Telemedicine: Conducting an Effective Physical Exam
Telemedicine is a new and fast-growing care delivery model, being used to remotely care for patients and perform remote consults over video. Its use is growing significantly and will be part of future medical practice. Despite its growth, there has been some provider hesitation in utilizing it in patient care due to the misunderstanding that an effective exam cannot be performed.
This one hour educational course will demonstrate the physical exam over telehealth, give the learner some creative ways in which physical exams can be done over video visits, outline which complaints can be treated, and how to think differently about our physical exam practice. At the end of the course, the student will be able to understand how to do an effective physical exam over telehealth and go forward utilizing it in their clinical practice.
This course will demonstrate how to do six common exams over a video visit including:
- Head, Eyes, Ears, Nose, Throat Exam
- Skin Exam
- General and Cardiopulmonary Exam
- Genitourinary and Abdominal Exam
- Musculoskeletal Exam
- Neurological Exam
Course Issue Date: 1/17/2019
Course Expiration Date: 1/16/2021
This course is designed specifically for healthcare professionals working in synchronous telemedicine and is appropriate for both primary care and surgical specialties.
The overall educational goal of this activity is to learn how to effectively do a telemedicine history and physical exam.
At the conclusion of this activity, participants should be able to:
- Define telemedicine
- Describe the components of a professional environment for a video visit and apply these principles in practice
- Identify practical strategies that increase provider and patient comfort and communication during physical exam in the telemedicine environment
- Distinguish the components of the below exams and for which conditions each is used for:
- General and Cardiopulmonary
- Abdominal and Genitourinary
- Neurological Physical
- Describe the components of an effective exam and assess the limits of telemedicine and when to refer for higher level of care.
Aditi U. Joshi, MD, MSc
Dr. Joshi is Medical Director of JeffConnect, Thomas Jefferson University Hospital's on-demand telemedicine program and an Assistant Professor in the Department of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University. Her position is multi-faceted in telehealth: working in operations, quality assurance, provider training, resident and medical education and implementing new programs and use cases for telehealth. Prior to Jefferson, she worked at a telemedicine startup, learning barriers in uptake, marketing and business development. She has seen 10,000 patients over this modality, picking up tips and tricks for doing a history, exam and improved patient counseling and disposition. She is also co-director of the Digital Health Scholarly Inquiry Track at Sidney Kimmel Medical College, teaching medical students how digital health technologies will influence their careers. She completed her residency at Thomas Jefferson University Hospital and has a Masters in International Health Policy from the London School of Economics.
Judd E. Hollander, MD
Dr. Hollander is Senior Vice President of Healthcare Delivery Innovation at Thomas Jefferson University, Associate Dean for Strategic Health Initiatives at Sidney Kimmel Medical College at Thomas Jefferson University, and Professor & Vice Chair of Finance and Healthcare Enterprises in the Department of Emergency Medicine, where responsibilities include the JeffConnect Telemedicine Program and Jefferson Urgent Care. He graduated from New York University Medical School in 1986, completed an Internal Medicine Residency at Barnes Hospital in 1989, and an Emergency Medicine Residency at Jacobi Hospital in 1992. His research interests include innovative care delivery models, risk stratification of patients with potential cardiovascular disease; cocaine associated cardiovascular complications; and laceration and wound management. Dr. Hollander has published over 500 peer-reviewed articles, book chapters, and editorials on these and other topics. Dr. Hollander was President of the Society for Academic Emergency Medicine, chaired the SAEM Program Committee and Emergency Medicine Foundation Scientific Review Committee, was Deputy Editor for the Annals of Emergency Medicine, and co-chaired the National Quality Forum (NQF) committee to create a framework to support measure development for telehealth. Dr. Hollander was the awarded the ACEP Award for Outstanding Research in 2001, the Hal Jayne SAEM Academic Excellence Award in 2003 and the SAEM Leadership Award in 2011.
Alexander Kleinmann, MD
Dr. Kleinmann is an Assistant Professor of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University. He received his medical degree from SUNY at Buffalo School of Medicine and completed his residency and internship at Thomas Jefferson University Hospital. Dr. Kleinmann is a core telehealth provider at Jefferson and has been involved since the initiation of the program.
