End-of-Life Care Curriculum in Medical Education

描述（由申请人提供）：在美国，临终关怀教育在医学院课程开发中受到的关注最少。 随着美国成为一个人口老龄化的国家，这一赤字尤为重要。 癌症是第二大死亡原因，发病率随着年龄的增长而增加。 为了更好地满足我们的病人的需求，我们建议开发，实施和评估临终关怀课程，这将被整合到现有的综合医学课程在我们的机构。 我们的目标是毕业的医疗专业人员谁拥有的知识，态度和技能，有效地评估个人与癌症及其家人的临终关怀需求，使他们能够提供全面的，个性化的和可衡量的临终关怀处方，促进生活质量。 这项赠款的具体目标是： 1. 审查现有的亚利桑那大学医学院课程和出版的癌症相关的临终关怀内容的课程。 2. 确定适合我们社区和文化的癌症相关临终关怀课程的核心能力。 3. 回顾亚利桑那大学医学院的课程，以确定与癌症相关的临终关怀课程的核心能力。 4. 为综合癌症临终关怀课程制定学习目标和教学方法。 5. 设计和执行评价研究，以评估核心能力的质量， 教学方法及其对学生学习的影响。 6. 建立战略，以确保癌症相关的临终关怀课程的延续，作为未来医学教育的必要组成部分。 通过对该课程的仔细评估，我们希望通过展示其有效性和可移植性来建立现有的医学教育模式。

DESCRIPTION (provided by applicant): End-of-life care education in the United States has received minimal attention in medical school curriculum development. This deficit is particularly significant as the United States is becoming a country with an aging population. Cancer is the second leading cause of death and the incidence increases with age. To better meet the needs of our patients, we propose to develop, implement and evaluate an end-of-life care curriculum which will be integrated into the existing comprehensive medical curriculum at our institution. Our goal is to graduate medical professionals who possess the knowledge, attitudes, and skills required to effectively assess the end-of-life care needs of individuals with cancer and their families and to enable them to provide comprehensive, individualized and measurable end-of-life care prescriptions that foster quality of life. The specific aims of this grant are: 1. Review the existing University of Arizona College of Medicine curriculum and published curricula for cancer-related end-of-life care content. 2. Identify the core competencies of a cancer-related end-of-life care curriculum appropriate for our community and culture. 3. Review the University of Arizona College of Medicine curriculum for the identified core competencies of a cancer-related end-of-life care curriculum. 4. Develop learning objectives and teaching methodologies for the integrated cancer-related end-of-life care curriculum. 5. Design and implement evaluation studies to assess the quality of the core competencies and teaching methodologies and their impact on student learning. 6. Establish strategies to assure continuation of the cancer-related end-of-life care curriculum as a required component of future medical education. By careful evaluation of this curriculum, we hope to build upon current models of medical education by emonstrating its efficacy and transferability.