Integration of Palliative Care Training into Oncology

将姑息治疗培训融入肿瘤学

• 批准号: 8339250
• 负责人: JAMIE H VON ROENN
• 金额: $ 25.82万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8339250
• 关键词: Advanced Malignant Neoplasm; American Society of Clinical Oncology; Area; Attitude; Behavior; Cancer Patient; Caring; Clinical; Communication; Consensus; Continuity of Patient Care; Curriculum Management System; Development; Diagnosis; Diagnostic Neoplasm Staging; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Elements; Evaluation; Exposure to; Failure; Habits; Knowledge; Life; Malignant Neoplasms; Medical Oncologist; Oncologist; Palliative Care; Palliative Medicine; Patients; Perception; Pharmaceutical Preparations; Physicians; Research; Research Personnel; Rotation; Standardization; Symptoms; Testing; Time; Training; Training Programs; Translating; United States; Universities; cancer care; end of life; experience; improved; innovation; novel; oncology; palliative; programs; skills; statistics; symptom management; web site

DESCRIPTION (provided by applicant): The integration of palliative care into the continuum of care for all patients with cancer is recognized as essential for optimal oncology care, but trainin in this area is inadequate. Each year in the U.S., 30%-50% of the 1.5 million people diagnosed with cancer and 70%-90% of the 500,000 people with end-stage cancer experience unrelieved suffering. This occurs despite research demonstrating that the majority of suffering associated with cancer can be relieved by oncologists with adequate palliative care training. This persistent suffering is a result of the failure to translate palliative care knowledge to the practices of US oncologists. For the last ten years, we have been developing effective curricular elements for teaching palliative care. In this project, we will build on that track record. We have the commitment of the American Society of Clinical Oncology (ASCO) and its Oncology Training Programs Subcommittee of the Professional Development Committee that represents program directors to develop, evaluate, and disseminate a novel, online curriculum that will improve the training of all oncology fellows in perpetuity. This project has the potential for enormous impact on cancer patients. With the commitment and support of ASCO, its strong education programs and excellent online education platform, and the expertise and experience of the investigators, this proposal has the potential to improve the care of all oncology patients through the advancement and standardization of how palliative care is taught to oncology fellows. The specific aims of this project are: 1. Develop an online interactive curriculum in palliative medicine for oncology fellows accessible through the prominent and successful ASCO University educational website; 2. Test the hypothesis that an online interactive curriculum yields changes in knowledge, skills, and behavior to the same extent as exposure to the online curriculum in addition to participation in a clinical rotation in palliative care; 3. Test the hypothesis that fellows who complete an online interactive curriculum will perform better on the oncology in-training examination than fellows who do not complete such a curriculum; and 4. Test the hypothesis that fellows who complete an online interactive curriculum will change their prescribing behavior. PUBLIC HEALTH RELEVANCE: Research shows that the majority of suffering experienced by cancer patients can be relieved by oncologists who have adequate training in the evaluation and treatment of symptoms. This project will develop an innovative curriculum to teach these skills to oncologists who are in training. We will judge the effectiveness of the training by evaluating change in physicians' knowledge and by tracking changes in their medication prescribing habits.

描述（由申请人提供）：将姑息治疗整合到所有癌症患者的护理中，对最佳肿瘤护理必不可少，但是该领域的Trainin不足。在美国，每年，在诊断出患有癌症的150万人中，有30％-50％，在50万末期癌症患者中，有70％-90％的人经历了不受欢迎的痛苦。尽管研究表明，与癌症的大多数痛苦相关的大多数痛苦都可以通过足够的姑息治疗培训来缓解这种情况。这种持续的痛苦是由于未能将姑息治疗知识转化为美国肿瘤学家的实践的结果。 在过去的十年中，我们一直在开发有效的课程因素来教授姑息治疗。在这个项目中，我们将基于该记录。我们有承诺 美国临床肿瘤学会（ASCO）及其肿瘤学培训计划专业发展委员会小组委员会小组委员会，该委员会代表计划董事来开发，评估和传播一项新颖的在线课程，该课程将改善所有人的培训 肿瘤学家永久。该项目有可能对癌症患者产生巨大影响。借助ASCO的承诺和支持，其强大的教育计划和出色的在线教育平台以及调查人员的专业知识和经验，该提案有可能通过将姑息治疗教授为肿瘤学研究员的发展和标准化，以改善所有肿瘤患者的护理。 该项目的具体目的是： 1。开发一个在线互动课程，用于姑息医学的肿瘤学研究员，可以通过著名且成功的ASCO大学教育网站访问； 2。检验以下假设：在线互动课程还会导致知识，技能和行为的变化与接触在线课程的程度相同，此外还参与了姑息治疗的临床旋转； 3.检验假设，即完成在线互动课程的研究员在肿瘤学训练检查上的表现要比没有完成这样的课程的研究员更好。和 4.测试完成在线互动课程的研究员将改变他们的处方行为。 公共卫生相关性：研究表明，在评估和治疗症状的评估和治疗方面，肿瘤学家可以缓解癌症患者所经历的大多数苦难。该项目将开发一项创新的课程，以向正在培训的肿瘤学家讲授这些技能。我们将通过评估医师知识的变化以及跟踪药物处方习惯的变化来判断培训的有效性。