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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）：这是一份竞争性修订申请，以响应NOT-OD-09-058“NIH宣布恢复法案资金可用于竞争性修订申请”。医学院提供的背景知识和培训很少，无法帮助未来的医生应对人群中出现的酒精滥用、滥用和依赖。为了满足这一需求，我们目前正在完成1 R44 AA 016724 - 01 A1：酒精滥用和依赖的医学生教育，SBIR快速通道（I/II期）项目，以创建一个在线课程，教育医学生对酒精滥用和使用障碍患者的背景，适当的评估和治疗方案。该产品结合了案例研究和互动学习，教授酒精滥用的筛查和评估以及正确的治疗决策，以帮助滥用酒精的患者。SBIR项目的第一阶段：1）制定了一个课程计划，以经济有效地为培训中的医生提供有效筛选、评估和干预的知识和技能，2）开发了一个模块，“酒精使用、滥用和患者护理”，3）证明（n=32）测试前/后知识显著增加，（p<0.001），态度、自我效能和预期行为在统计学上显著增加（p<0.05）。第二阶段正在完成我们的计算机培训课程，并已计划利用远程互联网聊天为基础的现场标准化病人（SP）的组成部分，以评估与酒精使用评估有关的临床技能。我们的实现反映了SP在第2步（CS）美国医疗执照考试（USMLE）中的使用。该补充申请资金，以扩大第二阶段项目，创建和纳入一个额外的教育组成部分，围绕一个新的，远程生活标准化病人的培训目的。SP体验相当于课程的一个额外模块，总共有8个模块。在新的模块中，学生将有机会通过与远程现场SP演员进行互联网聊天来排练其他模块中提出的临床技能。关于学生的表现将使用基于典型的欧安组织考试清单和李克特量表的标准化措施提供反馈。由于补充加强技能培训，它显着提高了潜力，提供一个具有成本效益的培训经验，学生在整个年1至4的任何医学院。它还提供了一个稳定的最先进的框架，在此基础上，课程主任和实习主任可以进一步建立和完善病人的评估和护理技能。原始申请中的研究、人类受试者的使用和计划的评估保持不变。为了与ARRA保持一致，资金将用于雇用更多的工作人员和支付顾问费用以增加模块。公共卫生相关性：酒精使用，特别是滥用，仍然是一个普遍的公共和社会健康问题。大约6%的美国人患有酒精滥用或依赖，而更多的人处于这些疾病的风险中（SAMHSA 2005）。然而，成瘾作为一种疾病还没有得到很好的理解，因为并非我们所有人都同样容易患有成瘾疾病。然而，成瘾的破坏性是显而易见的。滥用酒精往往被医生忽视，他们中的许多人没有做好充分的准备来处理滥用酒精的病人。我们选择将我们的教育材料重点放在酗酒和依赖上，因为这一主题具有巨大的教育潜力。该主题不仅可以影响知识，态度，信心和对成瘾的理解，而且还可以打破陈规定型观念，教授从同情到严格遵守规则的全方位治疗。学生可以从这个话题中学到很多东西，并应用于改善患者的健康。