Use of telemedicine to promote sleep medicine education in healthcare training

利用远程医疗促进医疗保健培训中的睡眠医学教育

• 批准号: 8912538
• 负责人: Gail Morrison
• 金额: $ 38.39万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8912538
• 关键词: Academic Medical Centers; Address; Attitude; Awareness; Behavior; Biology; Cellular Phone; Clinical; Communities; Community Healthcare; Continuing Education; Development; Diagnosis; Diagnostic; Discipline; Disease; E-learning; Education; Educational Curriculum; Educational Materials; Educational Status; Educational process of instructing; Evaluation; Exposure to; Faculty; Family Practice; Future; Growth; Health; Health Personnel; Health Professional; Health system; Healthcare; Hour; Individual; Internal Medicine; Internet; Intervention; Knowledge; Learning; Learning Module; Left; Life; Measurement; Measures; Medical; Medical Education; Medical Students; Medicine; Modeling; Neurologic; Online Systems; Outcome Measure; Pattern; Pennsylvania; Personal Satisfaction; Phase; Physicians; Physiology; Pre-Post Tests; Primary Care Physician; Primary Health Care; Process Measure; Program Development; Program Evaluation; Provider; Public Health; Publications; Residencies; Resources; Sleep; Sleep Apnea Syndromes; Sleep Deprivation; Sleep Disorders; Sleeplessness; Students; Teacher Professional Development; Technology; Telemedicine; Testing; Time; Training; Training Programs; Training and Education; Universities; base; case-based; clinical practice; clinically relevant; community based practice; continuing medical education; design; experience; graduate medical education; improved; innovation; journal article; medical schools; novel; novel strategies; pre-clinical; programs; screening; skills; symposium; tool; undergraduate medical education; virtual; web site

DESCRIPTION (provided by applicant): Over the last twenty years, sleep medicine has emerged as a field with highly prevalent disorders that have significant influence on individual as well as public health. Despite the impact of sleep on overall health and well-being, primary care physicians often do not address sleep complaints. Some of the barriers identified by primary care providers include insufficient education exposure across all levels of training including undergraduate, postgraduate and continuing medical education. Currently, the average student in a U.S. medical school only receives 2 hours of sleep medicine education over the course of 4 years. Postgraduate medical experiences can be limited to due lack of support and resources for facilitating medical education. Continuing medical education is sleep medicine is often in the form of conferences which require time away from the office or medical journal articles and webinars which typically lack relevant clinically based teaching pearls. The plan is to develop a sleep medicine curriculum that is fully web-based and transportable to healthcare professionals who do not have access to hands-on clinical experiences. This curriculum would consist of live and enduring "on demand" as well as self-directed clinical cases that are smartphone application based with a website option. Topics would include basic sleep biology, sleep deprivation, sleep-disordered breathing, overview of neurologic sleep disorders and insomnia. The program will be rolled out in three phases. Initially, the curriculum would be provided to fina year medical students in taking a one-week elective in Sleep Medicine (Phase 1). Subsequently, the curriculum would be provided to first year internal medicine residents and family medicine residents at the Perelman School of Medicine at the University of Pennsylvania(Phase 2).. Lastly, the curriculum would be provided to community-based internal medicine and family medicine practitioners (Phase 3). Assessments of learning include change in attitudes and knowledge of sleep health and sleep disorders using pre- and post-testing (in all learners) and changes in behaviors (in residents and community-based primary care clinicians) as measured by screening, testing and referral patterns. Additionally, assessment of competency in learners using direct observation of clinical simulated encounters using video-chat technology will be developed and evaluated. The development of this innovative, educational, and completely web-based tool will transfer information about sleep health and sleep disorders to learners across the continuum of medical education (i.e. undergraduate medical education, graduate medical education, and community-based practicing physicians).

描述（由申请人提供）：在过去的二十年中，睡眠医学已成为一个高度普遍的疾病的领域，对个人具有重大影响为 以及公共卫生。尽管睡眠对整体健康和福祉产生了影响，但初级保健医生通常不会解决睡眠投诉。初级保健提供者确定的一些障碍包括在包括本科，研究生和继续医学教育在内的各个培训的教育敞口不足。目前，美国医学院的普通学生在4年的时间内仅接受2个小时的睡眠医学教育。研究生医学经验可能仅限于由于缺乏支持和促进医学教育的资源。持续医学教育是睡眠医学通常以会议的形式，需要时间远离办公室或医学期刊文章和网络研讨会，这些文章和网络研讨会通常缺乏相关的临床教学珍珠。该计划是开发一个完全基于网络的睡眠医学课程，可运送到无法获得动手临床经验的医疗保健专业人员。该课程将包括现场和持久的“按需”以及基于网站选项的智能手机应用程序的自我指导的临床案例。主题将包括基本的睡眠生物学，睡眠剥夺，呼吸困难，神经系统睡眠障碍概述和失眠。该程序将分为三个阶段。最初，将向Fina年的医学生提供课程，以参加为期一周的睡眠医学选修课（第1阶段）。随后，将向宾夕法尼亚大学佩雷​​尔曼医学院的第一年内科居民和家庭医学居民提供课程（第2阶段）。学习评估包括使用预测试和后期（在所有学习者中）的态度和睡眠健康和睡眠障碍知识的变化，以及通过筛查，测试和转诊模式来衡量的行为（在居民和基于社区的初级保健临床医生中）的行为变化。此外，将开发和评估对学习者对临床模拟相遇的直接观察的能力评估。这种创新，教育和完全基于网络的工具的开发将使有关睡眠健康和睡眠障碍的信息转移给整个医学教育的学习者（即本科医学教育，研究生医学教育和基于社区的医生）。