PRP058: COVid TElehealth Quarantine and Convalescence Support: Medical Student Telehealth Involvement During the COVID19 Pandemic

Sarah Gillespie, BA; Megan Mendez Miller, DO; Megha Patel, BSc, MSc; Tobias Krussig, BS; Jessica Parascando; Vladimir Khristov, BS; Melody Wang

Abstract

Context: This study evaluates the impact of COVID-19 TElehealth Quarantine and Convalescence Support (COV-TEQCS) team on participating medical students during the COVID-19 pandemic. COV-TEQCS involvement is offered as one of the crucial task forces within a Health Systems: COVID-19 Response longitudinal elective. This elective was developed at Penn State University - College of Medicine (PSUCOM) to facilitate how medical students can safely fulfill essential roles in COVID-19 response and service in our institution and community. Students worked with faculty to provide protocol-driven risk assessment and 1-2 month close follow up of COVID+ patients and their families through telehealth. In the context of disrupted traditional medical education, COV-TEQCS has provided a foundation for the expansion of student involvement in telemedicine visits under direct supervision and mentorship by faculty in Family Medicine and Internal Medicine Departments. Objective: To identify the impact of COV-TEQCS team involvement on medical student self-efficacy, agency, loneliness, isolation, medical education, and professional identity development through participation in telehealth visits during the COVID-19 pandemic. Study Design: Qualitative study. Setting: Primary care telemedicine visits for COV-TEQCS occurred by telephone via Doximity and online video via Penn State Health Amwell virtual forum. Population studied: Medical students at PSUCOM who are involved with the COV-TEQCS elective. Intervention: Participation in the COV-TEQCS task force under a longitudinal Health Systems Elective. Focus groups consisting of PSUCOM students who participated in the elective. Conversations will be audio recorded, transcribed and thematically analyzed in Microsoft Word. Outcome Measures: Self-agency, efficacy, professional identity development and sense of preparedness for residency. Secondary outcomes are student wellness, loneliness, knowledge and anxiety during the COVID-19 pandemic and clinical experience. Expected Outcomes: We anticipate that taking part in the health systems elective will increase self-efficacy and agency, reduce student self-reported loneliness and isolation, and promote these students’ medical education and professional identity with these alternative forms of clinical care. The impact of COV-TEQCS on medical students will provide further insight and appreciation for methods of student involvement in anticipation of a similar crisis in the future.
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Tim Riley
11/21/2020

Excellent work connecting medical education, patient care, and well-being. Would love to learn about patient perception of this intervention as well!

Megan Mendez Miller
mmendezmiller@pennstatehealth.psu.edu 11/21/2020

excellent thought, Tim. We have discussed "down the road" retrospectively following up with patients about their experience with COVID and assessing the role and effects of COVTECQS was part of that "COVID journey". let me know if you would want to be involved :-)

Shou Ling Leong
sleong@pennstatehealth.psu.edu 11/22/2020

Excellent study. Nice to see how students add value to patient care during the pandemic- a win-win!

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