TUBERCULOSIS CURRICULUM FOR AN URBAN MEDICAL CENTER

描述 这项申请旨在改善对卫生保健工作者的结核病教学， 标准化护理，并向社区内的公众传播信息 结核病发病率高。目前的阿尔伯特·爱因斯坦医学院 结核病课程将在所有年份扩大。结核病的流行将是 在第一年推出，并将在 二年级、三年级、四年级。定期研讨会的时间表将是 发展以加强不同卫生保健群体的教育 为结核病患者提供护理的工作人员。在住院环境中，护士， 众议院官员、主治医生和呼吸治疗师将 强化教育工作的目标。对于门诊从业者来说， 教育将包括一般疾病问题和特定地点的关注。 与其他部门合作，护理标准准则将是 发展和传播。强制性传染病咨询服务 所有住院结核病患者，由机构直接进行自动评估 观察治疗(DOT)计划和一组当地结核病的发展 可供咨询的专家旨在提高临床医生的水平 教育和护理质量。 一个包括卫生部工作人员在内的多学科小组将 组织讨论社区中的结核病问题并鼓励临床 研究。为结核病患者或有患病风险的患者提供服务的社区组织 将通过研讨会和文献将结核病纳入教育工作。 来自调查问卷、焦点小组和图表审计的基准数据将是 对比干预后的数据，获得定性和定量的 对教育项目的评估。

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.