Statewide Initiative to Disseminate End-of-Life Educati

描述（由申请人提供）：改善医生在为癌症患者提供临终（EOL）护理方面的实践模式需要多模式的教学方法。虽然存在EOL课程内容，但仅提供课程材料并不能改善医生的执业模式。我们将使用健全的教育理论，为新一代的执业医师-住院医师和医学生构建EOL课程。该课程将促进纵向综合方法，教育学习者对EOL护理问题，影响学习者的知识，技能和态度。在加州，我们已经开发了一个前所未有的EOL联盟的所有5个加州医学院的大学，并在儿科，家庭医学和内科10多个住院医生计划。首先，我们将确定关键的EOL能力，并开发一个模块化的，互动的网络课程，通过小组会议，以促进自我反思和实践为基础的学习。其次，我们将在多个UC站点为学习者实施此课程。第三，我们将进行全面的学习者和计划评估。学习成果将包括围绕EOL护理的知识，技能和态度的课程前/课程后测试，沟通技能的客观结构化临床评估，以及基于实践的学习评估。计划绩效评估将包括详细的现场监控、效用/满意度调查和遵守时间轴。最后，我们将制定一项计划，在全国范围内广泛传播这一面向医生和其他卫生保健提供者的终末期课程。通过我们的继续医学教育部门和加州卫生服务部，我们可以接触到80，000名执业加州医生。我们已经得到了全国各地教育工作者、加州国土安全部和我们的联邦国会议员的支持。与著名的教育工作者，研究人员和临床医生的这种独特的合作将提供基础设施，成功地实施EOL课程，以适应学习者的需求，提供形成性反馈，并影响加州的EOL护理文化。成果将包括开发一个经过验证的，灵活的教育产品，在全国范围内传播，了解实际的促进者/抑制剂，以课程实施，更好地了解学习者的需求，并改善气候，其中提供终末期癌症护理。

DESCRIPTION (provided by applicant): Improving practice patterns of physicians in delivering end-of-life (EOL) care to cancer patients requires a multi-modal approach to teaching and learning. Although EOL curricular content exists, the availability of curricular material alone has not improved physician practice patterns. We will use sound educational theory to construct an EOL curriculum for the emerging generation of practicing physicians - resident physicians and medical students. This curriculum will foster a longitudinal comprehensive approach to educate learners on EOL care issues, impacting learner knowledge, skills and attitudes. Within California, we have developed an unprecedented EOL Consortium of all 5 University of California Schools of Medicine, and over 10 residency programs in pediatrics, family medicine and internal medicine. First, we will identify key EOL competencies, and develop a modular, interactive web-curriculum augmented by small-group sessions, to promote self-reflection and practice-based learning. Second, we will implement this curriculum with learners at multiple UC sites. Third, we will perform a comprehensive learner and program evaluation. Learner outcomes will include pre/post-curricular testing of knowledge, skills and attitudes around EOL care, objective structured clinical evaluations for communication skills, and practice-based learning assessment. Program performance evaluation will include detailed site monitoring, utility/satisfaction surveys, and timeline adherence. Finally, we will develop a plan for broad national dissemination of this EOL curriculum for physicians and other health care providers. Through our Continuing Medical Education divisions and the California Department of Health Services, we have access to 80,000 practicing California physicians. We have already obtained support of educators across the country, the California DHS, and our federal Congressman. This unique collaboration with renowned educators, researchers and clinicians will provide the infrastructure to successfully implement the EOL curriculum, to tailor it to the learner's needs, to provide formative feedback, and to affect the culture of EOL care in California. Outcomes will include development of a validated, flexible educational product for nationally dissemination, an understanding of practical facilitators/inhibitors to curricular implementation, a better understanding of learner needs, and an improvement of the climate in which EOL cancer care is delivered.