The Development of an Interdisciplinary Oncology Palliative Care Curriculum

跨学科肿瘤学姑息治疗课程的开发

• 批准号: 8136115
• 负责人: MARK P PFEIFER
• 金额: $ 29.98万
• 依托单位: UNIVERSITY OF LOUISVILLE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8136115
• 关键词: Address; Adult; Awareness; Cancer Control; Cancer Patient; Caring; Clinical; Communities; Development; Discipline; Discipline of Nursing; Education; Educational Curriculum; Educational process of instructing; Environment; Evaluation; Face; Family; Health; Health Professional; Health Sciences; Healthcare; Heart Diseases; Institute of Medicine (U.S.); Knowledge; Learning; Malignant Neoplasms; Mandatory Reporting; Medical; Medical Students; Medicine; Methods; Modality; NIH Program Announcements; Nurses; Nursing Students; Outcome; Palliative Care; Patient Care; Patients; Physicians; Rotation; Science; Services; Social Work; Social Workers; Structure; Students; Symptoms; System; Technology; Testing; Training; Translating; United States National Institutes of Health; Work; Writing; cancer care; career; clinical practice; design; effectiveness measure; end of life; evidence base; evidence based guidelines; experience; flexibility; innovation; loved ones; mortality; novel; oncology; patient population; portability; programs; public health relevance

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.

描述（由申请人提供）：预计到 2010 年，癌症将超过心脏病，成为世界上与健康相关的死亡率最高的原因。几乎每个家庭都有或将面临需要癌症护理的亲人，包括治疗、症状控制和临终关怀。我们的患者群体不断增长的需求和新兴的姑息治疗科学要求我们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，主要在孤岛中教授姑息治疗原则；目前还没有关于姑息治疗领域强制跨学科教育涉及医学、护理、社会工作和牧师这四个学科的报告。 该项目的目的是为医学、护理、社会工作和牧师学生设计、实施和评估创新、综合和跨学科的肿瘤学姑息治疗课程。 具体目标是： 1) 设计创新的、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来衡量课程的有效性、学习者的成果以及对从业者和患者的长期影响。 项目工作重点是跨学科肿瘤学姑息治疗课程的设计、实施和测试。将利用创新且经过验证的教育方式来确定： 1）教育目标是否与预期结果一致； 2) 哪种模式对于每个学科最有效？ 3）如何最好地整合这些模式；和 4）哪些因素有助于课程的可持续性和可移植性。 新课程将包括八项学习活动，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师教育住院医师课程的必修部分。除了临床轮转、教学课程和自学模块等传统教育方式外，还将使用非传统方法，包括标准化患者和家庭、反思性写作、姑息治疗小插曲、案例解决和顶点项目。跨学科教育的附加值将在该领域进行评估。 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，包括治疗、症状控制和临终关怀。在接受这种护理时，患者及其家人将需要医生、护士、牧师和社会工作者的服务。医学研究所将跨学科团队工作列为所有医疗保健临床医生应具备的五项核心能力之一，并呼吁卫生专业人员以跨学科的方式接受教育，为他们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、社会工作和牧师学生创建、实施和测试一种新颖的、强制性的跨学科肿瘤学姑息治疗课程。