Pathways to Prevention (P2P) Program

Elizabeth Krupinski, Ph.D.

Elizabeth Krupinski

Emory University
Professor & Vice Chair for Research, Radiology & Imaging Sciences

Presentation Abstract

Methodological Weaknesses of Studies of Provider-to-Provider Telehealth for Rural Patients: Cancer Prevention and Control Example

Cancer research is critical yet, even under the best of in-person circumstances, often difficult to conduct. Most clinical trials are carried out in urban areas where academic and other large medical centers are located, often excluding rural and frontier populations as subjects, potentially biasing results and/or the generalizability of results. This can be improved through the use of telemedicine in these trials to coordinate provider-to-provider interactions and outreach to patients, but innovative study designs are needed to increase the impact of future research. This is particularly important for longitudinal studies and solving challenges associated with team care coordination, multiple EMRs and databases, specialty-specific metrics of success/improvement, team-based measures/metrics, effect sizes (small) and necessary sample size (large) requirements. These challenges and possible solutions will be discussed as will the topic of how we can do research on and incorporate artificial intelligence and deep/machine learning tools into trials and clinical practice to help rural providers, using medical images interpretation as an example to reduce errors, improve training, and optimize images reading to improve patient care and outcomes.

About Dr. Krupinski

Dr. Elizabeth Krupinski has spent over 30 years doing medical image perception research, over 25 years doing telemedicine research, and has conducted numerous observer performance studies on the effects of various image manipulations and environmental reading conditions on clinical observer performance. She has served as the Principal Investigator (PI) on a number of other very successful radiology, pathology, and telemedicine grants, including one establishing the Southwest Telehealth Resource Center.

Dr. Krupinski did not disclose any conflicts of interest for this workshop.

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