Speech-Language Pathology and Audiology in South Africa: Clinical Training and Service in the Era of COVID-19
DOI:
https://doi.org/10.5195/ijt.2021.6376Keywords:
COVID-19, South Africa, Telepractice, TeletrainingAbstract
Introduction and purpose: The novel coronavirus (COVID-19) presented new and unanticipated challenges to the provision of clinical services, from student training to the care of patients with speech-language and hearing (SLH) disorders. Prompt changes in information and communication technologies (ICT), were required to ensure that clinical training continued to meet the Health Professions Council of South Africa’s regulations and patients received effective clinical care. The purpose of this study was to investigate online clinical training and supervision to inform current and future training and clinical care provision in SLH professions. Methodology: A scoping review was conducted using the Arksey and O'Malley (2005) framework. The electronic bibliographic databases Science Direct, PubMed, Scopus, MEDLINE, and ProQuest were searched to identify publications about online clinical training and supervision and their impact on clinical service during COVID-19. Selection and analysis were performed by three independent reviewers using pretested forms. Results and Conclusions: The findings revealed important benefits of teletraining and telepractice with potential application to South African clinical training and service provision. Five themes emerged: (1) practice produces favorable outcomes, (2) appreciation for hybrid models of training and service delivery, (3) cost effectiveness is a “big win” (4) internationalization of remote clinical training and service provision, and (5) comparable modality outcomes. These findings may have significant implications for teletraining and telepractice in low-and-middle income countries (LMICs) in the COVID-19 era and beyond, wherein demand versus capacity challenges (e.g., in human resources) persist. Current findings highlight the need for SLH training programmes to foster a hybrid clinical training model. Few studies were conducted in LMICs, indicating a gap in such research.
References
Abrahams, K., Kathard, H., Harty, M., & Pillay, M. (2019). Inequity and the professionalisation of speech-language pathology. Professions and Professionalism, 9(3), 1-16 https://doi.org/10.7577/pp.3285
Arksey, H., & O’Malley L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Barratt, J., Khoza-Shangase, K., & Msimang, K. (2012). Speech-language assessment in a linguistically diverse setting: Preliminary exploration of the possible impact of informal ‘solutions’ within the South African context. South African Journal of Communication Disorders,59 (1), 34-44. https://doi.org/10.7196/SAJCD.51
Batthish, M., Bassilious, E., Schneider, R., Feldman, B. M., Hyman, A., & Shirley, M. L. (2013). A unique, interactive and web-based pediatric rheumatology teaching module: Residents’ perceptions. Pediatric Rheumatology, 11(1), 1-5. https://doi.org/10.1186/1546-0096-11-22
Bell, M., & MacDougall, K. (2013). Adapting online learning for Canada's Northern public health workforce. International Journal of Circumpolar Health, 72(1), 10.3402/ijch.v72i0.21345. https://doi.org/10.3402/ijch.v72i0.21345
Benson, N. (2020). Teleaudiology amid COVID-19: Optimizing available equipment. Hearing Journal, 73(10), 10,12,13. https://doi.org/10.1097/01.HJ.0000719784.51319.87
Berland, N., Lugassy, D., Fox, A., Goldfeld, K., Oh, S. Y., Tofighi, B., & Hanley, K. (2019). Use of online opioid overdose prevention training for first-year medical students: A comparative analysis of online versus in-person training. Substance Abuse, 40(2), 240-246. https://doi.org/10.1080/08897077.2019.1572048
