Training for US Cochrane Contributors and Others

在美国和国际上，医疗保健提供者，政策制定者，研究人员，教育工作者和消费者越来越关注“循证医疗”，将最佳研究证据与临床专业知识和患者价值相结合。 科克伦协作网是一个由5,000多人组成的国际合作组织，旨在通过准备、维护和促进对医疗保健干预措施效果的系统评价的可及性，帮助人们做出明智的健康决策。 定期更新的科克伦系统评价侧重于用于预防、诊断、治疗和康复的干预措施的益处和危害。 由于这种对干预措施的有效性和有效性的关注，来自随机试验的数据被认为是最高级别的证据。 当没有随机证据可用时，使用非随机证据。 协作的工作直接对应于循证实践中心（EPC）资助计划所涵盖的活动。 这两个集团之间的联系可以而且应该加强。 可以通过举行联合会议和培训机会，让两个群体的教员代表参加，建立联系。 拟议的系列会议将在五年内举行，其总体目标是增加和改善美国对科克伦协作的参与和贡献。 会议系列包括2个大型的美国科克伦贡献者会议，一系列较小的实践培训研讨会，以及4个基于网络的远程教育模块，可不受限制地使用。 评价将是所有会议和培训教材的一个关键方面，这些教材将作相应修改。 所有远程教育单元将涵盖与培训讲习班相同的主题。 会议和研讨会的结果将是美国的临界质量-培训临床医生、教育工作者、研究人员、政策制定者和消费者准备和使用循证医疗保健的基本要素。 远程教育模块将是赠款的主要“交付物”，也是我们用于传播的主要方法。 申请人将在项目的所有阶段与EPC相关的研究人员合作。

DESCRIPTION (provided by applicant): In the U.S. and internationally, healthcare providers, policymakers, researchers, educators and consumers are increasingly focusing on "evidence-based healthcare," the integration of the best research evidence with clinical expertise and patient values. The Cochrane Collaboration is an international partnership of over 5,000 individuals that aims to help people make well-informed decisions about health by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare interventions. Cochrane systematic reviews, which are regularly updated, focus on benefits and harms of interventions used for prevention, diagnosis, treatment and rehabilitation. Because of this focus on the effectiveness and efficacy of interventions, data from randomized trials are considered the highest level of evidence. Non-randomized evidence is used when there is no randomized evidence available. The Collaboration's work corresponds directly with activities covered in the Evidence-based Practice Center (EPC) grant program. Links between the two groups could and should be stronger. Links could be forged by holding joint conferences and training opportunities involving faculty representation from both groups. The overall objective of the proposed series of conferences, which will take place over a five-year period, is to increase and improve the U.S. involvement in and contribution to the Cochrane Collaboration. The conference series includes 2 large U.S. Cochrane Contributors' Conferences, a series of smaller hands-on training workshops, and 4 web-based distance education modules for unrestricted use. Evaluation will be a key aspect of all conferences and training packages, which will be modified accordingly. All distance education modules will cover the same topics as the training workshops. The result of the conferences and workshops will be a critical mass of U.S.-based clinicians, educators, researchers, policymakers and consumers trained to prepare and use the essential elements of evidence-based healthcare. The distance education modules will be the main "deliverable" of the grant and the major method we will use for dissemination. The applicant will collaborate and partner with investigators associated with the EPCs in all stages of the project.