My first video CTV was a supportive, informative and confidence building experience. As a GPT1 this was my first CTV, as our in-person CTVs earlier in the term had been delayed by COVID-19 social distancing precautions. On a Thursday morning my clinical teaching visitor dialled in 15 minutes before I began seeing patients to ensure all the technology was working well. We used my mobile phone camera propped up against the desk so both myself and the patient could be seen.
There were two main benefits of doing a CTV remotely. The first was that we were able to safely observe social distancing precautions with three people in one office. Secondly, I feel that my rapport with the patient was minimally disrupted by the presence of the phone camera, as opposed to the teaching visitor sitting in the office watching.
There were two main difficulties with my remote CTV. The most challenging part was with internet access, I was unable to log onto the clinic wifi and often our video link was disrupted by a poor connection. I would suggest that all registrars and teaching visitors arrange to have a reliable wifi connection on the day prior to the assessment. Another difficulty was in allowing the CT visitor to observe the physical examination component of the consult due to the limited view of the camera, which we were able to resolve in some consults by turning the camera to face the examination couch.
I found my first CTV very helpful in developing my skills as a general practice registrar. I was offered useful feedback on the content of my consults, provided with helpful advice for improving communication in challenging consults, and directed to further resources to support my learning.
Pictured: Dr Sofie Roberts (main screen) and Dr Isabel Hanson (top- right screen).
Dr Isabel Hanson | GPT1 Central, Eastern and South Western Sydney