Blumenthal, J. A., Emery, C. F., Smith, P. J., Keefe, F. J., Welty-Wolf, K., Mabe, S., Martinu, T., Johnson, J., Babyak, M.A., O’Hayer, V.F., Diaz, P.T., Durheim, M., Baucom, D., & Palmer, S. M. (2014). The effects of a telehealth coping skills intervention on outcomes in chronic obstructive pulmonary disease: Primary results from the INSPIRE-II study. Psychosomatic Medicine, 76(8), 581. https://doi.org/10.1097/PSY.0000000000000101
Boet, S., Thompson, C., Woo, M. Y., Pugh, D., Patel, R., Pasupathy, P., Siddiqui, A., Pigford, A., & Naik, V. N. (2017). Interactive online learning for attending physicians in ultrasound-guided central venous catheter insertion. Cureus, 9(8). 1-7 https://doi.org/10.7759/cureus.1592
Bredfeldt, C. E., Awad, E. B., Joseph, K., & Snyder, M. H. (2013). Training providers: Beyond the basics of electronic health records. BMC Health Services Research, 13(1), 1-7. https://doi.org.10.1186/1472-6963-13-503
Brownlow, R. S., Maguire, S., O'Dell, A., Dias-da-Costa, C., Touyz, S., & Russell, J. (2015). Evaluation of an online training program in eating disorders for health professionals in Australia. Journal of Eating Disorders, 3(37), 1-6. https://doi.org/10.1186/s40337-015-0078-7
Bunker, L., Hshieh, T. T., Wong, B., Schmitt, E. M., Travison, T., Yee, J., Palihnich, K., Metzger, E., Fong, T. G & Inouye, S. K. (2017). The SAGES telephone neuropsychological battery: Correlation with in‐person measures. International Journal of Geriatric Psychiatry, 32(9), 991-999. https://doi.org/10.1002/gps.4558
Cameron, M., Ray, R., & Sabesan, S. (2015). Remote supervision of medical training via videoconference in northern Australia: A qualitative study of the perspectives of supervisors and trainees. BMJ Open, 5(3), e006444. http://dx.doi.org/10.1136/bmjopen-2014-006444
Carrick, F. R., Abdulrahman, M., Hankir, A., Zayaruzny, M., Najem, K., Lungchukiet, P., & Edwards, R. A. (2017). Randomized controlled study of a remote flipped classroom neuro-otology curriculum. Frontiers in Neurology, 8, 349. https://doi.org/10.3389/fneur.2017.00349
Cassel, S. G., & Edd, A. J. H. (2016). A pedagogical note: Use of telepractice to link student clinicians to diverse populations. International Journal of Telerehabilitation, 8(1), 41-48. https://doi.org/10.5195/ijt.2016.6190
Chandrasinghe, P. C., Siriwardana, R. C., Kumarage, S. K., Munasinghe, B. N. L., Weerasuriya, A., Tillakaratne, S., Pinto. D., Gunathilake, B., & Fernando, F. R. (2020). A novel structure for online surgical undergraduate teaching during the COVID-19 pandemic. BMC Medical Education, 20(1), 1-7. https://doi.org/10.1186/s12909-020-02236-9
Chin, K. E., Kwon, D., Gan, Q., Ramalingam, P. X., Wistuba, I. I., Prieto, V. G., & Aung, P. P. (2021). Transition from a standard to a hybrid on-site and remote anatomic pathology training model during the Coronavirus Disease 2019 (COVID-19) Pandemic. Archives of Pathology & Laboratory Medicine, 145(1), 22-31. https://doi.org/10.5858/arpa.2020-0467-SA
Coco, L. (2020). Teleaudiology: Strategies, considerations during a crisis and beyond. Hearing Journal, 73(5), 26-29 https://doi.org/10.1097/01.HJ.0000666404.42257.97
Daudt, H.M., van Mossel, C., & Scott, S.J. (2013). Enhancing the scoping study methodology: A large, inter-professional team’s experience with Arksey and O’Malley’s framework. BMC Medical Research Methodology, 13, 48. https://doi. org/10.1186/1471-2288-13-48
Dial, H. R., Hinshelwood, H. A., Grasso, S. M., Hubbard, H. I., Gorno-Tempini, M. L., & Henry, M. L. (2019). Investigating the utility of teletherapy in individuals with primary progressive aphasia. Clinical Interventions in Aging, 14, 453-471. https://doi.org/10.2147/CIA.S178878
Edirippulige, S., Smith, A. C., Armfield, N. R., Bensink, M., & Wootton, R. (2012). Student perceptions of a hands-on practicum to supplement an online eHealth course. Journal of Medical Internet Research, 14(6), e182. https://doi.org/10.2196/jmir.2029
Esmail, B., Whittaker, T. & Bell, D. (2009). Merging worlds: when virtual meets physical: An experiment with hybrid learning. Journal of Computing Sciences in Colleges, 25, 61-67.
