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Building eHealth and Telepsychiatry Capabilities: Three Educational Reports Across the Learning Continuum

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Author information

Authors and Affiliations

  1. Centre for Addiction and Mental Health, Toronto, ON, Canada

    Allison Crawford, David Gratzer, David Rodie, Sanjeev Sockalingam & Zoe Thomas

  2. Department of Psychiatry, University of Toronto, Toronto, ON, Canada

    Marijana Jovanovic

  3. St. Michael’s Hospital, Toronto, ON, Canada

    Nadiya Sunderji

  4. Sunnybrook Health Sciences Centre, Toronto, ON, Canada

    John Teshima

Authors
  1. Allison Crawford
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  2. David Gratzer
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  3. Marijana Jovanovic
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  4. David Rodie
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  5. Sanjeev Sockalingam
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  6. Nadiya Sunderji
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  7. John Teshima
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  8. Zoe Thomas
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Corresponding author

Correspondence to Allison Crawford.

Ethics declarations

This is a description of educational programs and was deemed exempt from research ethics review by the University of Toronto REB.

Disclosure Statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Disclosure of Funding

No funding to disclose

Appendix: “Tips” For Faculty Supervising Residents in Telemental Health

Appendix: “Tips” For Faculty Supervising Residents in Telemental Health

This clinical experience is intended to be a pragmatic introduction to the use of telepsychiatry in general practice, and to provide earlier exposure to residents to aspects of telepsychiatry, with a focus on what a generalist would need to know. Topics to address through the consultation experience will also be highlighted in core curriculum. The objectives of this experience are aligned with the CanMEDS roles, so any aspects of practice that address the roles (Medical Expert; Collaborator; Advocate; Scholar; Leader; Communicator; Professional) can be made explicit through demonstration and/or discussion (see Table below).

Objectives

  1. 1.

    To provide early exposure to telepsychiatry during residency training, and to stimulate interest as a mode of practice.

  2. 2.

    To introduce technical and clinical skills relevant for the use of telepsychiatry in general practice, and how these differ from the provision of face-to-face care

  3. 3.

    To provide a perspective on telepsychiatry’s role in health systems, and community and population context

CanMEDS role

 

Medical expert

Technical aspects of using telepsychiatry equipment (camera use;billing)

Medical issues, including confidentality; informed consent, etc.

Adaptations in assessment, diagnostic and therapeutic skills for provision of effective and ethical care via telepsychiatry

Collaborator

How to work successfully with other professionals and families in telepsychiatry environment

How to cultivate a collaborative, interprofessional team environment across sites.

Health advocate

Consideration of social economic, cultural and community context, needs and resources

Awareness of local community resources, and how to adapt treatment and intervention recommendations to available resources

Communicator

How to establish a therapeutic alliance across technology

Considerations when listening via technology

Communicating with patients, family, professionals

Creating an effective consultation report

Scholar

How to access up-to-date information about telepsychiatry (textbooks, journals, online resources)

References to literature an efficacy and effectiveness of telepsychiatry

Leader

Appropriate use of healthcare resources related to telepsychiatry

How to manage a practice that includes telepsychiatry

Professional

Ethical and professional telepsychiatry practice

Stimulate interest in telephsychiatry as a mode of practice and care

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Crawford, A., Gratzer, D., Jovanovic, M. et al. Building eHealth and Telepsychiatry Capabilities: Three Educational Reports Across the Learning Continuum. Acad Psychiatry 42, 852–856 (2018). https://doi.org/10.1007/s40596-018-0989-0

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  • DOI: https://doi.org/10.1007/s40596-018-0989-0

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