Original Articles Open access

Bridging the digital health gap: telemedicine readiness, confidence, and training needs among health profession students in the United Arab Emirates

Authors

Published
10 June 2026
Section
Original Articles
DOI
10.4081/itjm.2026.2502

Abstract

Telemedicine has expanded since the COVID-19 pandemic, underscoring the need to equip future healthcare workers with digital health competencies. This cross-sectional study at Gulf Medical University, Ajman, UAE, evaluated telemedicine readiness among 1000 health profession students across nine academic programs (response rate 76.9%). Only 14.9% reported familiarity with telemedicine and 19.8% felt confident in its use, while 42.5% reported no familiarity and 33.5% lacked confidence. Although 74% engaged in self-directed learning, only 25% had received formal telemedicine education. Formally trained students were significantly more likely to pursue self-training (p=0.0125) and demonstrated higher confidence (p<0.001). In multivariable ordinal regression, self-directed training [adjusted odds ratio (aOR) 5.93, 95% confidence interval (CI) 3.10-11.33] and formal education (aOR 3.26, 95% CI 1.78-5.97) independently predicted higher familiarity and confidence, whereas program affiliation did not. Clinical-year students reported lower confidence than pre-clinical peers (aOR 0.57, 95% CI 0.33-0.97). Formal education was the sole independent predictor of believing telemedicine would improve clinical skills (aOR 2.64, 95% CI 1.30-5.36). Most students (70.2%) supported curriculum integration. Readiness gaps are driven by training exposure rather than program affiliation, highlighting the need for a structured, longitudinal, university-wide telemedicine curriculum.

Keywords

References

  1. Kumra T, McGuire M, Stein A, Pahwa A. Telemedicine clinical skills need assessment in early medical students. Fam Med 2022;54:294-7.
  2. Marsilio M, Calcaterra V, Infante G, et al. The digital readiness of future physicians: nurturing the post-pandemic medical education. BMC Health Serv Res 2024;24:885.
  3. Pit SW, Velovski S, Cockrell K, Bailey J. A qualitative exploration of medical students’ placement experiences with telehealth during COVID-19 and recommendations to prepare our future medical workforce. BMC Med Educ 2021;21:431.
  4. Jonas CE, Durning SJ, Zebrowski C, Cimino F. An interdisciplinary, multi-institution telehealth course for third-year medical students. Acad Med 2019;94:833-7.
  5. Kong SS, Azarfar A, Ashour A, et al. Awareness, and attitudes towards telemedicine among medical students in the United States. Cureus 2020;12:e11574.
  6. Baumgartner M, Sauer C, Blagec K, Dorffner G. Digital health understanding and preparedness of medical students: a cross-sectional study. Med Educ Online 2022;27:2114851.
  7. Waseh S, Dicker AP. Telemedicine training in undergraduate medical education: mixed-methods review. JMIR Med Educ 2019;5:e12515.
  8. Wubante SM, Nigatu AM, Jemere AT. Health professionals’ readiness and its associated factors to implement Telemedicine system at private hospitals in Amhara region, Ethiopia 2021. PloS One 2022;17:e0275133.
  9. Moussa FL, Moussa ML, Alharbi HA, et al. Telehealth readiness of healthcare providers during COVID-19 pandemic in Saudi Arabia. Healthcare 2023;11:842.
  10. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: capabilities, features, barriers, and applications. Sens Int 2021;2:100117.
  11. Mavropalias G, Baynton SL, Teo S, et al. Allied health professionals’ knowledge and clinical practice in telehealth exercise behavioural change for multiple sclerosis. Mult Scler Relat Disord 2024;87:105689.
  12. Lam MK, Hines M, Lowe R, et al. Preparedness for eHealth: health sciences students' knowledge, skills, and confidence. J Inf Technol Educ Res 2016;15:305-34.
  13. Papanagnou D, Sicks S, Hollander JE. Training the next generation of care providers: focus on telehealth. Healthcare Transformation 2015;1:52-63.
  14. Maynard K, Knickerbocker J. A telemedicine standardized patient experience: enhancing the virtual classroom and preparing for alternative modalities of care. Nurs Educ Perspect 2023;44:181-2.
  15. El-Mazahy H, Mekky J, Elshaer N. Medical professionals’ job satisfaction and telemedicine readiness during the COVID-19 pandemic: solutions to improve medical practice in Egypt. J Egypt Public Health Assoc 2023;98:5.
  16. Veikkolainen P, Tuovinen T, Jarva E, et al. eHealth competence building for future doctors and nurses–Attitudes and capabilities. Int J Med Inform 2023;169:104912.
  17. Shbeer A. Evaluating student satisfaction and self-confidence in simulation-based anesthesiology training among final-year medical students. Healthcare 2024;12:1521.
  18. McNair R, Griffiths L, Reid K, Sloan H. Medical students developing confidence and patient centredness in diverse clinical settings: a longitudinal survey study. BMC Med Educ 2016;16:1-8.
  19. Otto A, Kushniruk A. Incorporation of medical informatics and information technology as core components of undergraduate medical education – time for change! Stud Health Technol Inform 2009;143:62-7.
  20. Axelsson CGS, Healy MG, Phitayakorn R. Telehealth and the new normal: maintaining bedside teaching concepts in a virtual environment. 2020. Available from: https://www.facs.org/for-medical-professionals/news-publications/journals/rise/articles/telehealth-new-normal/.
  21. Wilhite JA, Altshuler L, Fisher H, et al. The telemedicine takeover: Lessons learned during an emerging pandemic. Telemed J E Health 2022;28:353-61.
  22. Shouman S, Emara T, Saber HG, Allam MF. Awareness and attitude of healthcare workers towards Telehealth in Cairo, Egypt. Int J Clin Pract 2021;75:e14128.
  23. Youssef N, Ghazy RM, Mahdy RE, et al. Development, validity, and reliability of the perceived telemedicine importance, disadvantages, and barriers (PTIDB) questionnaire for Egyptian healthcare professionals. Int J Environ Res Public Health 2022;19:12678.

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