Evans, J. R., & Haase, I. M. (2001). Online business education in the twenty‐first century: An analysis of potential target markets. Internet Research, 11, 246-260. https://doi.org/10.1108/10662240110396432
Forde, C., & Gallagher, S. (2020). Postgraduate online teaching in healthcare: An analysis of student perspectives. Online Learning, 24(1), 118-139. https://doi.org/10.24059/olj.v24i1.1566
Ghebreyesus, T. A. (2017). All roads lead to universal health coverage. Lancet Global Health, 5(9), e839–e840. https://doi.org/10.1016/S2214-109X(17)30295-4
Giudice, E. L., Lewin, L. O., Welsh, C., Crouch, T. B., Wright, K. S., Delahanty, J., & DiClemente, C. C. (2015). Online versus in-person screening, brief intervention, and referral to treatment training in pediatrics residents. Journal of Graduate Medical Education, 7(1), 53-58. https://doi.org/10.4300/JGME-D-14-00367.1
Goehring, J. L., Hughes, M. L., & Baudhuin, J. L. (2012). Evaluating the feasibility of using remote technology for cochlear implants. Volta Review, 112(3), 255-265. PMCID: PMC4160841
Grewal, U. S., Terauchi, S., & Beg, M. S. (2020). Tele-health and palliative care for cancer patients: Implications for the COVID-19 Pandemic (Preprint). JMIR Cancer, 6(2), e20288. https://doi.org/10.2196/20288
Guiberson, M., Rodríguez, B. L., & Zajacova, A. (2015). Accuracy of telehealth-administered measures to screen language in Spanish-speaking pre-schoolers. Telemedicine and e-Health, 21(9), 714-720. https://doi.org/10.1089/tmj.2014.0190
Hall, S., & Villareal, D. (2015). The hybrid advantage: Graduate student perspectives of hybrid education courses. International Journal of Teaching and Learning in Higher Education, 27(1), 69-80. https://eric.ed.gov/?id=EJ1069791
Hansen, H., Bieler, T., Beyer, N., Kallemose, T., Wilcke, J. T., Østergaard, L. M., Andeassen, H.F., Martinez, G., Frolich, A., & Godtfredsen, N. S. (2020). Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: A randomised multicentre trial. Thorax, 75(5), 413-421. http://dx.doi.org/10.1136/thoraxjnl-2019-214246
Harris Jr, J. M., & Sun, H. (2013). A randomized trial of two e-learning strategies for teaching substance abuse management skills to physicians. Academic Medicine: Journal of the Association of American Medical Colleges, 88(9), 1357-1362. https://doi.org/10.1097/ACM.0b013e31829e7ec6
Harris, M., Rhoads, S. J., Rooker, J. S., Kelly, M. A., Lefler, L., Lubin, S., Martel, I. L., & Beverly, C. J. (2020). Using virtual site visits in the clinical evaluation of nurse practitioner students: Student and faculty perspectives. Nurse Educator, 45(1), 17-20. https://doi.org/10.1097/nne.0000000000000693
Hassenburg, A. (2009). Distance education versus the traditional classroom. Berkeley Scientific Journal, 13(1), 7-10. https://escholarship.org/uc/item/3859m52h
Howells, S., Cardell, E. A., Waite, M. C., Bialocerkowski, A., & Tuttle, N. (2019). A simulation-based learning experience in augmentative and alternative communication using telepractice: Speech pathology students’ confidence and perceptions. Advances in Simulation, 4(1), 1-11. https://doi.org/10.1186/s41077-019-0113-x
HPCSA SLH Education Committee (2019). Guidelines for practice in a culturally and linguistically diverse South Africa. Health Professions’ Council of South Africa, Professional Board for Speech Language and Hearing Professions https://www.hpcsa.co.za/Uploads/SLH/Guidelines%20for%20practice%20in%20a%20culturally%20and%20linguistically%20divers---.pdf
Kamerlin, S.C.L., & Kasson, P.M. (2020). Managing Coronavirus Disease 2019 spread with voluntary public health measures: Sweden as a case study for pandemic control. Clinical Infectious Diseases, ciaa864, https://doi.org/10.1093/cid/ciaa864
Karaksha, A., Grant, G., Anoopkumar-Dukie, S., Nirthanan, S. N., & Davey, A. K. (2013). Student engagement in pharmacology courses using online learning tools. American Journal of Pharmaceutical Education, 77(6), 125. https://doi.org/10.5688/ajpe776125
Khoza-Shangase, K & Mophosho, M (2018). Language and culture in speech-language and hearing professions in South Africa: The dangers of a single story. South African Journal of Communication Disorders, 65(1), a594. https://doi.org/10.4102/sajcd.v65i1.594
Khoza-Shangase, K., & Moroe, N. (2020). South African hearing conservation programmes in the context of tele-audiology: A scoping review. South African Journal of Communication Disorders, 67(2), a670. https://doi.org/10.4102/sajcd.v67i2.670
Khoza-Shangase, K. (2021). Confronting realities to early hearing detection in South Africa. In K. Khoza-Shangase & A. Kanji (Eds.). Early detection and intervention in audiology: An African perspective (pp. 66-68). Wits University Press. https://library.oapen.org/handle/20.500.12657/46214
Khoza-Shangase, K. & Mophosho, M. (in press). Language and culture in speech-language and hearing professions in South Africa: Reimagining practice. South African Journal of Communication Disorders.
