Overview of Supervising Residents During Virtual Care Conflict

Overview of Supervising Residents During Virtual Care

Conflict of Interest Declaration ¡No conflicts to disclose for any of the speakers

Objectives At the end of this session, participants will be able to 1. Determine what level and type of supervision should be done for residents providing virtual care 2. Learn tips for supporting residents and helping them manage patients while they provide virtual care 3. Be able to evaluate the learner after their virtual visit

Resources ¡Main resources for supervision and virtual visits sent in email

Tip #1: Understand the learner’s experience with virtual care visits ¡Different platforms available ¡Privacy policies – ensure the learner is aware of privacy policies

Tip #2: Determine the level of supervision needed ¡Learner specific (R 1 s vs R 2 s vs new residents in July) ¡Situation specific (discussing advanced care goals vs simple refill)

Tip #3: Consider the supervision approach ¡Types of visits ¡Phone visit (learner and patient alone vs on speaker phone with supervisor) ¡Video visit (learner and patient alone vs learner, patient and supervisor all in the video visit) ¡Recording visits ¡Reviewing cases ¡Types of learners

Tip #4: Ensure the learner obtains patient consent to provide virtual care ¡Patients must provide consent (limitations of virtual care, confidentiality, etc. ) ¡Learners must know the “Script” (it is available in the virtual visit template for reference) ¡Patients must know that learners are still supervised

Tip #5: Review the patient presentation, paying attention to key considerations in virtual visits ¡Is there enough information to make a clinical decision? Through the history from the learner, whether a physical exam is needed, etc. ¡Management plan in context of COVID-19 ¡Selectivity (see also the Remote Consulting Survival Guide in email)

Tip #6: Review the learner’s documentation of the visit ¡Consent obtained and documented ¡Ensure that it is clear that this is during a pandemic, ie. “patient was offered a virtual appointment as an alternative to an in-person appointment due to the pandemic/physical distancing policies. ”

Tip #7: Write a field note ¡Important given provisional licenses ¡And other evaluations ¡Selectivity ¡Communication ¡Clinical decision-making ¡See document regarding Virtual Care Field Notes

Do a Direct Observation Assessment ¡New form proposed ¡Based on best practices for virtual visits and competencies expected of residents for these visits