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，课程也没有在整个课程中整合或加强这种模式。该学院在科学证据的批判性评估和发现研究的开展方面也经验有限。因此，有一个重要的需要，正式纳入循证医学学院的教育文化。拨款的主要目的是培训脊医，使他们具备实践循证医学模式的知识、技能和态度。为了实现这些目标，我们计划与俄勒冈州健康与科学大学合作，加强课程，培训教师循证医学教学方法和临床协议的制定，并准备他们参与文献综合和发现研究。我们还将制定一项长期计划，以确保课程改革和培训计划的可持续性，并通过专业出版物和教育会议介绍将该计划传播到其他脊椎治疗学院。我们的计划有三个具体目标。一是修订和重组循证医学课程。我们将在教学课程中加强和正式化EBM技能，然后在整个课程中纳入和整合EBM技能的应用。学生将接受培训，在制定患者治疗策略中使用循证医学。第二个目标是培养教师的循证医学技能和发展循证医学教学策略。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应用。选定的教师将通过OHSU人类调查计划获得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，包括对证据的批判性评估，算法开发和最佳实践建议。第三个目的是评估循证医学培训计划。我们将评估教师和学生循证医学的知识，技能和行为在课堂和教学诊所。

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.