Khoza-Shangase, K. & Sebothoma, B. (in press). Tele-audiology and preventive audiology: A capacity versus demand challenge imperative in South Africa. In K. Khoza-Shangase (Ed.) Preventive Audiology: An African Perspective. AOSIS Press.
Kirovska-Simjanoska, D. (2019). Digital vs in-person learning environment in ESP classrooms: Let the students decide. SEEU Review, 14(1), 36-68. https://doi.org/10.2478/seeur-2019-0004
Knipper, M., Baumann, A., Hofstetter, C., Korte, R., & Krawinkel, M. (2015). Internationalizing medical education: The special track curriculum 'Global Health' at Justus Liebig University Giessen. GMS Zeitschrift für medizinische Ausbildung, 32(5), 1-18, https://doi.org/10.3205/zma000994
Koens, F., Mann, K. V., Custers, E. J., & Ten Cate, O. T. (20 05). Analysing the concept of context in medical education. Medical Education, 39(12), 1243–1249. https://doi.org/10.1111/j.1365-2929.2005.02338.x
Kolltveit, B.-C.H., Gjengedal, E., Graue, M., Iversen, M. M., Thorne, S. & Kirkevold, M. (2016). Telemedicine in diabetes foot care delivery: Health care professionals’ experience. BMC Health Services Research, 16, 134. https://doi.org/10.1186/s12913-016-1377-7
Kuy, S., Tsai, R., Bhatt, J., Chu, Q. D., Gandhi, P., Gupta, R., Gupta, R., Hole, M. K., Hsu, B. S., Hughes, L. S., Jarvis, L., Jha, S. S., Annamalai, A., Kotwal, M., Sakran, J. V., Vohra, S., Henry, T. L., & Correa, R. (2020). Focusing on vulnerable populations during COVID-19. Academic Medicine, 95(11), E2–E3. https://doi.org/10.1097/ACM.0000000000003571
Kuziemsky, C. E., Hunter, I., Gogia, S. B., Lyenger, S., Kulatunga, G., Rajput, V., Subbian, V., John, O., Kleber, A., Mandirola, H. F., Florez-Arango, J., Al-Shorbaji, N., Meher, S., Udayasankaran, J. G., & Basu, A. (2020). Ethics in telehealth: Comparison between guidelines and practice-based experience-the case for learning health systems. Yearbook of Medical Informatics, 29(1), 44-50. https://doi.org/10.1055/s-0040-1701976
Langkamp, D. L., McManus, M. D., & Blakemore, S. D. (2015). Telemedicine for children with developmental disabilities: A more effective clinical process than office-based care. Telemedicine and e-Health, 21(2), 110-114. https://doi.org/10.1089/tmj.2013.0379
Levac, D., Colquhoun, H., & O’Brien, K.K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 69. https://doi.org/10.1186/1748- 5908-5-69
Li, Q., Guan, X., Wu P, et al. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. New England Journal of Medicine, 382(13), 1199–1207. https://doi.org/10.1056/NEJMoa2001316
Likic, R., White, C., Cinti, S., Purkiss, J., Fantone, J., Chapman, C., Bielen, L., Francetic, I., & Engleberg, C. (2013). Online learning applied to a course on rational therapeutics: An international comparison between final year students of two medical schools. British Journal of Clinical Pharmacology, 75(2), 373-380. https://doi.org/10.1111/j.1365-2125.2012.04370.x
Lincoln, M., Hines, M., Fairweather, C., Ramsden, R., & Martinovich, J. (2014). Multiple stakeholder perspectives on teletherapy delivery of speech pathology services in rural schools: A preliminary, qualitative investigation. International Journal of Telerehabilitation, 6(2), 65-74. https://doi.org/10.5195/ijt.2014.6155
Maluleke, N. P., Chiwutsi, R., & Khoza-Shangase, K. (2021). Family-centred early hearing detection and intervention. Early Detection and Intervention in Audiology: An African perspective, 196. https://library.oapen.org/bitstream/handle/20.500.12657/46214/9781776146604_WEB.PDF?sequence=1&isAllowed=y
