IMPROVING THE EDUCATIONAL EFFECTIVENESS OF TUMOR BOARDS

拟议的项目旨在启动和评估 旨在提高肿瘤教育效益的干预措施 董事会和肿瘤会议。它的主要目标是确定 将1)优化进程和活动的干预措施 与肿瘤会议的举办有关；2)增加规模和 改善观众的构成，在哪些方面具有代表性 肿瘤会议将产生影响；3)增加医生知识 与常见肿瘤的诊断和治疗有关；4) 影响以下机构选择的患者管理策略 医生治疗肿瘤患者；5)改善 在死亡率和发病率方面的肿瘤护理；以及6)改善 信息从研究中心传播到 社区医生。 这项为期三年的计划将分四个阶段进行 大致相同的长度：1)对现有的 肿瘤会议；2)仔细地进行了选定的 在小样本医院中进行教育干预；3) 通过指定的试验验证成功的策略 医院类别(考虑规模和教学/非 教学状况)；以及4)在远程尝试成功的策略 与潜在目标相关的最终确定地点 在全国范围内传播，最好是与 NCI资助的第二个项目地点。 该项目的主要最终产品将是一套 建议和一系列材料，这些材料可能是 传播到全国各地的肿瘤委员会。这个 一揽子计划将包括1)需求评估程序，以 由每个肿瘤委员会填写；2)翻译说明 发现和从干预集合中选择 包括；3)实施每套 干预措施；4)用于监测的评价材料 实施和继续使用干预措施。

The proposed project is designed to initiate and evaluate interventions aimed at improving the educational benefit of tumor boards and tumor conferences. Its primary aim is to identify interventions which will 1) optimize the process and activities related to conduct of tumor conferences; 2) increase the size and improve the composition of the audience upon which typical tumor conferences will impact; 3) increase physician knowledge related to the diagnosis and treatment of common tumors; 4) impact the patient management strategies selected for use by physicians treating tumor patients; 5) improve the outcomes of tumor care in terms of mortality and morbidity; and 6) improve the process of information dissemination from research centers to community physicians. This three-year project will be conducted in four phases of approximately equal length: 1) an in-depth evaluation of existing tumor conferences; 2) carefully conducted pilot tests of selected educational interventions in a small sample of hospitals; 3) validation of successful strategies with trials in designated categories of hospitals (considering size and teaching/non- teaching status); and 4) trial of successful strategies at distant sites to make final determination related to potential for nationwide dissemination, optimally in cooperation with the second NCI-funded project site. The primary end product of the project will be a set of recommendations and a package of materials which could be disseminated to tumor boards throughout the country. The package will include 1) a needs assessment procedure to be completed by each tumor board; 2) instructions for interpreting findings and selecting from among the sets of interventions included; 3) detailed instructions for implementing each set of interventions; 4) and evaluation materials for monitoring the implementation and continued use of the interventions.