Innovative Curriculum for Mid-Career Training in Palliative Care
姑息治疗中期职业培训的创新课程
基本信息
- 批准号:8322856
- 负责人:
- 金额:$ 31.05万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-09-13 至 2013-03-15
- 项目状态:已结题
- 来源:
- 关键词:AccreditationAdvanced Malignant NeoplasmAffectAgingAmericanAttentionAttitudeBedsBehaviorBehavioralCancer CenterCarcinoma in SituCaringCompetenceConfounding Factors (Epidemiology)ConsumptionCountryCoupledDataDeveloping CountriesDevelopmentDiagnosisEducationEducational CurriculumEducational InterventionEducational process of instructingEnvironmentEvaluationFacultyFamilyFellowshipFellowship ProgramFoundationsGoalsHealthHealthcare SystemsHome environmentInstitutesInstitutionInternationalInterventionKnowledgeLearningMalignant NeoplasmsMeasuresMedicalMedical StudentsMentorsMorphineNarcotic ControlsOncologistOpioidOutcomePalliative CarePalliative MedicineParticipantPatient CarePatientsPhysiciansPopulationPre-Post TestsPrincipal InvestigatorQuality of lifeReportingResidenciesSchemeServicesSkinSocietiesSpecialistStructureTestingTimeTrainingTraining ProgramsUnited StatesWood materialWorkbasecancer diagnosiscandidate selectioncareerdesigneducation evaluationend of lifeexperiencehospice environmentimprovedinnovationinterestmedical specialtiesmeetingspalliativeprogramspsychological distresspublic health relevanceskillstool
项目摘要
DESCRIPTION (provided by applicant): In the US, there is an enormous gap between the need for physicians with specialist palliative medicine skills and the supply. Traditional fellowship programs will not be able to supply the number of physicians needed in the next 10-20 years. Innovative approaches to bringing mid-career physicians up to specialist levels are needed to help meet this gap.
An effective curriculum for mid-career physicians who wish to develop subspecialist level skills in palliative medicine without participating in an ACGME-accredited fellowship program will help fill this gap. This project takes an innovative approach to training and curriculum development that involves:
1. careful selection of candidates,
2. institutional support,
3. a structured period of both didactic and mentored bedside teaching in the home institution and,
4. short mini-residencies of 4-6 weeks in duration that results in physicians with subspecialist skills.
Most evaluation schemes of educational interventions measure attitudes and knowledge. Recent innovations have permitted us to measure some skills. Routine behavioral practice and aggregate patient outcomes have been much more difficult to measure. To provide an independent measure of physician training in hospice and end-of-life care, the designed curriculum will be tested with physician populations and healthcare systems where there are few confounding variables - by training mid-career physicians from developing countries and then bringing the proven curriculum to physicians in the US. By utilizing this trainee population, the curriculum can be tested in an environment with no competing educational interventions and no preexisting indications for/or usage of morphine, and there is the potential to see much greater change than in the usual educational intervention in the United States (US).
This application tests the hypothesis that a curriculum in palliative care for mid-career physicians that combines didactic information with bedside mentoring while the physician is building a palliative care program improves patient-care outcomes. The primary endpoint will be an increase in morphine and morphine-equivalent opioid consumption in each country where the intervention is targeted as measured and reported by the International Narcotics Control Board (INCB). Five secondary endpoints will provide data from structured and objective evaluation of skill, attitudes, knowledge, and competence, track number and types of patients seen by the mid-career physicians receiving palliative medicine training, and through changes in the situation in each involved country over time. In this application, we specifically aim to:
1. develop a curriculum for mid-career physicians who wish to acquire subspecialty skills in hospice and palliative medicine and
2. evaluate the outcomes of the curriculum with special emphasis on measures of patient and societal outcomes.