Martin, N., Lazalde, O. M., Stokes, C., & Romano, D. (2012). An evaluation of remote communication versus face-to-face in clinical dental education. British dental journal, 212(6), 277-282. https://doi.org/10.1038/sj.bdj.2012.226
Mdlalo, T., Flack, P., & Joubert, R. (2019). The cat on a hot tin roof? Critical consideration in multilingual language assessments. South African Journal of Communication Disorders, 66(1), 1-7. https://doi.org/10.4102/sajcd.v66i1.610
Meyer, J. D., & Barefield, A. C. (2010). Infrastructure and administrative support for online programs. Online Journal of Distance Learning Administration, 13(3), 1-16. https://www.westga.edu/~distance/ojdla/Fall133/meyer_barfield133.html
Moffatt, J., & Eley, D. S. (2011). Barriers to the up-take of telemedicine in Australia-a view from providers. Rural Remote Health, 11(2), 1581. PMID: 21385004
Mohan, H. S., Anjum, A., & Rao, P. K. S. (2017). A survey of telepractice in speech-language pathology and audiology in India. International Journal of Telerehabilitation, 9(2), 69-80. https://doi.org/10.5195/ijt.2017.6233
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & The PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Moonsamy, S., Mupawose, A., Seedat, J., Mophosho, M., & Pillay, D. (2017). Speech-language pathology and audiology practice in South Africa: Transformation in professional practice since the end of apartheid. Perspectives of the ASHA Special Interest Groups, 2(17), 30-41. https://doi.org/10.1044/persp2.SIG17.30
Mophosho M, Khoza-Shangase K & Sebole L. (2019). The reading comprehension of Grade 5 Setswana-speaking learners in rural schools in South Africa: Does home language matter? Per Linguam: A Journal of Language Learning. 35(3), 59-73. http://dx.doi.org/10.5785/35-3-844
Morante, A., Djenidi, V., Clark, H., & West, S. (2017). Gender differences in online participation: Examining a history and a mathematics open foundation online course. Australian Journal of Adult Learning, 57(2), 266-293. https://files.eric.ed.gov/fulltext/EJ1148628.pdf
Mpungose, C. B. (2020). Emergent transition from face-to-face to online learning in a South African University in the context of the Coronavirus pandemic. Humanities and Social Sciences Communications, 7(1), 1-9. https://doi.org/10.1057/s41599-020-00603-x
Muflih, S., Abuhammad, S., Karasneh, R., Al-Azzam, S., Alzoubi, K. H., & Muflih, M. (2020). Online education for undergraduate health professional education during the COVID-19 Pandemic: Attitudes, barriers, and ethical issues. Research Square, rs.3.rs-42336. https://doi.org/10.21203/rs.3.rs-42336/v1
Mukhtar, K., Javed, K., Arooj, M., & Sethi, A. (2020). Advantages, limitations and recommendations for online learning during COVID-19 pandemic era. Pakistan Journal of Medical Sciences, 36(COVID19-S4), S27-S31. https://doi.org/10.12669/pjms.36.COVID19-S4.2785
Muttiah, N. A., McNaughton, D., & Drager, K. D. (2016). Providing instructional support for AAC service delivery in low-and middle-income (LAMI) countries. International Journal of Speech-Language Pathology, 18(4), 341-353. https://doi.org/10.3109/17549507.2015.1101154
Naude, A. & Bornman, J. (2021). Early hearing detection and intervention in the context of tele-audiology: Ethical considerations. In Khoza-Shangase, K. & Kanji, A. (Eds.) Early Detection and Intervention in Audiology: An African Perspective. Wits University Press. https://library.oapen.org/handle/20.500.12657/46214
Nawaz, A., & Khan, M. Z. (2012). Issues of technical support for e-learning systems in higher education institutions. International Journal of Modern Education and Computer Science, 4(2), 38.
