, Monash University, VIC, Australia

Abstract

In response to rural health workforce shortages, universities and training providers offer rural and remote clinical placements. This has led to development of educational methods to counter the barriers of distance. In this emerging field, recent improvements in technology have provided solutions including the use of sophisticated videoconferencing systems such as the Cisco TelePresence model CTS-500. This paper evaluates the use of TelePresence in diverse medical education activities using a mixed methods design—questionnaires n=60, individual interviews n=33, and observed practice of activities n=22. TelePresence was found to be beneficial to learning and teaching and superior to other systems participants had used. In particular, the audiovisual quality, resulting intimacy, convenience, and ease of use facilitated teaching and learning, while the fixed camera and poorly arranged physical environment were found to be limitations. The system is best suited for small group activities. Clinical skills-based activities are viable. It is recommended that technical support be available during setup and use and a picture-in-picture mode be included and improved integration of office suite software to provide a joint workspace for display of presentations, images, editing or annotation of documents, and file sharing.

Funder

East Gippsland Regional Clinical School, Monash University

Publisher

Hindawi Limited

Subject

General Medicine

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