Medical Student Education on Alcohol Abuse and Dependence

关于酒精滥用和依赖的医学生教育

基本信息

批准号：
7816255
负责人：
Bradley Tanner
金额：
$ 11.95万
依托单位：
CLINICAL TOOLS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2011-03-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7816255
关键词：
Address Alcohol abuse Alcohol consumption Alcohols American Arts Attitude Awareness Behavior Caring Case Study Clinical Clinical Skills Communities Compassion Complement Computers Congresses Data Decision Making Dependence Development Diagnosis Disease Documentation Education Education Projects Educational Curriculum Educational Intervention Educational Materials Educational process of instructing Effectiveness Evaluation Feedback Fees Funding Funding Agency Future Goals Health Internet Interview Journals Knowledge Learning Life Marketing Measures Medical Licensure Medical Students Methodology Methods Mission Modeling Nature Online Systems Participant Patient Care Patient Education Patients Performance Phase Physicians Population Pre-Post Tests Process Randomized Controlled Trials Recording of previous events Recovery Research Personnel Resources Risk Screening procedure Self Efficacy Small Business Innovation Research Grant Specific qualifier value Stereotyping Structure Students Technology Testing Time Training United States National Institutes of Health United States Substance Abuse and Mental Health Services Administration Vision addiction alcohol misuse alcohol use disorder base case-based commercialization cost design disorder risk experience follow-up human subject innovation instrument medical schools medical specialties meetings member model design novel prototype public health relevance response satisfaction skills skills training social standardize measure success tool treatment planning usability

项目摘要

DESCRIPTION (provided by applicant): This is a competitive revision application in response to NOT-OD-09-058 "NIH Announces the Availability of Recovery Act Funds for Competitive Revision Applications". Medical schools provide little background and training to prepare future physicians to deal with alcohol misuse, abuse and dependence seen in the population. To address this need we are current completing 1R44AA016724-01A1: Medical Student Education on Alcohol Abuse and Dependence, an SBIR Fast-Track (Phase I/II) project to create an online curriculum to educate medical students on the background, proper assessment, and treatment options for patients with alcohol misuse and use disorders. The product combines case studies and interactive learning to teach screening and assessment for alcohol misuse and proper treatment decision making to help patients who misuse alcohol. Phase I of this SBIR project: 1) developed a curriculum plan to cost-effectively prepare physicians-in-training with the knowledge and skills to effectively screen, assess, and intervene, 2) developed one module, "Alcohol Use, Misuse, and Patient Care" and 3) demonstrated (n=32) a significant increase in knowledge pre/post test, (p<0.001), and statistically significant increase in attitudes, self-efficacy, and intended behavior (p<0.05). Phase II is completing our computer-based training curriculum and already planned to utilize a remote Internet-chat based live Standardized Patient (SP) component to assess clinical skills related to alcohol use assessment. Our implementation mirrors the use of SPs in the Step 2 (CS) US Medical Licensure Exam (USMLE). The supplement requests funding to expand the Phase II project by creating and incorporating an additional educational component based around a novel, remote live Standardized Patient for training purposes. The SP experience will be the equivalent of an additional module for the curriculum, yielding a total of 8 modules. In the new module students will have the opportunity to rehearse the clinical skills presented in the other modules by using Internet chat with a remote live SP actor. Feedback regarding the student's performance will be provided using standardized measures based on typical OSCE exam checklists and Likert scales. Because the supplement enhances skills training, it significantly enhances the potential to deliver a cost-effective training experience to students throughout years 1 to 4 of any medical school. It also provides a stable and state of the art framework upon which course directors and clerkship directors can further build and refine patient assessment and care skills. The study, use of human subjects, and planned assessments remain unchanged in the original application. In keeping with ARRA, funds will be used to hire additional staff and pay consultants to add the module. PUBLIC HEALTH RELEVANCE: Alcohol use, and especially abuse, continues to be a widespread public and social health problem. Approximately 6% of Americans suffer from alcohol abuse or dependence, while many more are at-risk for these disorders (SAMHSA 2005). However, addiction as a disease is not well understood since not all of us are equally liable to suffer from the diseases of addiction. Nonetheless the destructiveness of addiction is apparent to all. Misuse of alcohol is often overlooked by physicians, many of whom are not well prepared to adequately deal with patients who abuse alcohol. We chose to focus our educational materials on alcohol abuse and dependence because of the tremendous education potential of this topic. The topic can not only effect knowledge, attitude, confidence and understanding of addiction, but can also break stereotypes and teach a full range of doctoring from compassion to strict rule-following. There is much that a student can learn from this topic and apply to better the health of their patients.

