Here is the YPHSIG guide to best practice when undertaking remote consultation with young people.
Before you begin the call it is important to consider whether a telephone/video or face-face is an appropriate medium for the consultation. A face to face consultation may be required if there are one or more of the following:
For trainees - Does the responsible consultant agree that remote consultation is appropriate?
Ensure you have access to the young person's medical record and results of investigations.
Consider how will you prescribe for this young person: How will they fulfil the prescription? Is the treatment available from a community pharmacy?
Whenever possible provide options to young person eg F2F, video and telephone so they can make a choice
Consider which is the best platform to use. Ideally the platform should have these features:
Familiarise yourself with the equipment and test the video and audio prior to the call. Do you know how to mute/unmute and toggle the video on and off? Do you know how to end the call?
Establish who is on the call/in the room both at the patient's end of the call and at your end. Introduce anyone ese on the call to the young person. Names and roles of all the call participants should be documented in the medical record.
It is important to remember that psychosocial screening eg HEEADSSSS is still a key component of developmentally appropriate healthcare for young people.
We caution against examining young people on video call beyond what you would normally be able to see on a video call. Exposing body parts on camera may give mixed messages to young people about this being an acceptable practice. Intimate examinations should never be carried out virtually. This includes examination of genitalia of all children of all ages, and torso/chest of pubertal children. Sharing explicit images of children is a criminal offence.
If examination over remote consultation is the only option available the consider the need for a chaperone. Follow the missive that -if it applies to face –face exam it will also apply to a video exam.