PHYSICIAN HOSPICE/PALLIATIVE CARE TRAINING--UNIPACS

描述：(申请者的描述)几个正式的结构 临终关怀/姑息病人护理培训方案有 在美国有售。缺少正规医学院 在临终关怀/姑息治疗方面的培训，加上缺乏 关于同一主题的继续医学教育计划， 导致医生对有效率一无所知 临终关怀/姑息病人护理技术，特别是疼痛和 症状控制。 这个项目的长期目标是提高 通过培训医生和医生改善癌症患者及其家人的生活 医科学生提供有效的临终关怀/姑息治疗， 特别是适当的疼痛和症状控制。 具体目标包括：1)开发15个小时的九个模块 医生培训课程，标题为“医生临终关怀/姑息治疗” 关怀培训：UNIPAC，“适用于个人学习” 作为医学生临终关怀培训课程的补充 提供临终关怀或临终关怀的临床演示 家庭环境；2)现场测试和评估效果 课程中每个单元的内容；以及4)传播 面向执业医生、临终关怀计划和医学的课程 学校。 课程的九个模块将涵盖：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) 伦理和法律决策；4)心理和精神 死亡、死亡、悲伤和丧亲的方方面面；5)死亡过程 和死亡事件；6)家庭环境中的保健；7)健康 经济学和临终关怀；8)多学科团队 护理方法；以及9)与患者/家人/团队沟通 会员。 每个模块或Unipac都将遵循推荐的格式 自学并将包括行为目标， 预先测试、阅读材料、对临床情况的描述 有演示知识应用的问题，以及一次后测。 为了方便使用，课程的设计将是容易的 可适应其他设置。课程将在以下时间分发 申请临终关怀计划，提供医学生培训，医疗 学校，以及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.