This document discusses barriers to telehealth and opportunities to integrate medical education and telehealth. It describes an early telehealth program in San Bernardino County, California that helped address barriers to care from distance. The document also discusses piloting the use of video conferencing units at a medical school to help deliver certain specialties and clinical education remotely, as well as the potential for students on international clerkships to participate in morning report back at the medical school via laptop or iPad.

2. ACOM update:
• Grand Opening: July 2013, Class 162
• August 2014: Second class : 320
• September 2014 : Interview cycle, 15%
increase over year 1, 21% over year 2,
Projected # of applicants : 3500 to 4000
• Clerkships across Alabama and beyond:
August of 2015
• Partnerships: Troy, UAB, Research Launch,
New GME
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5. Barriers to Telehealth:
• Is it only technology?
• How can medical education integrate with
telehealth?
• Gaining acceptance with the health care
providers?
• Classical medical-psychiatric model success?
• Role of mid-level providers?
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6. An “Eye Opening Experience” in
Telehealth
• Place: San Bernardino County California
• Year: 2000
• Tri-City Mental Health
• Terry: executive director, magician with
Grants, LCSW
• Distance barrier: County the size of Rhode
Island
• Psychiatrist model failure: outpatient and ED
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7. Medical Center/University Health
Science Center
• Barrier: patients expected to come to medical
center, distance & time & transportation
• Who expects it? Physicians
• New model: SAMC medical outreach falls
short
• Next step: San Bernardino model and others
at this conference
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8. Changing Physician Culture/Barriers?
• Age of physicians: “old” equals hands-on &
face to face
• Technology use in medical school training:
paperless curriculum and learning resources
(onset of student contribution)
• Years 1 and 2: Pt actor based training and
testing and learning
• Years 3 and 4: Shrinking the State of Alabama
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9. Application of Video Conferencing
Units to the Medical School
• Change in technology and cost: Tri-city Mental
Health, San Bernadino, dependence on high
cost and T-1 line: Lack of true high definition
visual and audio
• Adjunct equipment: otoscope, derm scope,
cardiac auscultation (teaching unit)
• What specialties are perfect for VCU?
• Delivery in high definition
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11. Pilot Program for combining med-ed
and clinical care
• International Clerkship elective: Year 4
• Previous barrier to Faculty delivery
• Current solution: Send faculty with students
• Future innovation: Lap-top or Mini-I-Pad with
morning report from Nicaragua to ACOM
Small Group Room,
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12. Closing
• Questions?
• Comments?
• Ideas?
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