CLINICAL ELECTIVE IN HOSPICE/PALLIATIVE MEDICINE

描述：（申请人的描述）我们建议创建一个 住院医师教育培训中的社区驱动的选修轮训 在初级保健医学在三个独立的医疗培训计划， 隶属于西北大学医学院， 和姑息治疗 姑息医学系将由 具有临终关怀/姑息医学专门知识的医生（以及 三个临终关怀项目的多学科团队成员）。 有两 一个月选修课的组成部分：直接的病人护理和教学 姑息医学课程。 第二年和第三年的居民 培训将作为既定的 （多学科）临终关怀/姑息医学服务。 他们将 评估和参与（与跨学科团队成员一起）护理 综合医院、临终关怀/姑息治疗病房的患者，以及 家庭临终关怀机构 同时，他们将接受指导， 一个明确的Hos-pice/姑息医学课程。 教育 完成选修课的居民的目标是1）提高知识 2）提高癌症疼痛管理的知识和技能， 管理晚期疾病的常见症状，3）改善沟通 与病人有关死亡和垂死的技能，和4）提高知识 关于姑息治疗的原则，（生物-心理-社会模型， 疾病），临终关怀计划的最佳利用，（以及参与 团队合作的方式）。 该提案的具体目标是：（1）试点 一个全职的医生驱动的Hos-pice/姑息医学选修课， 初级保健的居民培训，2）评估教育是否 课程目标已经达到，3）使用录像访谈 住院医师和标准化患者之间评估必要的沟通 技能，和4）正式制定姑息医学系，部分， 从社区临终关怀项目与Lurie癌症协会的联系中， 西北大学中心。 将评估教育成果 对住院医师的知识基础进行评估， 旋转。

DESCRIPTION: (Applicant's Description) We propose to create a curriculum-driven elective rotation to educate resident physicians training in primary care medicine in three separate medical training programs which are affiliated with the Northwestern University Medical School about Hospice and Palliative Care. The faculty in palliative medicine will be comprised of physicians with special expertise in hospice/palliative medicine (and the multidisciplinary team members of three hospice programs). There are two components to the one-month elective: direct patient care and didactic palliative medicine curriculum. Residents in their second and third years of training will serve as an integral part of established (multidisciplinary) Hospice/Palliative Medicine Services. They will evaluate and participate (with interdisciplinary team members) in the care of patients in general hospital, inpatient hospice/palliative care unit, and home-hospice settings. Concurrently they will receive instruction guided by an explicit curriculum in Hos-pice/Palliative Medicine. The educational objectives for residents completing the elective are 1) to improve knowledge and skill in cancer pain management, 2) to improve knowledge and skill in managing common symptoms of advanced disease, 3) to improve communication skills with patients about death and dying, and 4) to improve knowledge about the principles of palliative care, (the bio-psycho-social model of illness), optimal utilization of hospice programs, (and participation in a team approach to care). The specific aims of the proposal are, 1) to pilot a full-time curriculum-driven Hos-pice/Palliative Medicine elective for residents training in primary care, 2) to evaluate whether the educational objectives of the curriculum have been met, 3) to use a videotaped interview between resident and standardized patient to assess essential communication skills, and 4) to formalize a faculty of Palliative Medicine drawn, in part, from an affiliation of community hospice programs with the Lurie Cancer Center of Northwestern University. The educational outcome will be assessed with an evaluation of the knowledge base of the resident before and after the rotation.