The Development of an Interdisciplinary Oncology Palliative Care Curriculum

描述(申请人提供)：2010年，癌症有望超过心脏病，成为世界上与健康有关的最高死亡原因。几乎每个家庭都有或将面临需要癌症护理的亲人，包括根治治疗、症状控制和临终护理。我们患者群体日益增长的需求和新兴的姑息治疗科学要求在创新教育方面做出新的努力。国家组织呼吁在跨学科理解和教育方面做出新的努力，以实现姑息治疗。然而，每个学科都继续使用现有的课程结构和结构在很大程度上孤立地教授姑息治疗原则；没有关于姑息治疗中涉及所有四个学科--医学、护理、社会工作和牧师--的强制性跨学科教育的报告。 这个项目的目的是设计，实施和评估一个创新的，综合的，跨学科的肿瘤学姑息关怀课程，适用于医学、护理、社会工作和牧师专业的学生。 具体目标是： 1)设计一个创新的、跨学科的肿瘤学姑息治疗课程； 2)实施跨学科肿瘤学姑息治疗课程； 3)开发和利用评估系统，以衡量课程的有效性、学习者的结果以及对从业者和患者的长期影响。 项目工作将集中于设计、实施和测试跨学科肿瘤学姑息治疗课程。将利用创新和成熟的教育模式来确定： 1)教育目标是否与预期结果一致； 2)对于每个学科，哪些模式最有效？ 3)如何最好地整合各种模式；以及 4)哪些因素有助于课程的可持续性和可移植性。 新课程将包括八个学习活动，这些活动将成为所有三年级医学生、三年级和四年级护理学生、硕士水平社会工作学生和临床牧民教育住院医生的必修课程。除了临床轮换、授课和自学单元等传统教育模式外，还将使用非传统方法，包括标准化患者和家庭、反思性写作、姑息治疗小品、病例解决和顶峰项目。跨学科教育的附加值将在这一领域进行评估。 公共卫生相关性：几乎每个家庭都有或将面临需要癌症护理的亲人，包括根治治疗、症状控制和临终护理。在接受这种护理时，病人及其家人将需要医生、护士、牧师和社会工作者的服务。医学研究所将在跨学科团队中工作列为所有卫生保健临床医生应具备的五项核心能力之一，并呼吁以跨学科的方式对卫生专业人员进行教育，使他们为进入该领域后将参与的现实世界团队环境做好准备。该项目将为医学、护理、社会工作和牧师专业的学生创建、实施和测试一门新的、跨学科的肿瘤学姑息治疗课程。

DESCRIPTION (provided by applicant): In 2010 cancer is expected to surpass heart disease as the highest health-related cause of mortality in the world. Almost every family has or will face a loved one needing cancer care, including curative treatment, symptom control, and end-of-life care. The increasing needs of our patient population and the emerging science of palliative care call for new efforts in innovative education. National organizations have called for new efforts in interdisciplinary understanding and education in approaching palliative care. Each discipline, however, has continued to teach palliative care principles largely in silos using existing curricular structure and constructs; there are no reports of mandatory interdisciplinary education in palliative care involving all four disciplines - medicine, nursing, social work and chaplaincy. The aim of this project is to design, implement and evaluate an innovative, integrated, and interdisciplinary oncology palliative care curriculum for medical, nursing, social work and chaplaincy students. Specific aims are: 1) Design an innovative, interdisciplinary oncology palliative care curriculum; 2) Implement the interdisciplinary oncology palliative care curriculum; 3) Develop and utilize an evaluation system that measures the effectiveness of the curriculum, learner outcomes, and the long term impact on practitioners and patients. Project efforts will focus the design, implementation and testing of an interdisciplinary oncology palliative care curriculum. Innovative as well as proven education modalities will be utilized to determine: 1) If the educational objectives are aligned with the desired outcomes; 2) Which modalities are most effective for each discipline? 3) How the modalities are best integrated; and 4) What factors contribute to the sustainability and portability of the curriculum. The new curriculum will include eight learning activities that will become a required part of the curriculum for all 3rd year medical students, 3rd and 4th year nursing students, masters level social work students, and clinical pastoral education residents. In addition to traditional educational modalities such as clinical rotations, didactic sessions and self-study modules, non-traditional methods including standardized patients and families, reflective writing, a palliative care vignette, case-solving, and capstone projects will be used. The added value of interdisciplinary education will be evaluated in this field. PUBLIC HEALTH RELEVANCE: Almost every family has or will face a loved one needing cancer care, including curative treatment, symptom control, and end-of-life care. In receiving this care patients and their families will need the services of physicians, nurses, chaplains, and social workers. The Institute of Medicine lists working in interdisciplinary teams as one of five core competencies all health care clinicians should possess and calls for health professionals to be educated in an interdisciplinary manner to prepare them for the real world team environments they will participate in once entering the field. This project will create, implement and test a novel, mandatory interdisciplinary oncology palliative care curriculum for medical, nursing, social work and chaplaincy students.