1. Video 24-02-2021, 19 09 42.mov LINK
We conducted 42 individual semi-structured video interviews with physicians in Quebec (N = 20) and Massachusetts (N = 22) in 2020. Topics covered included their practice history, changes brought by the COVID-19 pandemic, and the advantages and challenges of telehealth. An inductive and deductive thematic analysis was carried out to identify implications of delivering care via telehealth.
1. Video 24-02-2021, 19 09 42.mov
Prior to the COVID-19 outbreak, telehealth implementation had been, in most countries, very limited . According to a 2019 Commonwealth Fund survey, 79% of physicians in the United States reported interacting online with their patients, compared to 23% in Canada . Few PHC physicians in either Canada (16%) or the US (20%) reported using video consultations with patients before the COVID-19 pandemic . Prior to the pandemic, only 17% of Quebec physicians reported using telehealth and only 3% reported using video consultations .
In both contexts, physicians rapidly implemented telehealth during the first months of the pandemic. In Massachusetts, during March and April 2020, the high uptake of telehealth accounted for two-thirds of PHC visits . By April 2020, nearly half (43.5%) of Medicare PHC visits were conducted via telehealth. Additional data from community health centers in Massachusetts showed that, from January to April 2020, total telehealth visits for medical services rose from 506 to more than 83,000 . In Quebec, during the same period, more than 80% of physicians practicing in university-affiliated family medicine groups reported conducting telephone consultations, while less than 3% conducted video consultations .
Several physicians in both sites reported that telehealth appointments were sometimes less time-consuming than face-to-face visits. With respect to completing clerical work, telehealth appeared to have had a positive effect in Quebec, but both positive and negative effects were reported in Massachusetts. Some respondents reported they were better able to complete their notes when using telehealth, while others said they had trouble navigating video consultations and EMRs, resulting in their falling behind with notes and follow-up actions needed after the telehealth appointments. Another aspect of telehealth that contributed to perceptions of greater efficiency was the ability to communicate with patients via email to exchange documents, such as photographs. In Quebec, some physicians reported that the pandemic had accelerated their use of emails with patients, which they had not used before. Our results also suggest that telehealth may have increased efficiency by decreasing the number of missed appointments. This may have been because consulting remotely allowed more flexibility with appointment times and greater convenience for patients.
One significant difference was in the use of video consultations, which has spread more rapidly and widely in Massachusetts than in Quebec. This may be due to differences in incentives and reimbursement structures or in the availability of video telehealth training. Nevertheless, in comparing these two contexts, we identified challenges in delivering PHC services via telehealth: implementation issues, the need for physicians to develop new skills, impacts on the therapeutic relationship, and changes in interprofessional collaboration. These echo common challenges identified in recent qualitative studies on rapid implementation of telehealth that have reported on impacts on teamwork, access to care, technical problems, and relational issues that involve consultation, therapeutic relationships, confidentiality, and the ability to assess patients remotely [4, 11, 12].
Our results suggest that physicians appreciate that telehealth is now recognized as a formal care provision modality for which they can be remunerated. Of note, in both Quebec and Massachusetts, governments implemented temporary measures to remove this barrier during the pandemic and are looking to make these measures permanent. In Massachusetts, in March 2020, the governor issued an order requiring that private insurance cover all medically necessary telehealth video consultations and pay for them at the same rate as face-to-face consultations [31, 32]. In January 2021, the governor signed into a law a telehealth bill mandating payment parity for two years, giving the state and payers time to negotiate a long-term agreement on telehealth coverage. In Quebec, on March 16, 2020 [27, 33], the public insurance program was modified such that coverage of physician telehealth consultations (telephone and video) would be the same as for face-to-face visits [26, 27].
The objective of this study was to explore the implications of conducting telehealth in PHC during the COVID-19 pandemic as reported by physicians in Quebec and Massachusetts. We conducted video interviews, and our thematic analysis revealed positive and negative implications of major issues such as access to care for patients, efficiency of care delivery, and professional and relational aspects of this care delivery modality. To ensure that telehealth care delivery meets the needs of both patients and providers, it will be critical to support the implementation of telehealth, provide guidelines and training to address professional challenges, and pay close attention to both technological barriers and human relationship needs. We believe that addressing these issues can help to mitigate barriers and facilitate the implementation of safe and effective virtual care.
