Telemedicine in medical training in Ecuador

Leonel Vasquez-Cevallos, J. Bobokova, Estefania Bautista-Valarezo, Viviana Davalos-Batallas, M. E. Hernando

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations


Telemedicine is becoming increasingly important for medical education in Ecuador. Medical education involves medical practical training supported by Rotating Internship (RI) program at the undergraduate level and the Obligatory Rural Health Service (ORHS) program after obtaining the professional degree. RI and ORHS programs have evidenced the need to develop a direct consultation tool to improve the learning process during the RI stage in hospitals and to access a Continuous Medical Education (CME). This article discusses one experience with the use of a Telemedicine Platform (TP) used by undergraduate students and faculty doctors, testing its viability for its future application in medical training during the RI and ORHS programs. An experimental study with 124 students and 6 faculty doctors, from different medical specialties in the context of a telemedicine elective course, was designed. The use and acceptance of the TP were assessed over three 4-month period using auto-generated records of users' interactions with the platform and questionnaires. The students conducted 262 teleconsultations. The average time to write a student case report was 28.3 ± 15.0 minutes and the average time to write a faculty response was 11.60 ± 5.40 minutes. Faculty doctors highlighted the utility of the TP to transfer medical knowledge and to increase practical training during the last study levels. All surveyed students agreed that the TP was useful for their practical training. The experimental study results showed that the TP is a useful tool to be integrated as a practical teaching methodology and its use may be recommended for medical training in the RI program and to increase access to CME in the ORHS program in Ecuador.

Original languageEnglish
Title of host publication2017 IEEE 2nd Ecuador Technical Chapters Meeting, ETCM 2017
PublisherInstitute of Electrical and Electronics Engineers Inc.
Number of pages5
ISBN (Electronic)9781538638941
StatePublished - 4 Jan 2018
Event2nd IEEE Ecuador Technical Chapters Meeting, ETCM 2017 - Salinas, Ecuador
Duration: 16 Oct 201720 Oct 2017

Publication series

Name2017 IEEE 2nd Ecuador Technical Chapters Meeting, ETCM 2017


Conference2nd IEEE Ecuador Technical Chapters Meeting, ETCM 2017

Bibliographical note

Funding Information:
ACKNOWLEDGMENTS The authors thank UTPL faculty doctors and students for their collaboration in the validation experiment. This research has been partially financed by the Secretaría Nacional de Educación Superior, Ciencia, Tecnología e Innovación, SENESCYT in the Doctoral Program in Biomedical Engineering at UPM University.

Publisher Copyright:
© 2017 IEEE.


  • continuing medical education
  • information and communication technology
  • rotating internship
  • teleconsultation
  • telemedicine platform
  • web-based technology


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