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ISfTeH Telemedicine Training Programme 2august 07
ISfTeH Telemedicine Training Programme 2august 07
ISfTeH Telemedicine Training Programme 2august 07
This training programme is aimed at both health workers who will be using Telemedicine techniques as part of their clinical practice and key support
personnel working in the field of telemedicine or telehealth. It is intended that the training programme will be flexible and modular allowing units to be
selected and combined depending on the participating target group.
Mission
To develop a workforce with a practical working knowledge of Telemedicine and competence in the ethical use of Telemedicine and Tele-education.
Objectives
A basic level of computer literacy (see outcomes listed in unit 1). If participants do not meet these basic criteria – the pre-module Unit 1 has to be
completed.
Teaching Methodology
Units
The programme is made up of units, which can be combined depending on the learning needs of the target groups.
The programme also has key strands, which thread through all the modules and require reflection at the end of each module:
- Ethics in Telemedicine
- Computer skills
The units, including the introduction to computing, total up to 21 hours and can be put together to create workshops ranging from a half day to 3 days
depending on the target group and the purpose of the training.
In addition, specialist Telemedicine Units can be made available in the specialist areas of:
Telepsychiatry
Teledermatology
Teleradiology
Ultrasonography
Ophthalmology
2
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session: 1 hour PowerPoint Slides
Unit 1
be able to: Data projector
Introduction to What is a computer Computer
Computers. Identify the relevant components of a Basic Internet and email Resource manual
computer Basic filing (Intel training disk)
3 hours Use a mouse Basic MS Word
Create a word document Introduction to the Web
Prerequisite: None Send an email
Save a document to hard drive Practical Session: 2 hours
Save a document to a memory stick
Open web browser Individual sessions in front of a computer
- Computer: 1 per
Conduct a Google search Activities
participant
Turning on a computer - Internet access
Do a mouse exercise - email address
Create a word document - Web browser
Create a folder and file word document - MS Office or
Search for „Telemedicine” on the Web equivalent
Print out article - Memory stick
Transfer files to a memory stick - Intel or similar
Send an email training CD
3
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session: 1 hour PowerPoint Slides
Unit 2
be able to: Data projector
History of telemedicine Computer
Introduction to Differentiate between telemedicine, Concepts, Definitions / acronyms Resource manual
Telemedicine tele-education and teleconferencing Features of synchronous telemedicine
Differentiate between synchronous and Features of store and forward telemedicine
1 hour asynchronous Telemedicine Types of Telemedicine
Describe the features of synchronous Costs and administration
Prerequisite: telemedicine Images, DICOM and PACS
Unit 1 Describe the features of store and Tele-education
forward telemedicine Strengths and Weaknesses of telemedicine – what evidence?
Identify core obstacles to the Telemedicine needs assessment
implementation of Telemedicine in Telemedicine evaluation
their own country
Ethics, law and standards as issues
Identify the cost and administration
Medical informatics and the Electronic patient record
implications of Telemedicine
Specialties: Radiology, Dermatology, Home-based Care,
Discuss the requirements of a needs
Ultrasound, Psychiatry
assessment
The Future
Discuss the requirements of programme
evaluation
4
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session: 1 hour PowerPoint Slides
Unit 3
be able to: Data projector
Ethics and Law in Patient physician relationship Computer
Telemedicine List and discuss the key ethical issues Informed Consent Resource manual
in Telemedicine Confidentiality and privacy Case studies
1 hour Identify the relevant Health Legislation Quality of care
that governs the practice of Standards - adequacy and quality of data Readings
Prerequisite: Telemedicine Continuum of care Ethics
Unit 1 Identify issues relating to international Legislation
Data security
practice of telemedicine Liability
Licensure
Record keeping
Protocols
Tele-medical Law
Prescriptions and electronic signatures
5
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session: 1 hour (In the absence of equipment) PowerPoint Slides
Unit 4
be able to: Data projector
Setting up venues Practical Session: 2 hours Computer
Set up a telemedicine consultation Resource manual
2 hours venue Set up a Telemedicine venue and discuss
Set up a tele-education videoconference o Location Reading:
Prerequisite: (VC) venue o Access Telemedicine & Tel-
Unit 1 Use and troubleshoot VC equipment o Equipment as per small clinic education venue
Set up point to point and multipoint VC o Physical characteristics (sound proofing, lighting) design principles
using ISDN, IP and mixed ISDN and IP o Equipment (video conference equipment, accessory video-
links camera, portable microphone) Equipment
Demonstrate an understanding of: the o Telemedicine diagnostic equipment Telemedicine and
use of video camera technology; o Room layout Tele-education rooms
camera placement; lighting; angles and o Connect available tele-diagnostic equipment - VC equipment,
framing. o Basic trouble shhoting Accessory video-
Demonstrate an understanding of the : camera
the use of microphone technology; the Set up Tele-education venue and discuss - Portable
range of microphones; microphone set o Location microphone
up; and solving audio problems o Access - Document camera
associated with VC o Size of target group - Phone
o Equipment as per teaching - Fax
Understand the connection of
peripheral diagnostic equipment (tele- o Physical characteristics (sound proofing, lighting, - Computer
acoustics) - External speakers,
stethoscopes, opthalmoscopes,
o Equipment (video conference equipment, external Radio
dermascopes, etc)
speakers, radio microphones, data projector, audiomixer) microphones,
