Initial Lessons From Implementing a Telecolposcopy Program on a High Risk Population in California

Initial Lessons From Implementing a Telecolposcopy Program on a High Risk Population in California from MobileODT

Rachel Steward (1), Jennifer Spohn (1), Eliya Tenenboim (2), Cathy Sebag (2), David Levitz (2)

(1) FPA Women’s Health, Los Angeles, CA (2) MobileODT, Tel Aviv, Israel

Objective: To assess the feasibility of a live, telecolposcopy system in clinics serving high-risk populations. Of interest was understanding the feasibility of an integrated telecolposcopy solution from the perspectives of patient and provider acceptance in comparison to in-person oversight of an exam.

Methods: A custom feature was built into MobileODT’s EVA System, a smartphone-based colposcope, utilizing a video-conferencing application. Through screen sharing, the point-of-care provider shared a live video feed of the colposcopy exam with a remote expert, who then recommended biopsy sites. Following the procedure, satisfaction surveys were administered to all remote experts, point-of-care providers, and patients. All twelve subjects who underwent telecolposcopy completed surveys. As a control group, 10 patients undergoing traditional colposcopy were also surveyed.

Results: Initial findings showed that experts were able to assist junior providers during colposcopy procedures. Patients reacted positively to live expert supervision.

Conclusions: Preliminary results suggest that live telecolposcopy is feasible on a mobile, connected colposcope.