Telemedicine Foot and Ankle Visits in the COVID-19 Era

• Authors: Sameh Labib, Emory University; Rahul Goel, Emory University; Wesley Manz, Emory University; Jason Bariteau, Emory University
• Journal Title: Foot and Ankle Orthopaedics
• Volume: Volume 6, Number 1
• Publisher: SAGE Publishing | 2021-01-01, Pages 2473011421994068-2473011421994068
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1177/2473011421994068
• Subjects: Health Sciences, Medicine and Surgery
• Keywords: COVID-19; practice management; telemedicine

Abstract

Background: The COVID-19 pandemic created a difficult environment to provide musculoskeletal care to patients with foot and ankle pathology given the limitations placed on in-office visits. Telemedicine offered a unique avenue to reach these patients; however, the efficacy of telemedicine visits in patients with foot and ankle pathology is not well studied. We propose a telemedicine protocol that has allowed us to effectively see and treat patients with foot and ankle pathology. Methods: A 12-step standardized telemedicine protocol was created within the Foot and Ankle division that was used for seeing patients through telemedicine. Also included in this is previsit preparation and follow-up recommendations. Press Ganey surveys were retrospectively reviewed to understand patient experience with telemedicine. Results: 85.2% of patients surveyed responded with scores indicating excellent care. When comparing patients who were seen in-office and through telemedicine, 89.2% and 83.4% responded with scores indicating excellent care, respectively (P =.37). Conclusion: Telemedicine offers an effective and convenient way to provide excellent musculoskeletal care to patients affected with foot and ankle pathology. This is the first study that evaluated a comprehensive protocol for telemedicine encounters and can be used to implement telemedicine by others using this approach. Level of Evidence: Level V, expert opinion.