Ohannessian R, Duong TA, Odone A. (2020). Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: A call to action. JMIR Public Health and Surveillance, 6(2), e18810 https://doi.org/10.2196/18810
Overett, W., & Kathard, H. (2006). Profiles of outpatient speech-language therapy and audiology clients at a tertiary hospital in the Western Cape. South African Journal of Communication Disorders, 53(1), 49-58. https://doi.org/10.4102/sajcd.v53i1.199
Paechter, M., & Maier, B. (2010). Online or face-to-face? Students' experiences and preferences in e-learning. Internet and Higher Education, 13(4), 292-297. https://doi.org.10.1016/j.iheduc.2010.09.004
Pascoe, M., Maphalala, Z., Ebrahim, A., Hime, D., Mdladla, B., Mohamed, N., & Skinner, M. (2010). Children with speech and language difficulties: An exploratory survey of clinical practice in the Western Cape. South African Journal of Communication Disorders, 57(1), 66-75. https://doi.org/10.4102/sajcd.v57i1.51
Paul, J., & Jefferson, F. (2019). A comparative analysis of student performance in an online vs. face-to-face environmental science course from 2009 to 2016. Frontiers in Computer Science, 1(7), 1-9. ttps://doi.org/10.3389/fcomp.2019.00007
Pillay, M., & Kathard, H. (2015). Decolonizing health professionals' education: Audiology & Speech Therapy in South Africa. African Journal of Rhetoric, 7(1) 193-227. https://hdl.handle.net/10520/EJC172807
Pillay, M. & Kathard, H. (2018). Renewing our cultural borderlands. Topics in Language Disorders, 38(2), 143-160. https://doi.org/10.1097/TLD.0000000000000151
Pimmer, C., Mateescu, M., Zahn, C., & Genewein, U. (2013). Smartphones as multimodal communication devices to facilitate clinical knowledge processes: Randomized controlled trial. Journal of medical Internet Research, 15(11), e263. https://doi.org/10.2196/jmir.2758
Rafferty, H., Chirro, O., Oduor, C., Wahome, E., Ngoi, C., van der Elst, E., Berger, R., Rowland-Jones, S., Graham, S.M.; & Sanders, E. J. (2019). Pilot testing of an online training module about screening for acute HIV infection in adult patients seeking urgent healthcare. International Health, 11(2), 93-100. doi: 10.1093/inthealth/ihy077
Ramaswamy, A., Yu, M., Drangsholt, S., Ng, E., Culligan, P. J., Schlegel, P. N., & Hu, J. C. (2020). Patient satisfaction with telemedicine during the COVID-19 pandemic: Retrospective cohort study. Journal of Medical Internet Research, 22(9), e20786. https://doi.org/10.2196/20786
Sagna, O. (2005). Lifelong learning in the African context: A practical example from Senegal. Lifelong Learning & Distance Higher, 51-61. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.180.5559&rep=rep1&type=pdf
Schlenz, M. A., Schmidt, A., Wöstmann, B., Krämer, N., & Schulz-Weidner, N. (2020). Students’ and lecturers’ perspective on the implementation of online learning in dental education due to SARS-CoV-2 (COVID-19): A cross-sectional study. BMC Medical Education, 20(1), 1-7. https://doi.org/10.1186/s12909-020-02266-3
Selwyn, N. (2007). The use of computer technology in university teaching and learning: A critical perspective. Journal of Computer Assisted Learning, 23(2), 83-94. https://doi.org/10.1111/j.1365-2729.2006.00204.x
Steventon, A., Ariti, C., Fisher, E. & Bardsley, M. (2016). Effect of telehealth on hospital utilisation and mortality in routine clinical practice: A matched control cohort study in an early adopter site. BMJ Open, 6, e009221. http://dx.doi.org/10.1136/bmjopen-2015-009221
Sun, C. & Zhai, Z. (2020). The efficacy of social distance and ventilation effectiveness in preventing COVID-19 transmission. Sustainable Cities and Society, 62, 102390, https://doi.org/10.1016/j.scs.2020.102390
