Research Article

Managing Emergencies in Rural North Queensland: The Feasibility of Teletraining

Table 2

Teletraining as education.

SubthemeQuote

Previous experiences with teletraining“What I actually find more useful [in Rural Grand Rounds] is quite often he gets paediatricians, emergency medicine from [bigger regional centres], from everywhere who actually do speeches and talks” [PF 4]
“So yeah, that lack of physical-ness about the situation means often you can get apathetic and sometimes just be a bit blasé about it all and sign on just because you have to sign on” [PF 3]
“Oh, I think it serves a purpose. So these people are spread off all over North Queensland and the distances that are involved are prohibitive for everyone together on a really regular basis” [PF 3]

Face to Face versus videoconference learning“I think any access to any teaching would be appropriate and even if you do not pick up at come place like do not pick up as much from face to face teaching…Sometimes telehealth teaching can teach you maybe if you do pick up 50% of it just because it’s ongoing” [PF 5]
“I think tele-training is the way of the future especially for people in our area that more and more of us are going out to rural sites” [RR 2]

Peer teaching“The best benefit is you get to experience different thinking outside the box and different ways of doing things that apply to rural areas, rather than the textbook stuff that does not always apply” [PF 6]
“I enjoy catching up with people that are in a similar role and have a chance to debrief and have a chance to learn from each other and that is not really a lot of opportunity for that, and the peer education, just people in the same situation and learning from things they have seen and done before, that is probably the only thing I have noticed as a difference” [PF 1]

Teaching skills using videoconference“I think though that there are certain skills that you need to do person - face-to-face and have immediate feedback on” [RG 2]
“Unfortunately the technology is what people take away from those learning opportunities; they do not take away the actual message of simulation” [RG 6]
“There is no reason why they cannot create a resus with a mannequin, put a dress on it and bring it to the ED and run their own simulation. We all have inherent skills and knowledge. Doing simple stuff, it does not need to be complex” [RG 6]
“The biggest issue with rural is that often you plan to do something every week …then it just falls off the radar… I think you’d need to have a bunch of passionate people at a centralised location to really push it to happen every week” [PF 4]
“I do not see why you would need someone to teach a practical skill online as a teleconference when you can use YouTube, pause it and revisit all of the steps” [PF 6]

Didactic versus interactive sessions“Interactive, I definitely prefer, but sometimes in the early years of GP training, a lot of the stuff was a bit didactic, but I did not mind that, I found it to be quiet useful” [GPRNH]
“There would be scope for that as long as it’s not didactic lectures, as long as there can be interaction and the facilitators have a skill in that and the people who are being educated, the students, are prepared enough to interact…it would have to be an interactive thing otherwise you can get that from a YouTube, cannot you?” [RG 3]

[RR] rural reliever; [PHO] GP Registrar Primary House Officer; [GPRNH] non-hospital based GP registrar; [PF] provisional fellow; [FACEM] Fellow of Australasian College of Emergency Medicine; [RG] rural generalist.