Assessment of the Education for Physicians on End-of-Life Care (EPEC) Project.
Assessment of the Education for Physicians on End-of-Life Care (EPEC) Project.
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DOI：
10.1089/jpm.2004.7.637
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发表时间：
2004-10-01
影响因子：
2.8
通讯作者：
Emanuel, Linda L
中科院分区：
文献类型：
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作者：
Robinson, Katya;Sutton, Sharyn;Emanuel, Linda L
目的：姑息医学在患者护理中扮演着越来越重要的角色。然而，大多数医生在他们的正式培训中并没有学习到这一点。临终关怀医生教育项目旨在通过培训培训者的方法传播临终关怀课程，从而增加医生在临终关怀方面的知识。方法：一项独立评估采用定性和定量两步法来评估EPEC培训人员使用EPEC课程的方式。结果：(1)EPEC课程在1999年1月至2000年3月期间接受培训的200名医生的配额样本对EPEC课程的评价良好。当被问及“您如何评价EPEC培训对您临终关怀知识的影响？”时，62%(123/200)的受访者选择“大大改善了它”。当被问及“EPEC会议对你教授临终关怀的能力有什么影响？”时，72%(144/200)的人选择“极大地改善了它”。(2)宣传是有效的。92%(184/200)的人将课程用于教学。其中，83%(153/184)以30-60分钟的会议时间介绍材料，作为定期安排的会议的一部分。我们估计，这184名EPEC培训师向大约120,000名专业人员介绍了16个EPEC课程模块中的1个或更多模块。讨论：有证据表明，被选为EPEC培训师的医生认为EPEC课程质量高，受到尊重，最重要的是，有用。他们使用EPEC课程作为培训培训者传播战略的一部分。对这一热情评估的解释受到这项研究的局限性的影响，包括受访者的偏见和可能的默许。然而，EPEC课程似乎已经设定了该领域的知识标准，并成为在实践中向医生传播新信息的典范。我们的结论是，EPEC课程是一种在实践中向医生传递姑息治疗信息的有效工具。
PURPOSE: Palliative medicine is assuming an increasingly important role in patient care. Yet, most physicians did not learn this during their formal training. The Education for Physicians in End-of-life Care (EPEC) Project aims to increase physician knowledge in palliative care by disseminating the EPEC Curriculum through a train-the-trainer approach. An assessment of its use to help the project reach its targets was performed.METHOD: An independent evaluation pursued a two-step qualitative and quantitative approach to assess the ways that the curriculum is used by EPEC Trainers.RESULTS: The main findings are: (1) The EPEC Curriculum is well regarded by a quota sample of 200 physicians who were trained to use the curriculum between January 1999 and March 2000. When asked, "How would you rate the effect of EPEC training on your knowledge of end-of-life care?," 62% (123/200) selected 'greatly improved it.' When asked, "What was the effect of the EPEC conference on your ability to teach end-of-life care?," 72% (144/200) selected 'greatly improved it.' (2) Dissemination has been effective. Ninety-two percent (184/200) use the curriculum for teaching. Of these, 83% (153/184) presented the material in 30-60 minute sessions as part of regularly scheduled conferences. We estimate that these 184 EPEC Trainers have presented 1 or more of the 16 EPEC Curriculum modules to approximately 120,000 professionals.DISCUSSION: There is evidence that physicians selected to be EPEC Trainers judge the EPEC Curriculum to be high in quality, respected, and most importantly, usable. They use the EPEC Curriculum as part of a train-the-trainer dissemination strategy. The interpretation of this enthusiastic assessment is tempered by the study's limitations including respondent bias and possible acquiescence. Nevertheless, it appears that the EPEC Curriculum has set a standard of knowledge in the field and is an example of disseminating new information to physicians in practice. We conclude that the EPEC Curriculum is an effective vehicle to transmit palliative care information to physicians in practice.