描述（由申请人提供）：这是响应于NOT-OD-09-058的竞争性修订申请：“ NIH宣布为竞争性修订申请提供恢复法案资金的可用性”。医学院几乎没有提供背景和培训，以准备未来的医生来应对滥用酒精，滥用和依赖人群。为了满足这一需求，我们目前正在完成1R44AA016724-01A1：关于酗酒和依赖的医学生教育，SBIR快速轨道（I阶段/II）项目，旨在创建在线课程，以对医学生教育医学生，适当评估，对患者进行酒精滥用和使用疾病的患者的治疗选择。该产品结合了案例研究和互动学习，以教授滥用酒精的筛查和评估，以及适当的治疗决策，以帮助滥用酒精的患者。该SBIR项目的第一阶段：1）制定了一项课程计划，以成本效率地为接受知识和技能进行培训的医师准备有效筛选，评估和干预，2）开发了一个模块，“酒精使用，滥用和患者护理”（n = 32）证明了（n = 32）（n = 32）的知识显着增加，并且在测试后（p <0.001）和统计学上的有效性，并且在统计学上有效，并有效地提高了效果，并且有效地增加了，并且有效地增加了，并且有效地增加了，并且有效地增加了，并且有效地增加了效果，并且有效地提高了效果。（p <0.05）。第二阶段正在完成我们的基于计算机的培训课程，并且已经计划利用远程互联网的实时标准化患者（SP）组件来评估与酒精使用评估有关的临床技能。我们的实施反映了在美国医疗许可考试（USMLE）的步骤2（CS）中使用SPS的。补充要求通过创建并纳入基于新颖的，远程的实时标准化患者来培训目的来创建和纳入额外的教育组件来扩大II期项目的资金。 SP体验将等效于课程的其他模块，总共产生8个模块。在新的模块中，学生将有机会通过与远程实时SP演员使用互联网聊天来排练其他模块中介绍的临床技能。将使用基于典型的OSCE考试清单和李克特量表的标准措施提供有关学生表现的反馈。由于补充剂可以增强技能培训，因此在任何医学院的1至4年中，都会为学生提供具有成本效益的培训经验的潜力。它还提供了一个稳定且最新的框架，课程董事和职员董事可以进一步建立和完善患者评估和护理技能。在原始应用中，研究，使用人类受试者和计划的评估保持不变。为了与ARRA保持一致，资金将用于雇用额外的员工和付费顾问来添加模块。公共卫生相关性：饮酒，尤其是滥用，仍然是一个普遍的公共和社会健康问题。大约6％的美国人患有酗酒或依赖性，而这些疾病的危险中有更多的人（Samhsa 2005）。但是，成瘾是一种疾病，这并不是很好的理解，因为并非所有人同样容易患上成瘾的疾病。尽管如此，成瘾的破坏性对于所有人来说都是显而易见的。医生通常会忽视滥用酒精，其中许多人没有做好充分准备与滥用酒精的患者进行充分处理。由于该主题的巨大教育潜力，我们选择将教育材料集中在酗酒和依赖上。该主题不仅可以影响知识，态度，信心和对成瘾的理解，而且还可以打破刻板印象，并教授从同情心到严格遵守规则的全部医生。学生可以从这个主题中学到很多东西，并适用于改善患者的健康。