Competency-Based Training for Entrustment in Telehealth Consultations

Pediatr Clin North Am. 2020 Aug;67(4):735-757. doi: 10.1016/j.pcl.2020.04.013.


Doctors need to acquire telehealth consultation skills to thrive in the increasingly pressurized health system of delivering high-quality, high-volume health care with a shrinking health care workforce. Telehealth consultations require the same degree of thoroughness and careful clinical judgment as face-to-face consultations. The distinct differences between telehealth and face-to-face consultations warrant training in telehealth, which should be incorporated into core curricula of medical schools and continuing medical education. We describe competency-based training for telehealth piloted with medical residents. The use of competency-based training for telehealth operationalized as an entrustable professional activity will facilitate high-quality, safe, and effective telehealth consultations.

Keywords: Assessment; Competency; Entrustable professional activities; Medical education; Telehealth; Telemedicine; Telephone consultation; Virtual consultation.

Publication types

  • Review

MeSH terms

  • Clinical Competence*
  • Curriculum / trends
  • Education, Medical / trends
  • Humans
  • Quality Assurance, Health Care
  • Referral and Consultation / standards*
  • Telemedicine*
  • United States