Background: Video telehealth is an important tool for health care delivery during the COVID-19 pandemic . Given physical distancing recommendations, access to traditional in-person telehealth training for providers has been limited . Telesimulation is an alternative to in-person telehealth training . Telesimulation training with both remote participants and facilitators using telehealth software has not been described .
Objective: We investigated the feasibility of a large group telesimulation provider training of telehealth software for remote team leadership skills with common neonatal cases and procedures .
Methods: We conducted a 90-min telesimulation session with a combination of InTouch & #8482; provider access software and Zoom & #8482; teleconferencing software . Zoom facilitators activated InTouch software and devices and shared their screen with remote participants . Participants rotated through skill stations and case scenarios through Zoom and directed bedside facilitators to perform simulated tasks using the shared screen and audio connection . Participants engaged in a debrief and a pre- and postsurvey assessing participants' comfort and readiness to use telemedicine . Data were analyzed using descriptive statistics and paired t tests .
Results: Twenty (n = 20) participants, five Zoom and eight bedside facilitators participated . Twenty-one (21) pre- and 16 postsurveys were completed . Most participants were attending neonatologists who rarely used telemedicine software . Postsession, participants reported increased comfort with some advanced InTouch features, including taking and sharing pictures with the patient (p <0.01) and drawing on the shared image (p <0.05), but less comfort with troubleshooting technical issues, including audio and stethoscope (p <0.01). Frequently stated concerns were troubleshooting technical issues during a call (75%, n = 16) and personal discomfort with telemedicine applications and technology (56%, n = 16). Conclusion: Large group telesimulation is a feasible way to offer telehealth training for physicians and can increase provider comfort with telehealth software.