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      Overcoming Distance: Video-Conferencing as a Clinical and Educational Tool Among Surgeons

      research-article
      Author(s): 1 , 2 , , 2 , 3
      Publication date (Electronic):
      Journal: World Journal of Surgery
      Publisher: Springer-Verlag

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          Abstract

          Background

          Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology.

          Methods

          A report on our own experience with VC was combined with a comprehensive PubMed search with the key words telepresence, video-conferencing, video-teleconferencing, telementoring and surgery, trauma, follow-up, education, and multidisciplinary teams. A search through two peer-reviewed telemedicine journals— Journal of Telemedicine and Telecare and Telemedicine and e-Health Journal—and references of all included papers and identified additional reports was conducted.

          Results

          A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases. VC is widely used among surgeons for telementoring surgical procedures and in trauma and emergency medicine. Furthermore, VC is widely used by multidisciplinary teams and for the follow-up of patients after surgery.

          Conclusions

          VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

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          Most cited references60

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          Multidisciplinary teams in cancer care: are they effective in the UK?

          Anne Fleissig, Lesley Fallowfield, Valerie Jenkins … (2006)
          Cancer care can be complex, and given the wide range and numbers of health-care professionals involved, an enormous potential for poor coordination and miscommunication exists. Multidisciplinary teams (MDTs) should improve coordination, communication, and decision making between health-care team members and patients, and hopefully produce more positive outcomes. This review describes the many practical barriers to the successful implementation of MDT working, and shows that despite an increase in the delivery of cancer services via this method, research showing the effectiveness of MDT working is scarce.
          Article 0 comments Cited 139 times – based on 0 reviews     Review now
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            Managing team interpersonal processes through technology: a task-technology fit perspective.

            Likoebe M Maruping, Ritu Agarwal (2004)
            This article addresses the broad question, How can virtual teams that manage a majority of their interactions through information and communication technologies (ICTs) be made more effective? Focusing specifically on interpersonal interactions, the task-technology fit paradigm is used as the foundation for a theoretical model that seeks to identify how such teams can match available communication technologies to the different types of interpersonal interactions in which they engage. The authors draw on media synchronicity theory to identify the functionalities of the wide range of ICTs available today, and map these functionalities onto the salient communication needs of 3 key interpersonal processes: (a) conflict management, (b) motivation and confidence building, and (c) affect management. The model also incorporates a temporal dimension examining how the communication needs, and hence, the need for ICT functionality, varies depending on the virtual team's developmental stage. Opportunities for future research arising from the theoretical model are discussed. 2004 APA, all rights reserved
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              Clinical telehealth across the disciplines: lessons learned.

              Meilin E. Chan, Sandra Jarvis-Selinger, Kendall Ho … (2008)
              Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine (including general and family practitioners and specialists in neurology, dermatology, radiology, orthopedics, rheumatology, surgery, cardiology, pediatrics, pathology, renal care, genetics, and psychiatry), nursing (including hospital-based, community-based, nursing homes, and home-based care), pharmacy, the rehabilitation sciences (including occupational and physical therapy), social work, and speech pathology were included in the review. Full utilization of the capacity of videoconferencing tools in clinical contexts requires some basic necessary technical conditions to be in place (including basic technological infrastructure, site-to-site technological compatibility, and available technical support). The available literature also elucidates key strategies for organizational readiness and technology adoption (including the development of a change management and user training plan, understanding program cost and remuneration issues, development of organizational protocols for system use, and strategies to promote interprofessional collaboration).
              Article 0 comments Cited 42 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                : knut.magne.augestad@telemed.no
                Journal
                Journal ID (nlm-ta): World J Surg
                Title: World Journal of Surgery
                Publisher: Springer-Verlag (New York )
                ISSN (Print): 0364-2313
                ISSN (Electronic): 1432-2323
                Publication date (Electronic): 22 April 2009
                Publication date (Print): July 2009
                Volume: 33
                Issue: 7
                Pages: 1356-1365
                Affiliations
                [1 ]Norwegian Centre for Telemedicine, Tromsø, Norway
                [2 ]Department of Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway
                [3 ]Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway
                Article
                Publisher ID: 36
                DOI: 10.1007/s00268-009-0036-0
                PMC ID: 2691934
                PubMed ID: 19384459
                SO-VID: 7a11e567-1274-465a-a2af-ed59146f16b7
                Copyright © © The Author(s) 2009
                History
                Categories
                Subject: Article
                Custom metadata
                issue-copyright-statement © Société Internationale de Chirurgie 2009

                ScienceOpen disciplines: Surgery
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                ScienceOpen disciplines: Surgery

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