Statewide Initiative to Disseminate End-of-Life Educati

全州范围内传播临终教育的倡议

基本信息

批准号：
7496074
负责人：
MICHAEL S WILKES
金额：
$ 90.61万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
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/7496074
关键词：
Accountability Accreditation Address Adherence Adoption Adult Advance Directives Advanced Malignant Neoplasm Affect Agreement All Sites Area Attitude Budgets California Cancer Education Grant Program Cancer Patient Caring Childhood Climate Clinic Clinical Clip Cognitive Collaborations Communication Communication Methods Computer Assisted Country Development Disease Education Educational Curriculum Educational process of instructing Effectiveness Elements Emotional Equipment and supply inventories Evaluation Face Faculty Family Practice Feedback Film Focus Groups Fostering Funding Generations Goals Grant Health Personnel Health Services Health system Hospice Care Hour Individual Institution Internal Medicine Internet Knowledge Knowledge acquisition Learning Letters Life Los Angeles Malignant Neoplasms Medical Medical Education Medical Students Methods Modeling Monitor Morbidity - disease rate Numbers Nurse Psychotherapist Online Systems Outcome Pain management Palliative Care Participant Patient Care Patient Simulation Patient-Controlled Analgesia Patients Pediatrics Peer Review Performance Personal Satisfaction Persons Physician&apos s Practice Patterns Physicians Practice Guidelines Primary Care Physician Primary Health Care Production Program Evaluation Psychiatric Nursing Publications Published Comment Quality of life Research Research Infrastructure Research Personnel Residencies Resources Review Literature Role Role playing therapy Rural San Francisco Schools Secure Self Efficacy Simulate Site Social Work Social support Standards of Weights and Measures Statutes and Laws Stream Structure Students Surveys System Techniques Technology Testing Time TimeLine Training Translating Universities Ventilator Videotape Work base cancer care care preference concept continuing medical education deoxyhypusine synthase desire digital end of life end of life care functional status graduate medical education hospice environment improved inhibitor/antagonist innovation instrument medical schools medical specialties performance site programs psychosocial research clinical testing satisfaction skills social social cognition sound success terminal patient care theories tool web based interface

项目摘要

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）：改善医生在向癌症患者提供寿命末（EOL）护理方面的实践模式需要一种多模式的教学方法。尽管存在EOL课程内容，但仅课程材料的可用性并没有改善医师实践模式。我们将使用声音教育理论来为新兴的医生 - 常驻医师和医学生构建EOL课程。该课程将促进一种纵向综合方法，以教育学习者有关EOL护理问题，从而影响学习者的知识，技能和态度。在加利福尼亚州，我们在加利福尼亚大学医学院所有5所学校以及10多个儿科，家庭医学和内科医学的住院医师计划中开发了一个空前的EOL财团。首先，我们将确定关键的EOL能力，并开发一个由小组会议增强的模块化，交互式的网络化学，以促进自我反思和基于实践的学习。其次，我们将在多个UC站点的学习者中实施此课程。第三，我们将执行全面的学习者和计划评估。学习者的结果将包括对EOL护理的知识，技能和态度的课前/课外测试，沟通技巧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站点监控，公用事业/满意度调查和时间表依从性。最后，我们将制定一项计划，以广泛的全国性传播该EOL课程为医师和其他医疗保健提供者。通过我们的继续医学教育部门和加利福尼亚卫生服务部，我们可以使用80,000名执业医师。我们已经获得了全国各地教育工作者，加利福尼亚国土安全部和我们的联邦国会议员的支持。与著名教育者，研究人员和临床医生的这种独特合作将提供基础设施，以成功实施EOL课程，以根据学习者的需求量身定制它，以提供形成性的反馈，并影响加利福尼亚州的EOL护理文化。成果将包括开发经过验证的灵活的教育产品，用于全国传播，对实践促进者/抑制剂进行课程实施，对学习者需求的更好理解以及改善EOL癌症护理的气候。