PHYSICIAN HOSPICE/PALLIATIVE CARE TRAINING--UNIPACS

描述：（申请人的描述） 很少有正式的结构 临终关怀/姑息病人护理培训方案是 在美国可用。 缺乏正规的医学院 在临终关怀/姑息治疗方面的培训，加上缺乏 继续医学教育计划， 主题， 贡献 医生的无知 的 有效 临终关怀/姑息病人护理技术，特别是疼痛和 症状控制 该项目的长期目标是提高 癌症患者及其家属的生活， 医学生提供有效的临终关怀/姑息病人护理， 特别是适当疼痛和症状控制。 具体目标包括： 1)开发一个十五小时，九个模块， 医生培训课程，题为“医生临终关怀/姑息治疗 护理培训：UNIPAC，”适合用于个人学习 作为医学生临终关怀培训课程的补充 提供临终关怀的临床示范， 2）现场测试和评估有效性 （四）传播 课程执业医师，临终关怀计划和医疗 学校 的 课程的九个模块将 封面： 1)疼痛管理和 止痛药的药代动力学; 2）选择的 非疼痛症状和选定药物的药代动力学; 3） 道德和法律的决策; 4）心理和精神 死亡，死亡，悲伤和丧亲之痛的方面; 5）死亡的过程 和死亡事件; 6）家庭环境中的医疗保健; 7）健康 经济学和临终关怀; 8） 多学科 团队 护理方法;和9）与患者/家属/团队沟通 成员 每个模块或UNIPAC将遵循建议的格式， 自我指导学习，并将包括行为目标， 预测试、阅读材料、临床情况描述 用问题来展示知识的应用，和一个后测试。 为了方便使用，课程将设计成易于使用， 适应其他设置。 该课程将在 要求临终关怀计划提供医学生培训，医疗 学校和临终关怀医师学会的成员。

DESCRIPTION: (Applicant's Description) Few formally structured programs for training in hospice/palliative patient care are available in the United States. The lack of formal medical school training in hospice/palliative care, coupled with a paucity of continuing medical education programs on the same subject, contributes to physician ignorance of effective hospice/palliative patient care techniques, in particular pain and symptom control. The long-term objective of this project is to improve the quality of life of cancer patients and their families by training physicians and medical students to provide effective hospice/palliative patient care, in particular adequate pain and symptom control. Specific aims include: 1) developing a fifteen-hour, nine-module physician training curriculum, entitled "Physician Hospice/Palliative Care Training: UNIPACs," appropriate for use in individual learning and as a supplement for medical student hospice training sessions which offer clinical demonstrations of palliative care in hospice or home settings; 2) field testing and evaluating the effectiveness of each module in the curriculum; and 4) disseminating the curriculum to practicing physicians, hospice programs and medical schools. The curriculum's nine modules will cover: 1)pain management and pharmacokinetics of pain medications; 2) management of selected nonpain symptoms and pharmacokinetics of selected medications; 3) ethical and legal decision making; 4) psychological and spiritual aspects of dying, death, grief and bereavement; 5) the process of dying and the death event; 6) health care in the home setting; 7) health economics and hospice care; 8) the multidisciplinary team approach to care;and 9) communicating with patients/family/team members. Each module, or UNIPAC, will follow the recommended format for self- instructional learning and will include behavioral objectives, a pretest, reading material, descriptions of clinical situations with questions to demonstrate knowledge application, and a post test. To facilitate use, the curriculum will be designed to be readily adaptable to other settings. The curriculum will be distributed on request to hospice programs offering medical student training, medical schools, and members of the Academy of Hospice Physicians.