TUBERCULOSIS CURRICULUM FOR AN URBAN MEDICAL CENTER

描述 该应用程序旨在改善对卫生保健工作者的结核病教育， 规范护理，并向社区公众传播信息 结核病发病率很高。 阿尔伯特·爱因斯坦医学院Albert Einstein College of Medicine 结核病课程将在所有年份扩大。 结核病的流行将是 在第一年引入，并将在第二年增加案例讨论。 第二第三第四年 定期研讨会的时间表将在 旨在加强对不同医疗保健群体的教育 为结核病患者提供护理的工作人员。 在住院病人中，护士， 房屋官员，主治医生和呼吸治疗师将 强化教育工作的目标。 对于门诊医生， 教育将包括一般疾病问题和具体地点的问题。 与其他部门合作，将制定护理标准指南， 发展和传播。 强制性传染病谘询 所有结核病住院患者，由机构直接自动评估 观察治疗（DOT）计划，并制定了一组当地结核病 可供咨询的专家旨在提高临床医生 教育和护理质量。 一个包括卫生署人员的跨学科小组将于 组织讨论社区结核病问题，促进临床 research. 社区组织为结核病患者或有感染风险的患者提供服务 将通过研讨会和文献将结核病纳入教育工作。 来自问卷调查、焦点小组和图表审计的基线数据将 与干预后的数据进行比较，以获得定性和定量的 教育计划的评估。

DESCRIPTION This application seeks to improve the teaching of TB to health care workers, standardize care, and disseminate information to the public in a community with high incidence of TB. The current Albert Einstein College of Medicine TB curriculum will be expanded in all years. The epidemic of TB will be introduced in the first year, and case discussions will be added in the second, third, and fourth years. A schedule of regular seminars will be developed to enhance the education of the diverse group of health care workers who provide care for TB patients. In the inpatient setting, nurses, house officers, attending physicians, and respiratory therapists will be targets for intensive education efforts. For outpatient practitioners, education will include general disease issues and site-specific concerns. In collaboration with other departments, standard of care guidelines will be developed and disseminated. Mandatory infectious diseases consultation on all inpatients with TB, automatic evaluation by the institution's Directly Observed Therapy (DOT) program, and development of a group of local TB experts available for consultation are intended to enhance clinician education and the quality of care. A multidisciplinary group, including Department of Health personnel, will be organized to discuss TB issues in the community and stimulate clinical research. Community organizations serving patients with TB or at risk for TB will be included in educational efforts through seminars and literature. Baseline data from questionnaires, focus groups, and chart audits will be compared to post-intervention data to obtain a qualitative and quantitative evaluation of the education program.