Statewide Initiative to Disseminate End-of-Life Educati

全州范围内传播临终教育的倡议

• 批准号: 7118130
• 负责人: MICHAEL S WILKES
• 金额: $ 72.5万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7118130
• 关键词: Statewide; Initiative; Disseminate; End; Life

DESCRIPTION (provided by applicant): Improving practice patterns of physicians in delivering end-of-life (EOL) care to cancer patients requires a multi-modal approach to teaching and learning. Although EOL curricular content exists, the availability of curricular material alone has not improved physician practice patterns. We will use sound educational theory to construct an EOL curriculum for the emerging generation of practicing physicians - resident physicians and medical students. This curriculum will foster a longitudinal comprehensive approach to educate learners on EOL care issues, impacting learner knowledge, skills and attitudes. Within California, we have developed an unprecedented EOL Consortium of all 5 University of California Schools of Medicine, and over 10 residency programs in pediatrics, family medicine and internal medicine. First, we will identify key EOL competencies, and develop a modular, interactive web-curriculum augmented by small-group sessions, to promote self-reflection and practice-based learning. Second, we will implement this curriculum with learners at multiple UC sites. Third, we will perform a comprehensive learner and program evaluation. Learner outcomes will include pre/post-curricular testing of knowledge, skills and attitudes around EOL care, objective structured clinical evaluations for communication skills, and practice-based learning assessment. Program performance evaluation will include detailed site monitoring, utility/satisfaction surveys, and timeline adherence. Finally, we will develop a plan for broad national dissemination of this EOL curriculum for physicians and other health care providers. Through our Continuing Medical Education divisions and the California Department of Health Services, we have access to 80,000 practicing California physicians. We have already obtained support of educators across the country, the California DHS, and our federal Congressman. This unique collaboration with renowned educators, researchers and clinicians will provide the infrastructure to successfully implement the EOL curriculum, to tailor it to the learner's needs, to provide formative feedback, and to affect the culture of EOL care in California. Outcomes will include development of a validated, flexible educational product for nationally dissemination, an understanding of practical facilitators/inhibitors to curricular implementation, a better understanding of learner needs, and an improvement of the climate in which EOL cancer care is delivered.

描述（由申请人提供）：改善医生为癌症患者提供临终 (EOL) 护理的实践模式需要采用多模式的教学方法。尽管存在 EOL 课程内容，但仅凭课程材料的可用性并不能改善医生的执业模式。我们将利用完善的教育理论为新一代执业医师——住院医师和医学生构建EOL课程。该课程将采用纵向综合方法对学习者进行 EOL 护理问题教育，影响学习者的知识、技能和态度。在加州，我们建立了一个前所未有的 EOL 联盟，由加州大学所有 5 所医学院组成，并在儿科、家庭医学和内科领域开展了 10 多个住院医师项目。首先，我们将确定关键的 EOL 能力，并开发模块化、交互式网络课程，并辅以小组会议，以促进自我反思和基于实践的学习。其次，我们将与多个加州大学站点的学习者一起实施该课程。第三，我们将进行全面的学习者和项目评估。学习者成果将包括围绕 EOL 护理的知识、技能和态度的课前/课后测试、沟通技能的客观结构化临床评估以及基于实践的学习评估。计划绩效评估将包括详细的现场监控、效用/满意度调查以及时间表遵守情况。最后，我们将制定一项计划，在全国范围内为医生和其他医疗保健提供者广泛传播该 EOL 课程。通过我们的继续医学教育部门和加州卫生服务部，我们可以接触到 80,000 名加州执业医生。我们已经获得了全国教育工作者、加州国土安全部和联邦国会议员的支持。这种与知名教育工作者、研究人员和临床医生的独特合作将为成功实施 EOL 课程提供基础设施，根据学习者的需求进行定制，提供形成性反馈，并影响加州的 EOL 护理文化。成果将包括开发经过验证的、灵活的教育产品以供全国传播，了解课程实施的实际促进因素/抑制因素，更好地了解学习者的需求，以及改善提供 EOL 癌症护理的氛围。