Suri, H. (2020). Ethical considerations of conducting systematic reviews in educational research. Systematic Reviews in Educational Research, 41-54. https://doi.org/10.1007/978-3-658-27602-7_3
Tariq, Q., Daniels, J., Schwartz, J. N., Washington, P., Kalantarian, H., & Wall, D. P. (2018). Mobile detection of autism through machine learning on home video: A development and prospective validation study. PLoS medicine, 15(11), e1002705. https://doi.org/10.1371/journal.pmed.1002705
Thomas, I., Siew, L. Q., & Rutkowski, K. (2021). Synchronous telemedicine in allergy: Lessons learned and transformation of care during the COVID-19 pandemic. The Journal of Allergy and Clinical Immunology: In Practice, 9(1), 170-176. https://doi.org/10.1016/j.jaip.2020.10.013
Trines, S. (2018). Educating the masses: The rise of online education in sub-Saharan Africa and south Asia. World Education News and Reviews, https://wenr.wes.org/2018/08/educating-the-masses-the-rise-of-online-education
Viera, A.J., & Garrett, J.M. (2005). Understanding inter-observer agreement: The Kappa statistics. Family Medicine, 37(5), 360–363. http://www1.cs.columbia.edu/~julia/courses/CS6998/Interrater_agreement.Kappa_statistic.pdf
Wagner, N., Hassanein, K., & Head, M. (2006, June). E-learning in higher education: a stakeholders' analysis. In 28th International Conference on Information Technology Interfaces, 2006. (pp. 307-312). IEEE. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.662.9223&rep=rep1&type=pdf
Walsh, J. P., Chih-Yuan Sun, J., & Riconscente, M. (2011). Online teaching tool simplifies faculty use of multimedia and improves student interest and knowledge in science. CBE—Life Sciences Education, 10(3), 298-308. https://doi.org10.1187/cbe.11-03-0031
Wölfel, R., Corman, V.M., Guggemos, W., et al. (2020). Virological assessment of hospitalized patients with COVID-19. Nature, 581(7809), 465–469. https://doi.org/10.1038/s41586-020-2196-x
World Health Organization (WHO). (2017). Tracking universal health coverage: 2017 global monitoring report. Geneva, Switzerland: World Health Organization & World Bank. https://www.worldbank.org/en/topic/universalhealthcoverage/publication/tracking-universal-health-coverage-2017-global-monitoring-report
World Health Organisation (WHO) (2020). Coronavirus disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Wu, A., Leask, B., Choi, E., Unangst, L., & de Wit, H. (2020). Internationalization of medical education—A scoping review of the current status in the United States. Medical Science Educator, 30, 1693–1705. https://doi.org/10.1007/s40670-020-01034-8
Yaghmour, S. A. H. A. R. (2012). Gender communication differences in synchronized distance learning lectures for users aged 18-60: A systematic literature review. Annual Review of Education, Communication & Language Sciences, 9, 85-90. https://files.eric.ed.gov/fulltext/EJ1148628.pdf
Ye, J., Zuo, Y., Xie, T., Wu, M., Ni, P., Kang, Y., Yu, X., Sun, X., Huang, Y., & Lu, S. (2016). A telemedicine wound care model using 4G with smart phones or smart glasses: A pilot study. Medicine, 95(31), e4198. https://doi.org/10.1097/MD.0000000000004198
Yoo, S. J., & Huang, W. D. (2013). Engaging online adult learners in higher education: Motivational factors impacted by gender, age, and prior experiences. Journal of Continuing Higher Education, 61(3), 151-164. https://doi.org/10.1080/07377363.2013.836823
Zhang, X., & Zaman, B. U. (2020). Adoption mechanism of telemedicine in underdeveloped country. Health Informatics Journal, 26(2), 1088-1103. https://doi.org/10.1177/1460458219868353
Zhou, P., Yang, X.L., Wang, X.G., et al. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579, 270–273. https://doi.org/10.1038/s41586-020-2012-7
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