o Room layout - Data projector,
o Basic trouble shooting Audiomixer
- Tele-diagnostic
equipment
6
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session and demos: 1 hour PowerPoint Slides
Unit 5
be able to: Data projector
Basic Telemedicine : How do you get access – communication options Computer
Skills - demystifying o Dial up, broad band, wireless, phone cards, phones Resource manual
the world of Identify the different computer options o Modem, LANs, VPN
technology. available and the relevant advantages What skills are needed Readings
and disadvantages of each Computers
Identify the different kinds of access to o Desktops vs Laptop vs Tablets vs PC vs Smart Phone Equipment:
1 hour Internet and email available locally Basic requirements for PCs Flash cards
Discuss different communication o Sound Laptop
options o Memory Tablets
Prerequisite: Discuss the latest ICTs such as mobile o Monitor Smart Phone
Unit 1 phones, PDAs o Resolution PDA
o CD/DVDs Wired LAN
Storage connection
o Hard drives Wireless connection
o Flash-cards, CD/DVDs 3G/GPRS card
Good Practice
o Back up, Virus protection, Security
mHealth
o Smart Phones
o PDAs
Health Information Systems and Medical Informatics
7
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information Session with demos: 30 minutes PowerPoint Slides
Unit 6
be able to: Data projector
Basic Skills – Use of Internet history Computer
the Internet (1) Understand how the internet work How the internet works Resource manual
Select an appropriate browser option o Browser options
1 hour and 30 Access the internet to: o Search engines
minutes o Do a literature search o Protocols
o Download software What is available
Prerequisite: o Use an IP based educational o Literature search
Unit 1 software package o Internet distance learning
Unit 5 o Web pages
o E-learning packages
o Downloading software
o IP based internet educational software (Breeze, Illuminate)
o Blogs
o Future of Internet
- Computer: 1 per
Practical Session: 1 hour participant
- Internet access
Individual activity - email address
Access internet and do the following: - web access
o Do a literature search on Telemedicine on Pubmed, - web browser
Google, Google Scholar and Wikipedia - sound card
o Do an online educational activity - headphones
o View a blog - Online Educational
Package loaded
8
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information session: 30 minutes PowerPoint Slides
Unit 7
be able to: Data projector
Basic Skills – Use of Service Providers Computer
Email (2) Set up a web based email address eg. o Costs Resource manual
Gmail o SMTP and POP
1 hour and 30 Send an email to another participant Types of email servers
minutes Send an email with an attachment to o Web based vs Outlook vs Express
another participant Use of email
Start a chat conversation with another o Contacts and groups
Prerequisite: participant o Attachments & file size (file compression)
Unit 1 Identify the risks and ethical issues of o File extensions eg. pdf, jpg, doc etc.
Unit 5 email communication. Other communication technologies
Unit 6 Develop a contact list o Chat
Develop a group contact list o VOIP
Set up email rules o Podcasts
Track the delivery and status of an Managing emails
email o Filing
Archive emails o Viruses & Security
Use Skype o Tracking
o Archiving
9
Unit Outcomes Training Strategies Resources
10
Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information session: 1 hour PowerPoint Slides
Unit 9
be able to: Data projector
Practical use of Definition/explanation of store and forward telemedicine Computer
Store and Forward Using a digital camera, save an image Indications for use. Resource manual
on a computer and send it as an email Special Telemedicine Software
3 hours attachment to a consultant at a different Guidelines / contract for response time
site. File size (picture image) and compression
Identify the indications for store and Ethics
Prerequisite: forward technology o Confidentiality
Unit 1 Recognize and address the ethical o Security of internet
Unit 2 issues in store and forward. o Clinical photography
Unit 3 Equipment
Unit 5 Practical Session: 2 hours
Unit 6 Small groups (2-3 people) - Computer: 1 per
Unit 7 participant
Activities - Internet access
- email address
Take photographs of “skin condition” and a macro of the eye
- web access
Save image on computer
- web browser
Edit and compress picture
- Cameras
Email to given address. - Photo Editor
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Unit Outcomes Training Strategies Resources
On completion of the unit participants will Information session: 1 hour PowerPoint Slides
Unit 10
be able to: Data projector
Tele-education Reasons for using Tele-education Computer
Understand the use of teleconferencing Criteria for Tele-education implementation Resource manual
2 hours equipment for the use of tele-education. Administration models for implementation
Demonstrate skill in use of Finance models for implementation
teleconferencing equipment for the use Evaluation methodology
Prerequisite: of tele-education Economic evaluation
Unit 1 Understand the benefits of using Scorm Change management
Unit 2 compliant learning objects Learning management systems
Unit 3 Understand key principles of Learning Interoperabilibty – Scorm 1.2
Management Systems
Unit 5
Unit 6
Unit 7
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Unit Outcomes Training Strategies Resources
Unit 11
On completion of the unit participants will (Still to be developed)
Telemedicine and be able to:
homecare
introduction Understand the use of peripheral
diagnostic equipment (tele-
2 hours stethoscopes, opthalmoscopes,
dermascopes, ENT scopes, hand-held
cameras and ultrasound probles)
Prerequisite: Demonstrate skill in use of peripheral
Unit 1 diagnostic equipment (tele-
Unit 2 stethoscopes, opthalmoscopes,
dermascopes, ENT scopes, hand-held
Unit 3 cameras and ultrasound probes) where
Unit 5 appropriate.
Unit 6 Apply various techniques involved in
Unit 7 the synchronous ans store and forward
telemedicine according to the relevant
clinical guidelines.
Recognise and address ethical issues in
the practice of Telemedicine
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