PUBLIC HEALTH RELEVANCE: The US must develop medical professionals in palliative care, to relieve suffering and improve the quality of life for those with advanced cancer. There are more than 2.4 million new diagnoses of cancer each year; if the 1 million diagnoses of skin and in situ cancers are excluded, that leaves 1.4 million people with 'serious' cancer, and this number is expected to grow significantly over the next few decades with the aging of the US population. Many of these people will experience significant physical and/or psychological distress as their cancers advance. A proven training program for mid-career physicians will respond to the current shortage of physicians capable of providing adequate palliative care for these patients.
描述(由申请人提供):在美国,对具有专业姑息医学技能的医生的需求与供应之间存在着巨大的差距。传统的奖学金计划将无法提供未来10-20年所需的医生数量。需要创新的方法,将职业生涯中期的医生提升到专科水平,以帮助弥补这一差距。
对于希望在不参加ACGME认可的奖学金计划的情况下发展姑息医学亚专科水平技能的职业中期医生来说,有效的课程将有助于填补这一空白。该项目采用一种创新的培训和课程开发方法,包括:
1.仔细挑选候选人,
2.制度支持,
3.在家庭机构进行有组织的床边授课和辅导,
4.为期4-6周的短期小型实习,培训具有专科技能的医生。
大多数教育干预评估方案衡量的是态度和知识。最近的创新使我们能够衡量一些技能。常规的行为实践和患者的总体结果一直很难衡量。为了提供临终关怀和临终关怀方面的医生培训的独立衡量标准,设计的课程将在几乎没有混淆变量的医生群体和医疗系统中进行测试-通过培训来自发展中国家的职业生涯中期医生,然后将经过验证的课程带给美国的医生。通过利用这些受训人群,课程可以在没有竞争的教育干预和没有预先存在的吗啡使用迹象的环境中进行测试,并且有可能看到比美国通常的教育干预中更大的变化。
这个应用程序测试了这样一个假设,即在医生建立姑息治疗计划的同时,为职业生涯中期的医生开设的姑息治疗课程将教学信息与床边指导结合起来,可以改善患者的护理结果。主要终点将是国际麻醉品管制局(麻管局)衡量和报告的干预目标国家的吗啡和相当于吗啡的阿片类药物消费量的增加。五个次级终端将提供对技能、态度、知识和能力的结构化和客观评估的数据,跟踪职业生涯中期接受姑息治疗培训的医生所见患者的数量和类型,以及通过每个相关国家随着时间的变化情况的变化。在本申请中,我们的具体目标是:
1.为希望获得临终关怀和姑息医学专科技能的中年医生制定课程,并
2.评估课程成果,特别强调衡量患者和社会成果。
与公共卫生相关:美国必须培养姑息治疗方面的医疗专业人员,以减轻晚期癌症患者的痛苦,提高他们的生活质量。每年新诊断的癌症超过240万例;如果剔除100万例皮肤癌和原位癌,那么只有140万人患有严重的癌症,而且随着美国人口老龄化,这一数字预计将在未来几十年内大幅增长。随着癌症的发展,这些人中的许多人将经历严重的身体和/或心理痛苦。一项针对职业生涯中期医生的成熟培训计划将应对目前能够为这些患者提供足够姑息治疗的医生短缺的问题。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Frank Douglas Ferris MD其他文献
Frank Douglas Ferris MD的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Frank Douglas Ferris MD', 18)}}的其他基金
Innovative Curriculum for Mid-Career Training in Palliative Care
姑息治疗中期职业培训的创新课程
- 批准号:
8536732 - 财政年份:2010
- 资助金额:
$ 31.05万 - 项目类别:
Innovative Curriculum for Mid-Career Training in Palliative Care
姑息治疗中期职业培训的创新课程
- 批准号:
8738616 - 财政年份:2010
- 资助金额:
$ 31.05万 - 项目类别:
Innovative Curriculum for Mid-Career Training in Palliative Care
姑息治疗中期职业培训的创新课程
- 批准号:
7943833 - 财政年份:2010
- 资助金额:
$ 31.05万 - 项目类别:
Innovative Curriculum for Mid-Career Training in Palliative Care
姑息治疗中期职业培训的创新课程
- 批准号:
8142186 - 财政年份:2010
- 资助金额:
$ 31.05万 - 项目类别: