ASTHMA TRAINING FOR INNER CITY PRIMARY CARE PROVIDERS

尽管《诊断和管理指南》已经出版， 1991年，NHLBI对哮喘进行了评估，哮喘管理的关键方面（吸入 抗炎治疗、患者教育、环境控制，以及 家庭高峰流量监测）很少或根本不被许多人关注 在市中心提供初级保健的医生。哮喘学术 该奖项将允许PI，谁是联合主任哮喘中心在波士顿 市医院，制定一项计划，以改善市中心的护理 通过加强初级保健的哮喘管理技能， 为波士顿的低收入人群提供医疗服务的医生， 邻里关系 具体目标包括：（1）制定和执行 一个初级保健哮喘课程的居民在儿科和 波士顿大学医学院内科住院医师项目 药本课程将介绍哮喘作为一种典型的慢性 需要全面初级保健的疾病，并将提供 一个完整的培训经验，包括临床轮换， 波士顿市立医院哮喘中心。 2.）制定和执行 为工作人员，居民， 以及在波士顿社区健康中心工作和培训的学生。 3.）第三章制定和实施初级保健哮喘课程， 公立学校健康诊所的医生和护士 由波士顿市卫生和医院部运营， 为所有公立学校的学校护士提供服务4.）发展 全面品质管理计划，以监察上述各项的成效 教育项目和波士顿市中心哮喘护理的质量 邻里关系

Despite the publication of the Guidelines for the Diagnosis and Management of Asthma by NHLBI in 1991, key aspects of asthma management (inhaled anti-inflammatory therapy, patient education, environmental control, and home peak flow monitoring) are given little or no attention by many physicians providing primary care in the inner city. The Asthma Academic Award will allow the PI, who is Co-Director of the Asthma Center at Boston City Hospital, to develop a program to improve the care of inner-city asthmatics by enhancing the asthma management skills of primary care physicians who provide care to Boston's low-income, largely minority neighborhoods. Specific aims include: 1.) Development and implementation of a primary care asthma curriculum for residents in Pediatric and Internal Medicine Residency Programs of Boston University School of Medicine. This curriculum will present asthma as a paradigm of chronic illness requiring a comprehensive primary care approach and will provide a complete training experience, including a clinical rotation in the Asthma Center at Boston City Hospital. 2.) Development and implementation of a community-based primary care asthma curriculum for staff, residents, and students working and training in Boston's neighborhood health centers. 3.) Development and implementation of a primary care asthma curriculum for the physicians and nurses who staff the public school-based health clinics operated by the City of Boston's Department of Health and Hospitals' and for the school nurses who are based at all public schools 4.) Development of a total quality management program to monitor the efficacy of the above educational programs and the quality of asthma care in Boston's inner-city neighborhoods.