Ultimately, Design Thinking can be deployed to engage medical trainees and precepting attendings in the effective development of novel educational tools for the virtual care learning environment.
Residents found the workshop program improved their understanding of Design Thinking and its relevance to healthcare. Several prototypes were proposed, with a single tool (a virtual preceptor tip sheet) deployed in clinical practice. Key solution areas included: virtual precepting support tools digital information and education dissemination tools and strategies for management of technical issues. Identified learner needs and problem areas included: improving virtual visit technical skills acquiring virtual communication skills adapting to the loss of shared in-person learning space and optimizing virtual learning environments remediating non-virtual procedural competencies and educating on new documentation requirements. Eleven residents and eight attending physicians participated. We applied the model of “Empathize, Define, Ideate, Prototype, and Test” via a mixed methods approach to (1) explore the needs, preferences, and concerns of Internal Medicine residents and outpatient precepting attendings regarding virtual ambulatory care training environments, and (2) evaluate, prototype, and test potential training tools. In this study, we describe the application of a Design Thinking approach to the identification and co-design of novel training tools to support residents and precepting attending physicians in virtual ambulatory care practice. Core training competencies have expanded to incorporate virtual contexts, however there is limited knowledge of the optimal design of virtual care training tools for learners. The COVID-19 pandemic drove a rapid transition to virtual care experiences for graduate medical trainees.
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