MEDICAL EDUCATION FOR TB CONTROL IN THE 21ST CENTURY

这个项目的主要目标是改善 哈佛医学院的结核病和结核病控制 (HMS)，其附属教学医院，研究生课程，哈佛 公共卫生学院(HSPH)，特别是初级保健 在三种不同的管理医疗模式下工作的提供者。它 预计改善的结核病教育将有长期的健康 对高收入人群中结核病感染者和疾病患者的好处 风险，波士顿和剑桥的市中心人口由 哈佛教学医院。进一步预计，更大的 对结核病控制的公共卫生方面的认识将会降低 在这些社区传播，导致未来结核病减少。 这项教育工作的具体目标是改善结核病 学生、教师、执业医生和其他人员的知识库 哈佛医学界的卫生专业人士。该项目 首先对课程中关于结核病的内容进行详细审计 HMS、HSPH以及成人和儿科初级保健住院医师 哈佛教学医院的培训计划。基于 审计结果，跨学科的课程改进将是 在HMS专业教育人员的帮助下开发，并改变 与不同的课程总监进行了谈判。自学教材 使用HMS学生的掌上电脑也将被开发出来。一个 新的4年制结核病跨学科选修课，将提供给两家卫生保健机构 并提出了HSPH学生的建议。评估这些倡议中的一项将 通过定期重新审计课程和进行具体评估 与HMS教育工作者共同开发的仪器。加大干预力度 教授住院医师和执业初级保健医生也是 建议。因为很多教育方法和材料 在HMS开发的教学案例等，也被其他医疗机构使用 学校，这个项目的好处可能会超出哈佛大学 机构。

The principal goal of this project is to improve the teaching of tuberculosis and tuberculosis control at Harvard Medical School (HMS), its affiliated teaching hospitals, post-graduate courses, Harvard School of Public Health (HSPH), and especially among primary care providers working in three different models of managed health care. It is anticipated that improved TB education will have long-term health benefits for patients with TB infection and disease among the high- risk, inner city populations of Boston and Cambridge served by Harvard teaching hospitals. It is further expected that greater awareness of the public health aspects of TB control will reduce transmission in these communities, resulting in less TB in the future. The specific aims of this educational effort are to improve the TB knowledge base of students, faculty, practicing physicians, and other health professionals in the Harvard Medical Community. The project begins with a detailed audit of the TB content in the curricula of HMS, HSPH, and the adult and pediatric primary care residency training programs of the Harvard teaching hospitals. Based on the audit results, interdisciplinary improvements to the curricula will be developed with the aid of professional educators at HMS, and changes negotiated with various course directors. Materials for self-learning using the HMS student's palmtop computers will also be developed. A new 4th year interdisciplinary TB elective, to be offered to both HMS and HSPH students is proposed. AssessrAent of these initiatives will be by periodic re-audits of curricula, and by specific assessment instruments developed with HMS educators. Interventions to increase teaching of residents and practicing primary care physicians are also proposed. Because many of the educational methods and materials developed at HMS, such as teaching cases, are used by other medical schools, the benefits of this project are likely spread beyond Harvard institutions.