Kristin L. Rising, MD, MS
Dr. Rising is an Associate Professor and Director of Acute Care Transitions in the Department of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University. Her career goal is to inform the design and redesign of the care delivery system to incorporate the circumstances and preferences of patients and their families in individualized care. Currently she is principal investigator on a PCORI-funded project to engage patients with poorly controlled diabetes to elicit their treatment priorities, as well as on an AHRQ-funded project to develop a curriculum to teach residents to converse effectively with patients with diagnostic uncertainty upon emergency department (ED) discharge. She is also co-investigator on grants from the Pennsylvania Department of Health and the NIH to test the efficacy of a telehealth-delivered intervention to improve outcomes for older patients with diabetes. In addition, she helps to lead an enterprise-wide telemedicine initiative and has established a program using telemedicine to enhance ED transitions of care. She is a member of the grant review committee for both the Emergency Medicine Foundation and the Society of Academic Emergency Medicine (SAEM), serves on research committees for the American College of Emergency Physicians and SAEM, and is a reviewer for Annals of Emergency Medicine and Academic Emergency Medicine. She is also co-chair of the HealthShare Exchange of Southeastern Pennsylvania Clinical Champions Committee. Dr. Rising was a member of the National Quality Forum Emergency Department Quality of Transitions of Care Expert Panel and the Emergency Department Transfer Communication Measure Project convened by Stratis Health for the federal Office of Rural Health Policy, and is currently a member on the CMS Quality Measure Development Plan (MDP) Technical Expert Panel. Dr. Rising received her medical degree from the University of California San Francisco and completed an emergency medicine residency at Boston Medical Center. She received a Master of Science degree in Health Policy Research at the University of Pennsylvania.
Lara L. Phillips, MD
Dr. Phillips is Assistant Professor and Director of Wilderness Medicine, Emergency Medicine at the Sidney Kimmel Medical College at Thomas Jefferson University. She completed a fellowship in Wilderness Medicine at Massachusetts General Hospital. During this fellowship, she worked at Health Aid Posts in the Annapurna Mountains through the Himalayan Rescue Association and continued to volunteer with relief efforts in Kathmandu after the Nepal earthquake in spring 2015. She has also worked in rural Dillingham, Alaska and Pine Ridge, South Dakota through the Indian Health Service and in Guyana at Georgetown Public Hospital Corporation. She has a passion for teaching and service to the underserved in rural areas. She continues to pursue an academic career by combining patient care and teaching in traditional and non-traditional emergency medicine settings.
Ingrid Hilghman, DNP, MSN, RN, CPST, CCE
Dr. Hilghman is an Assistant Professor and Program Director for the Master-level Nursing Informatics program at the College of Nursing at Thomas Jefferson University. She is responsible for curriculum development and practicum guidance for students. She teaches a course on social media use, innovation and technology for the Nurse Residency program at Thomas Jefferson University Hospitals (TJUH) along with being a childbirth educator for the Prenatal Parent Education program. In January 2018, she completed her Doctorate in Nursing Practice degree at Quinnipiac University.
This course is open to all interested learners. If you are seeking continuing education credit, the accreditation requirements for successful completion are:
- Register and complete the entire online program
- View the video series in its entirety
- Obtain a successful post-test score of at least 80%
- Complete the online evaluation
Once these components are completed, you will immediately be able to download your CE Certificate.
Topics in this activity fall within the approved list for Pennsylvania State Requirements for Patient Safety/Risk Management credits. Total: 1.0 credits
The American Academy of Physician Assistants accepts AMA PRA Category 1 Credits™
Questions? Please contact us at JeffersonCPD@jefferson.edu.
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance
- 1.00 CNE
- 1.00 Patient Safety
|Jefferson Health - Faculty & Staff*||$60|
*Subject to verification. Please use institutional email address when creating profile.
|How to Register|
Questions? Please contact us at JeffersonCPD@jefferson.edu.
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