administrators it is not only an ethical mandate to ensure
quality healthcare but also a legal mandate. Providing
treatment to incarcerated patients presents unique challenges
as compared to treatment received “outside the walls”. Prison
and jail populations are generally comprised of individuals who
had limited access to healthcare prior to incarceration, who
have engaged in substance use, and who are more likely to
have experienced trauma and abuse. Many have co-occurring
mental illness. The aging of correctional populations increases
the need for more chronic care. Telemedicine represents a
powerful solution for many correctional systems, many of
which are distributed over large geographical areas with
daunting commute distances and significant shortages of local
providers. Healthcare providers may be reluctant to practice
within correctional environments, often due to concerns about
commuting distance or personal safety. Telemedicine helps to
address these issues.
Methods: We will present the advantages recognized with
correctional telemedicine use. We will also address factors
correctional programs should consider when establishing new
telemedicine services or when seeking to enhance services
already in place.
Results: According to the Federal Bureau of Justice Statistics,
more than 95% of inmates will return to the community.
Inmates whose healthcare needs are adequately addressed
while incarcerated will require less medical intervention when
they return to the community. They are also more likely to gain
meaningful employment, a well-documented factor related to
reduced recidivism.
Conclusion: It is in everyone’s best interest to ensure that
incarcerated patients are receiving adequate healthcare.
Telemedicine has been a tremendous help with meeting this
challenge.
16) Pilot Study: Evaluation of
Interprofessional Education Through
Telesimulation Using Remote and Live
Facilitation
Marissa, Lovett, MS 1 , David Biffar, MS 1 , Coy Collins, BSN 1 , Karen
Holder, FNP-BC 2 , Mike Holcomb, BS 3 , Pete Yonsetto, BS 3 , Ronald S
Weinstein, MD, FCAP, FATA 3 , Allan Hamilton, MD, FACS 1
1
Arizona Simulations Technology and Education Center (ASTEC),
2
Northern Arizona Area Health Education Center, 3 Arizona
Telemedicine Program
Background: Interprofessional education, often implemented
through simulation education, has become a primary strategy
to improve clinical communication and health outcomes.1,2
Telesimulation may provide a new modality to expand
interprofessional education to more learners while addressing
key barriers of cost and facilitator deficit within traditional
simulation education.3,4 This pilot study was designed to
evaluate the effectiveness of remote facilitation in comparison
to live facilitation for interprofessional telesimulation events
and to develop a model for interactive, interprofessional
training at two remote sites.
Methods: This study was conducted at the Arizona Simulation
Technology and Education Center (ASTEC) and the Northern
Arizona Area Health Education Center (NAHEC). Five first-year
medical students participated at ASTEC, while two second-year
osteopathic students and three fourth-year pharmacy students
participated at NAHEC. Both locations were equipped with a
high-fidelity patient simulator, all necessary medical supplies,
and live telemedicine visual/audio connectivity. The learners
completed four cardiopulmonary resuscitation scenarios, two
scenarios per site, that were each followed by a debriefing. At
each site, students were provided with one debriefing led by
the on-site facilitator and one debriefing led by the remote
facilitator. Students completed a survey at the end of the
training, evaluated on a 5-point Likert scale.
Results: Learners agreed with the use of remote facilitation:
to meet the interprofessional learning objectives (4.9±0.3),
as an adequate replacement for live facilitation (4.2±0.6),
and to imp