Karim Shafi1, Francis Lovecchio1, Grant J Riew2, Dino Samartzis3,4, Philip K Louie5, Niccole Germscheid6, Howard S An3,4, Jason Pui Yin Cheung7, Norman Chutkan8, Gary Michael Mallow3,4, Marko H Neva9, Frank M Phillips3,4, Daniel M Sciubba10, Mohammad El-Sharkawi11, Marcelo Valacco12, Michael H McCarthy13, Melvin C Makhni2, Sravisht Iyer14. 1. Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th St., New York, NY, 10021, USA. 2. Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 3. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. 4. The International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, USA. 5. Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA. 6. Research Department, AO Spine International, Davos, Switzerland. 7. Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong SAR, China. 8. Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA. 9. Department of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland. 10. Department of Neurosurgery, John Hopkins University, Baltimore, MD, USA. 11. Department of Orthopaedic and Trauma Surgery, Assiut University Medical School, Assiut, Egypt. 12. Department of Orthopaedics, Churruca Hospital de Buenos Aires, Buenos Aires, Argentina. 13. Indiana Spine Group, Carmel, IN, USA. 14. Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th St., New York, NY, 10021, USA. iyers@hss.edu.
Abstract
PURPOSE: To utilize a global survey to elucidate spine surgeons' perspectives towards research and resident education within telemedicine. METHODS: A cross-sectional, anonymous email survey was circulated to the members of AO Spine, an international organization consisting of spine surgeons from around the world. Questions were selected and revised using a Delphi approach. A major portion of the final survey queried participants on experiences with telemedicine in training, the utility of telemedicine for research, and the efficacy of telemedicine as a teaching tool. Responses were compared by region. RESULTS: A total of 485 surgeons completed the survey between May 15, 2020 and May 31, 2020. Though most work regularly with trainees (83.3%) and 81.8% agreed that telemedicine should be incorporated into clinical education, 61.7% of respondents stated that trainees are not present during telemedicine visits. With regards to the types of clinical education that telemedicine could provide, only 33.9% of respondents agreed that interpretation of physical exam maneuvers can be taught (mean score = - 0.28, SD = ± 1.13). The most frequent research tasks performed over telehealth were follow-up of imaging (28.7%) and study group meetings (26.6%). Of all survey responses provided by members, there were no regional differences (p > 0.05 for all comparisons). CONCLUSIONS: Our study of spine surgeons worldwide noted high agreement among specialists for the implantation of telemedicine in trainee curricula, underscoring the global acceptance of this medium for patient management going forward. A greater emphasis towards trainee participation as well as establishing best practices in telemedicine are essential to equip future spine specialists with the necessary skills for navigating this emerging platform.
PURPOSE: To utilize a global survey to elucidate spine surgeons' perspectives towards research and resident education within telemedicine. METHODS: A cross-sectional, anonymous email survey was circulated to the members of AO Spine, an international organization consisting of spine surgeons from around the world. Questions were selected and revised using a Delphi approach. A major portion of the final survey queried participants on experiences with telemedicine in training, the utility of telemedicine for research, and the efficacy of telemedicine as a teaching tool. Responses were compared by region. RESULTS: A total of 485 surgeons completed the survey between May 15, 2020 and May 31, 2020. Though most work regularly with trainees (83.3%) and 81.8% agreed that telemedicine should be incorporated into clinical education, 61.7% of respondents stated that trainees are not present during telemedicine visits. With regards to the types of clinical education that telemedicine could provide, only 33.9% of respondents agreed that interpretation of physical exam maneuvers can be taught (mean score = - 0.28, SD = ± 1.13). The most frequent research tasks performed over telehealth were follow-up of imaging (28.7%) and study group meetings (26.6%). Of all survey responses provided by members, there were no regional differences (p > 0.05 for all comparisons). CONCLUSIONS: Our study of spine surgeons worldwide noted high agreement among specialists for the implantation of telemedicine in trainee curricula, underscoring the global acceptance of this medium for patient management going forward. A greater emphasis towards trainee participation as well as establishing best practices in telemedicine are essential to equip future spine specialists with the necessary skills for navigating this emerging platform.
Entities:
Keywords:
Research; Spine; Survey; Telemedicine; Training
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