The Development of an Interdisciplinary Oncology Palliative Care Curriculum

描述（由申请人提供）：2010年，癌症预计将超过心脏病，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。日益增长的患者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的理解和教育接近姑息治疗新的努力。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；目前还没有关于强制性的姑息治疗跨学科教育的报告，涉及所有四个学科——医学、护理、社会工作和牧师。

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.