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。西方国家脊椎医学学院（WSCC）长期以来一直致力于提供科学为基础的教育。然而，大多数教师没有接受过EBM方法的正式培训，课程也没有在整个项目中整合或加强这种模式。教师在科学证据的批判性评估和发现研究的实施方面也缺乏经验。因此，有必要将循证医学正式纳入学院的教育文化。拨款的主要目标是培训脊医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EBM教学方法和临床方案制定的教师，并为他们参与文献合成和发现研究做好准备。我们还将为课程变化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讲将该计划传播到其他脊医学院。我们的项目有三个具体目标。一是对循证医学课程进行修订和重组。我们将在教学课程中加强和规范循证医学技能，然后在整个项目中纳入和整合循证医学技能的应用。学生将接受培训，使用循证医学制定患者治疗策略。第二个目标是培训教师的循证医学技能，并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的培训。作为一项培训活动，教师将为机械性腰痛创建标准化的诊断和治疗护理途径，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EBM培训项目。我们将评估教师和学生在课堂和教学诊所的EBM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.