I know that the Hero 10 is not yet listed in the supported cameras at FCP ( -at/HT204203), however, as stated before, it worked perfectly until the updates. The error seems to not occur when trying video files from other cameras.
@52:07 warmups (have been moved from the beginning of class to the end of this video);Share this:Share
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"Girl Like Me" (stylized in all caps) is a song by American group Black Eyed Peas and Colombian singer and songwriter Shakira. Originally conceived in 2008 and later considered for will.i.am's fourth studio album #willpower (2013), the song was released on the Black Eyed Peas' eighth studio album, Translation (2020). It was released on December 4, 2020 alongside a Rich Lee-directed music video. The track was written by the Black Eyed Peas, Shakira, Brendan Buckley, Johnny Goldstein, Albert Menendez, and Tim Mitchell and was produced by the group's member will.i.am, Shakira, and Johnny Goldstein. The song was praised for its "anthemic" nature and Shakira's vocals were compared to those she used in her eighth studio album She Wolf (2009). Commercially, the single reached the top ten in twelve countries.
In January 2020, on a video studio session with Johny Goldstein, the song began to get a new shape with the "right combination of sonics and rhythm". Will.i.am in an interview with NME said that he "refreshed it, and called Shakira, and we wrote new lyrics and she helped me with my Spanish." In ETOnline he complimented Shakira by saying "she comes with notes, and it's awesome. But she does it in a very gentle, humble, sweet way, to where you just wanna please all of her concerns." Shakira commented that "she really loved working with Black Eyed Peas", saying that "Will[.i.am] knows how detail-oriented I am and was so patient and meticulous with me and making sure we had the absolute best sound possible." "Girl like Me" was finally included in Black Eyed Peas' eight studio album Translation (2020).
On June 19, 2020 Black Eyed Peas revealed an alternative cover art for the single, featuring a drawn black silhouette of Shakira in a raspberry rose ellipse and teal background, and on December 3 they showed the same cover but with a white background. The same day both acts announced through their social media that the song's music video would be released on December 4. The song was sent to contemporary hit radio stations in Italy on December 11. On February 26, 2021 twocolors remix of song was released.
"Girl like Me" became an instant viral hit on YouTube, racking up 23 million views in 3 days and 200 million in less than two months. The song also sparked a viral challenge on TikTok where users challenged themselves to recreate the video's choreography. In the United States, the song debuted on Billboard's Digital Songs in December 2020 at number 37. It later debuted in Hot 100 chart at number 87 on week ending January 16, 2021. The song ultimately peaked at number 67 on its sixth charting week on February 27, 2021. The song became Shakira's 22nd and Black Eyed Peas' 19th Hot 100 entry. The song topped Billboard's Latin Airplay chart on the week of March 13, 2021. Girl Like Me eventually was certified gold by RIAA for selling over 500,000 units in the country.
The music video for "Girl like Me" was filmed in September 2020 and was released on December 4, 2020 at 10 AM in Eastern Time Zone. The music video was directed by Rich Lee, who earlier directed music video for "Imma Be Rocking That Body" (2010). While speaking to Billboard about the video, Shakira said: "The song already has that vintage quality to it, so I wanted a video that had the retro futuristic vibe. From the beginning I thought: Jane Fonda. Those '80s workout videos had a really cool aesthetic I wanted to import into this video."
The video features Shakira on a skateboard and with backup dancers doing aerobics. It also features Black Eyed Peas in a set singing the song. Shakira's appearance has been compared to Wonder Woman. The choreography in the video went viral on TikTok where fans attempted to recreate Shakira's dance moves. In just 5 days, TikTok videos using "Girl like Me" choreography accumulated 40 million views. The music video received 23 million views in its first three days. In January 2021, the music video passed 200 million views on YouTube. 041b061a72