Telemedicine in pediatric rheumatology: this is the time for the community to embrace a new way of clinical practice

Pediatric Rheumatology

Kristen Hayward¹  Susan Shenoi¹  Meredith P. Riebschleger²  Elizabeth Kessler³  Megan L. Curran⁴  Jay J. Mehta⁵  Helen E. Foster⁶ 

[1] Department of Pediatrics, Division of Rheumatology, Seattle Children’s Hospital and Research Center, University of WA, MA.7.110 4800 Sand Point Way NE, 98105, Seattle, WA, USA;Department of Pediatrics, Division of Rheumatology, University of Michigan, 1500 E. Medical Center Dr, 48109, Ann Arbor, MI, USA;Department of Pediatrics, Section of Rheumatology, Helen DeVos Children’s Hospital, Grand Rapids, MI. 35 Michigan St NE, 49503, Grand Rapids, MI, USA;Department of Pediatrics, Section of Rheumatology, University of Colorado, 13123 E. 16th Ave, B311, 80045, Aurora, CO, USA;Division of Rheumatology, Children’s Hospital of Philadelphia, 3501 Civic Center Blvd, Philadelphia CTRB 10109, 19104, Philadelphia, PA, USA;Professor Pediatric Rheumatology, Population Health Sciences Institute, Newcastle University, The Medical School, Framlington Place, NE2 4HH, Newcastle upon Tyne, UK;

关键词: Telemedicine;    E-visits;    Models of care;    V-pGALS;    Covid-19;   

DOI  :  10.1186/s12969-020-00476-z

来源: Springer

【 摘 要 】

BackgroundThe use of telemedicine in pediatric rheumatology has been historically low. The current COVID 19 global pandemic has forced a paradigm shift with many centers rapidly adopting virtual visits to conduct care resulting in rapid expansion of use of telemedicine amongst practices.BodyThis commentary discusses practical tips for physicians including guidance around administrative and governance issues, preparation for telemedicine, involving the multidisciplinary care team, and teaching considerations. We also outline a standard proforma and smart phrases for the electronic health record. A proposed variation of the validated pediatric gait arms legs spine examination (pGALS) called the video pGALS (VpGALS) as a means of conducting virtual pediatric rheumatology physical examination is presented.ConclusionThis commentary provides a starting framework for telemedicine use in pediatric rheumatology and further work on validation and acceptability is needed.

【 授权许可】

CC BY