Evidence-Based Care: Faculty & Curriculum Development

描述(由申请人提供)：循证医学(EBM)是优化患者护理的基础。西部州立脊椎按摩学院(WSCC)长期以来一直致力于提供以科学为基础的教育。然而，大多数教师没有接受过循证医学方法的正式培训，课程在整个课程中并没有整合或强化这种模式。在科学证据的批判性评估和发现研究的进行方面，教员的经验也有限。因此，有必要将循证医学正式纳入学院的教育文化。赠款的主要目标将是培训脊医，使他们具备在实践中实施循证医学模式的知识、技能和态度。为了实现这些目标，我们计划与俄勒冈健康与科学大学合作，加强课程设置，培训循证医学教学方法和临床方案开发方面的教师，并为他们参与文献合成和发现研究做好准备。我们还将为课程改革和培训计划的可持续性制定一个长期计划，并通过专业出版物和教育会议演示向其他脊椎疗法学院传播该计划。我们的计划有三个具体目标。一是修订和重组课程中的循证医学。我们将在教学课程中加强和规范循证医学技能，然后在整个项目中整合和整合循证医学技能的应用。将培训学生在制定患者治疗策略时使用循证医学。第二个目标是培训教师的循证医学技能和制定循证医学教学策略。我们将制定循证医学培训计划，并在整个课程中推广循证医学的使用。选定的教师将通过OHSU人类调查计划接受发现研究方法方面的培训。作为一项培训活动，教员将为机械性下腰痛创建标准化的诊断和治疗护理路径，包括对证据的关键评估、算法开发和最佳实践建议。第三个目标是评估循证医学培训计划。我们将评估教师和学生在课堂和教学诊所中的循证医学知识、技能和行为。

DESCRIPTION (provided by applicant): Evidence-based medicine (EBM) is the foundation for optimizing patient care. Western States Chiropractic College (WSCC) has long been dedicated to providing a science-based education. However, most of the faculty is not formally trained in EBM methods, and the curriculum does not integrate or reinforce this model throughout the program. The faculty also has limited experience in the critical appraisal of scientific evidence and the conduct of discovery research. Hence, there is a vital need to formally incorporate EBM into the College's educational culture. The principal goal of the grant will be to train chiropractors to have the knowledge, skills, and attitudes to implement the EBM model in practice. To accomplish these ends, we plan to partner with Oregon Health & Science University to strengthen the curriculum, train faculty in EBM teaching methods and clinical protocol development, and prepare them to participate in literature synthesis and discovery research. We will also develop a long-range plan for sustainability of curricular changes and training programs, and disseminate the program to other chiropractic colleges through professional publications and educational conference presentations. Our program has three specific aims. The first is to revise and reorganize EBM in the curriculum. We will strengthen and formalize EBM skills in didactic courses, then incorporate and integrate the application of EBM skills throughout the program. Students will be trained to use EBM in formulating patient treatment strategies. The second aim is to train faculty in EBM skills and develop EBM teaching strategies. We will develop an EBM training program and promote the use of EBM across the whole curriculum. Selected faculty will be given training in discovery research methods through the OHSU Human Investigations Program. As a training exercise, the faculty will create a standardized diagnostic and treatment care pathway for mechanical low back pain, including critical appraisal of evidence, algorithm development, and best-practice recommendations. The third aim is to evaluate the EBM training program. We will assess faculty and student EBM knowledge, skills, and behavior in the classroom and teaching clinics.