MEDICAL EDUCATION FOR TB CONTROL IN THE 21ST CENTURY

该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），尤其是初级保健 提供者在三种不同的管理式医疗保健模式下工作。它 预计改进的结核病教育将产生长期的健康 对结核病感染和疾病高发人群的益处， 风险，波士顿和剑桥的内城人口， 哈佛教学医院。进一步预计， 对结核病控制的公共卫生方面的认识将减少 在这些社区的传播，从而减少未来的结核病。 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 哈佛医学界的健康专家。项目 首先对课程中的结核病内容进行详细审计 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项目。基于 审计结果，课程的跨学科改进将 在HMS的专业教育工作者的帮助下开发， 与多位课程负责人进行了谈判。自学材料 使用HMS学生的掌上电脑也将被开发。一 新的第四年跨学科结核选修，将提供给两个HMS 和HSPH学生的建议。对这些举措的评估将 通过定期重新审核课程， 与HMS教育工作者一起开发的工具。增加干预措施 住院医师和执业初级保健医生的教学也 提出了因为许多教育方法和材料 在HMS开发的，如教学案例，被其他医疗机构使用， 学校，这个项目的好处可能会蔓延到哈佛之外 机构职能体系

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.