The teleconsultation in general practice. A randomized, controlled study of a remote consultation experiment using a videoconferencing system.
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To assess the opinions of healthcare workers (HCWs) about a satellite videoconference as a means of earning continuing education credit, a telephone survey was conducted in September 1998, 1 month after a live interactive satellite videoconference on antimicrobial use and resistance. There were 180 registered sites in 45 states surveyed, representing 1,589 viewers: 764 nurses (48.1%), 201 physicians (12.6%), and 624 other HCWs (39.3%). Continuing education credit was requested by 51% of nurses, 31% of physicians, and 27% of all other HCWs. Although preferred learning formats varied, 70% of respondents said it was important to offer continuing education credit. Furthermore, 31% of the respondents stated that the videoconference influenced institutional strategies. We concluded that satellite videoconferences are a method to reach audiences around the world efficiently and effectively, provide the latest information, facilitate interaction, and meet some of the demand for continuing education credit for HCWs.
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Grand rounds at the Royal Children's Hospital in Brisbane began to be conducted by videoconference in 1997. They were held each week and started at 07:45. A total of 44 multisite videoconferences were held in the year 2000, to an average of 10 sites in Queensland. The remote audience for each conference was about 60 people. The local audience at the Royal Children's Hospital comprised 20-40 people. Many other centres made requests to join the grand rounds, but expansion was not possible because of technical limitations. The lessons learned during four years of close partnership with provincial centres mirror Hippocrates: 'The need is great, the scope wide, growth inexorable and timing difficult'. Everyone basically wants to do a good job, and most errors can be overcome by good design and dedicated technical support.