DEVELOPMENT OF A TUBERCULOSIS CURRICULUM

这项建议的目标是制定和实施全面的、 年为卫生保健提供者开设的结核病跨学科课程 学术和社区环境。我们将首先建立 在健康科学校园开设跨学科课程，培训教师 传播这些课程，并调整课程以用于 社区。我们的具体目标是：1)建立全面、 健康科学校园里的跨学科结核病课程。 目标受众将包括医生、医生助理和 护理城市地区大多数结核病病例的护士，以及 对大多数患者进行结核病评估的初级保健提供者 感染。作为这一目标的一部分，我们将使用远程医疗系统 允许传输高质量的图像和交互 位于中心位置的教职员工和位于 地理上不同的地点。结核病治疗的有效性 课程将通过：(1)事实知识的客观测试来衡量 和临床决策技能，使用书面测试和结构化 临床检查；(2)临床实践变化的评估 模式，使用有重点的图表审查。2)培养健康科学人才 教员提供结核病方面的指导。教职员工将接受培训以 传播在目标1中制定的课程。定期安排 将建立论坛，以提供持续的教育和讨论 在实习生和教职员工中，教师教学的质量将是 通过学员、同行和 专家。3)扩大对社会的教育力度。vbl.使用 洛杉矶结核病控制的教育基础设施 县，我们将把目标1中制定的结核病课程调整为 向社区卫生保健提供者，包括那些工作人员提供服务 在遇到特殊问题的人群中，包括 无家可归者、移民、艾滋病毒感染者和囚犯 惩教机构。基于计算机的交互程序使用 光盘技术和/或互联网将用于某些目标 观众。结核病控制中心的监督医生和护士 将接受培训以传播这些课程。这些药物的功效 课程将通过临床决策的客观衡量标准进行评估- 制作技巧和临床实践模式。

The goal of this proposal is to develop and implement comprehensive, interdisciplinary curricula on tuberculosis for health care providers in academic and community settings. We will first establish interdisciplinary curricula at a Health Sciences campus, train faculty to disseminate these curricula, and adapt the curricula for use in the community. Our specific aims are: 1) Establishment of comprehensive, interdisciplinary tuberculosis curricula at a Health Sciences campus. The target audience will include physicians, physician assistants and nurses who care for most tuberculosis cases in urban areas, and primary care providers who evaluate most patients for tuberculosis infection. As part of this aim, we will use a Telemedicine system that allows transmission of high-quality images and interactive videoconferencing between faculty at a central location and trainees at geographically separate sites. The effectiveness of the tuberculosis curricula will be measured by: (1) objective tests of factual knowledge and clinical decision-making skills, using written tests and structured clinical examinations; (2) evaluation of changes in clinical practice patterns, using focused chart reviews. 2)Training Health Sciences faculty to provide instruction in tuberculosis. Faculty will be trained to disseminate the curricula developed in aim 1. Regularly scheduled forums will be established to provide ongoing education and discussion among trainees and faculty, and the quality of faculty teaching will be assessed and improved through evaluations by trainees, peers and experts. 3) Expansion of educational efforts to the community. Using the educational infrastructure of Tuberculosis Control of Los Angeles county, we will adapt the tuberculosis curricula developed in aim 1 for delivery to community health care providers, including those who work with populations in which special problems are encountered, including the homeless, immigrants, HIV-infected persons and inmates of correctional institutions. Computer-based interactive programs using CD-ROM technology and/or the Internet will be used for some target audiences. Supervisory physicians and nurses at Tuberculosis Control will be trained to disseminate these curricula. The efficacy of these curricula will be assessed by objective measures of clinical decision- making skills and clinical practice patterns.