Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jul 10, 2020
Open Peer Review Period: Jul 10, 2020 - Jul 21, 2020
Date Accepted: Aug 6, 2020
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Undergraduate Medical Competencies in Digital Health and Curricular Module Development: Mixed Method Study
ABSTRACT
Background:
Due to an increase of digital technologies in health care, recently leveraged by the coronavirus pandemic (CoViD-19), physicians are required to use these technologies appropriately, and to be familiar with their implications on patient care, the health system and society. Therefore, medical students should be confronted with digital health during their medical education. However, corresponding teaching formats and concepts are still largely lacking in medical curricula.
Objective:
We aimed to introduce digital health as a curricular module at a German medical school, and to identify undergraduate medical competencies in digital health and their suitable teaching methods.
Methods:
We developed a 3-week curricular module on digital health for third year medical students at a large German medical school, taking place for the first time in January 2020. Semistructured interviews with 5 digital health experts were recorded, transcribed, and analyzed using an abductive approach. We obtained feedback from the participating students and lecturers of the module through a 17-item survey questionnaire.
Results:
The module received positive overall feedback from both students and lecturers, who expressed the need for further digital health education, and stated that the field was very important for clinical care, and underrepresented in the current medical curriculum. We extracted a detailed overview of digital health competencies, skills and knowledge to teach the students from the expert interviews. They also contained suggestions for teaching methods, and statements supporting the urgency of the topic’s implementation into the mandatory curriculum.
Conclusions:
An elective class seems to be a suitable format for a timely introduction of digital health education. However, a longitudinal implementation into the mandatory curriculum should be the goal. Beyond training future physicians in digital skills, and teaching them digital health’s ethical, legal and social implications, the experience-based development of a critical digital health mindset with openness to innovation, and the ability to assess ever-changing health technologies through a broad transdisciplinary approach to translate research into clinical routine seems more important. Therefore, teaching of digital health should be executed as practice-based as possible, and involve the educational cooperation of different institutions and academic disciplines.
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