Cancer palliative Education Network (Cancer PEN)

描述（由申请人提供）：癌症姑息教育网络（CancerPEN）的目标是为实践相关的，基于问题的虚拟学习网络创造机会，该网络专门针对跨学科临床医生在生命结束时照顾患者。该项目将开发一个跨学科的网上姑息治疗课程，供（a）斯坦福大学医学院的医科学生和实习医生使用，以及（B）在斯坦福大学、退伍军人事务部设施和加州、内华达州和夏威夷经医疗保险认证的社区收容所工作的临床医生（医生、护士和社会工作者）使用。姑息治疗课程的总体目标是让学习者了解姑息治疗的科学原理，并学习缓解晚期癌症患者常见和令人痛苦的症状的策略。课程的特别重点领域包括：（a）对死亡和临终的态度存在文化差异;（B）提供具有文化敏感性和胜任的护理;（c）评估和减轻癌症患者在生命结束时常见的令人痛苦的心理症状。我们将增加核心网络材料，增加数字化视频剪辑、相关外部网站和其他学习资源的链接。我们将通过一个互联网门户网站促进访问，该门户网站将发挥双重作用：（a）提供持续的学习者支持（通过网络板、可下载的就业辅助工具和其他教育资源），以及（B）网络课程的营销工具。我们将开发实践和评估测试，并在线维护。我们将通过课程模块和半结构化在线调查自动分析个人学习者的运动，研究CancerPEN课程的可用性和有效性。将通过基于浏览器的界面自动分析CancerPEN门户活动，目的是提高门户的有效性。我们将开发和评估机制，以传播基于网络的内容，姑息治疗临床医生在VA设施，社区临终关怀设施和感兴趣的医学院在全国各地。最后，我们将把CancerPEN纳入斯坦福大学医学数字课程，并与其他斯坦福大学课程沿着定期更新。

DESCRIPTION (provided by applicant): The goal of the Cancer Palliative Education Network (CancerPEN) is to create opportunities for a practice relevant, problem-based virtual learning network specifically tailored towards interdisciplinary clinicians caring for patients at the end-of-life. The project will develop an interdisciplinary, web-based palliative care course to be used by (a) medical students and physicians-in-training at the Stanford University School of Medicine, and (b) clinicians (physicians, nurses and social workers) working in Stanford University, VA facilities and Medicare-certified community hospices in California, Nevada and Hawaii. The overall objectives of the palliative care curriculum is for learners to develop an understanding of the scientific principles of palliative care as well as learn strategies to palliate common and distressing symptoms often seen in patients with advanced cancer. Areas of special curricular focus include (a) cultural differences in attitudes toward death and dying, (b) provision of culturally sensitive and competent care and (c) assessment and palliation of common and distressing psychological symptoms seen in cancer patients at the end of life. We shall augment the core web-based material with links to clips of digitized video, relevant external web sites, and additional learning resources. We shall facilitate access through an Internet portal, which will serve dual purposes of (a) providing ongoing learner support (through web boards, downloadable job aids and other educational resources) as well as (b) a marketing tool for the web-based curriculum. We shall develop practice and evaluation tests and maintain them online. We will study the usability and effectiveness of the CancerPEN curriculum via automated analysis of individual learner movement through the curricular modules and through semi-structured online surveys. Automatic analysis of the CancerPEN portal activity will be done via a browser-based interface with the goal of improving the effectiveness of the portal. We shall develop and evaluate mechanisms to disseminate the web-based content to palliative care clinicians at VA facilities, community hospice facilities and interested medical schools throughout the country. Finally, we shall incorporate the CancerPEN into the Stanford Medical Digital Curriculum and update it regularly along with the other Stanford curricula.