RESUMO
BACKGROUND: Telemedicine has become more relevant during the COVID-19 pandemic. However, medical students and professionals do not acquire competences in telemedicine during their training. Our objective was to describe the self-reported perception and baseline knowledge of telemedicine among medical students and professionals enrolled in a virtual course. METHODS: Cross-sectional study that included physicians or medical students aged 18 years or older who were interested in a free virtual telemedicine course and who completed the data collection questionnaire. We used a Likert scale to assess the self-reported perceptions of four domains related to telemedicine. The participants were grouped into three levels for each domain: low, medium and high. We also objectively assessed telemedicine knowledge by means of 10 questions, with a cut-off point of 50% of correct answers. The Fisher's exact test, the Chi-square test, and the Mann-Whitney U test were used for the comparison of categorical data. A p-value < 0.05 was considered statistically significant. RESULTS: We included 161 participants: 118 medical students and 43 physicians. We observed no significant differences between medical students and physicians in self-reported perceptions of knowledge, security, or utility of telemedicine. However, students had a high self-reported perception of the disadvantages of telemedicine especially related to patient security (p = 0.018), efficiency of care (p = 0.040), and the possibility of medical malpractice (p = 0.010) compared to physicians. Nearly half of the students (n = 53,44.9%) and physicians (n = 22,51.7%) answered 50% or more of the questions related to telemedicine knowledge correctly. CONCLUSION: Among the physicians and medical students enrolled in the course, the students perceived the disadvantages of telemedicine more frequently. Although physicians and students have limited knowledge of telemedicine, there appears to be no influence of experience and prior training in telemedicine.
Assuntos
Estudantes de Medicina , Telemedicina , Humanos , COVID-19/epidemiologia , Estudos Transversais , Pandemias , Peru , Autorrelato , Percepção , Conhecimentos, Atitudes e Prática em SaúdeRESUMO
OBJECTIVE: To evaluate the association between the use of a 3D virtual App and academic performance among Peruvian medical students. In addition, factors associated with academic performance were also assessed. METHODS: We conducted an analytical cross-sectional study in students enrolled in the Musculoskeletal System course during the first semester of 2019. Students filled out a data collection form and the "Self-directed learning readiness scale" (SDLRS) questionnaire adapted by Fisher, King, and Tangle. Linear regression models were carried out to assess the association between the appropriate use of the application and academic performance. Additionally, the factors associated with academic performance were evaluated using nested models, and ß coefficients were calculated by manual forward selection. RESULTS: A total of 187 medical students were included. The 61% were female and the median age was 21 [20-22] years. The average grade was 13.5 ± 2 and 21% reported an adequate use of a 3D App. No association was found between the use of the 3D App and academic performance in the adjusted model (aß = 0.17; 95% CI: -0.45 to 0.80). We found that age (aß = -0.22; 95% CI: -0.39 to -0.06), performing extracurricular activities (aß = 0.75, 95% CI: 0.25 to 1.24) and having failed an anatomy/physiology course before (aß = -2.11 to 95% CI: -2.9 to -1.8) were factors associated with academic performance. CONCLUSION: The adequate use of a 3D application to study the anatomy of the musculoskeletal system was not significantly associated with better academic performance.