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Statewide Initiative to Disseminate End-of-Life Educati

全州范围内传播临终教育的倡议

基本信息

批准号：
7284219
负责人：
MICHAEL S WILKES
金额：
$ 80.04万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7284219
关键词：
Accountability Accreditation Address Adherence Adoption Adult Advance Directives Advanced Malignant Neoplasm Affect Agreement All Sites Area Attitude Budgets California Cancer Education Grant Program Cancer Patient Caring Childhood Climate Clinic Clinical Clip Cognitive Collaborations Communication Communication Methods Computer Assisted Country Development Disease Education Educational Curriculum Educational process of instructing Effectiveness Elements Emotional Equipment and supply inventories Evaluation Face Faculty Family Practice Feedback Film Focus Groups Fostering Funding Generations Goals Grant Health Personnel Health Services Health system Hospice Care Hour Individual Institution Internal Medicine Internet Knowledge Knowledge acquisition Learning Letters Life Los Angeles Malignant Neoplasms Medical Medical Education Medical Students Methods Modeling Monitor Morbidity - disease rate Numbers Nurse Psychotherapist Online Systems Outcome Pain management Palliative Care Participant Patient Care Patient Simulation Patient-Controlled Analgesia Patients Pediatrics Peer Review Performance Personal Satisfaction Persons Physician&apos s Practice Patterns Physicians Practice Guidelines Primary Care Physician Primary Health Care Production Program Evaluation Psychiatric Nursing Publications Published Comment Quality of life Research Research Infrastructure Research Personnel Residencies Resources Review Literature Role Role playing therapy Rural San Francisco Schools Secure Self Efficacy Simulate Site Social Work Social support Standards of Weights and Measures Statutes and Laws Stream Structure Students Surveys System Techniques Technology Testing Time TimeLine Training Translating Universities Ventilator Videotape Work base cancer care care preference concept continuing medical education deoxyhypusine synthase desire digital end of life end of life care functional status graduate medical education hospice environment improved inhibitor/antagonist innovation instrument medical schools medical specialties performance site programs psychosocial research clinical testing satisfaction skills social social cognition sound success terminal patient care theories tool web based interface

项目摘要

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.

描述(由申请人提供)：改善医生在向癌症患者提供临终关怀(EOL)方面的实践模式需要一种多模式的教和学方法。尽管存在EOL课程内容，但仅有课程材料的可用性并没有改善医生的执业模式。我们将运用完善的教育理论，为新一代执业医师-住院医师和医学生构建EOL课程。这门课程将培养一种纵向的综合方法，教育学习者关于EOL护理问题，影响学习者的知识、技能和态度。在加州，我们建立了史无前例的EOL联盟，包括加州大学医学院的全部5所学校，以及10多个儿科、家庭医学和内科的住院医生项目。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，并辅之以小组会议，以促进自我反省和基于实践的学习。其次，我们将在多个UC站点与学员一起实施本课程。第三，我们将对学员和项目进行全面评估。学员的成果将包括课程前/课程后关于EOL护理的知识、技能和态度的测试，客观的、结构化的沟通技能临床评估，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/满意度调查和时间表遵守情况。最后，我们将制定一项计划，在全国范围内为医生和其他医疗保健提供者广泛传播这一EOL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名加州执业医生。我们已经得到了全国各地的教育工作者、加州国土安全部和我们的联邦国会议员的支持。这种与知名教育工作者、研究人员和临床医生的独特合作将为成功实施EOL课程提供基础设施，根据学习者的需求量身定做，提供形成性反馈，并影响加州的EOL护理文化。结果将包括开发一种有效的、灵活的教育产品供全国传播，了解课程实施的实际促进者/抑制者，更好地了解学习者的需求，以及改善提供EOL癌症护理的氛围。