Integration of Palliative Care Training into Oncology

描述（由申请人提供）：将姑息治疗整合到所有癌症患者的连续护理中被认为是最佳肿瘤护理的必要条件，但这方面的培训不足。每年在美国，150万被诊断患有癌症的人中有30%-50%，50万晚期癌症患者中有70%-90%的人经历着无法缓解的痛苦。尽管研究表明，大多数与癌症相关的痛苦可以通过接受过适当姑息治疗培训的肿瘤学家来缓解，但这种情况仍然发生。这种持续的痛苦是未能将姑息治疗知识转化为美国肿瘤学家的实践的结果。 在过去的十年里，我们一直在开发有效的姑息治疗教学课程元素。在这个项目中，我们将建立在这一记录的基础上。我们有承诺， 美国临床肿瘤学会（ASCO）及其专业发展委员会的肿瘤学培训计划小组委员会，代表计划主任开发，评估和传播一种新颖的在线课程，以改善所有人的培训。 肿瘤学研究员这个项目有可能对癌症患者产生巨大的影响。在ASCO的承诺和支持下，其强大的教育计划和优秀的在线教育平台，以及研究人员的专业知识和经验，该提案有可能通过推进和标准化如何向肿瘤学研究员教授姑息治疗来改善所有肿瘤患者的护理。 该项目的具体目标是： 1. 为肿瘤学研究员开发姑息医学的在线互动课程，可通过著名和成功的ASCO大学教育网站访问; 2. 检验这样的假设：除了参与姑息治疗的临床轮换之外，在线互动课程还会产生与接触在线课程相同程度的知识、技能和行为变化; 3. 检验完成在线互动课程的研究员在肿瘤学培训考试中的表现优于未完成此类课程的研究员的假设;以及 4. 测试完成在线互动课程的研究员会改变他们的处方行为的假设。

DESCRIPTION (provided by applicant): The integration of palliative care into the continuum of care for all patients with cancer is recognized as essential for optimal oncology care, but trainin in this area is inadequate. Each year in the U.S., 30%-50% of the 1.5 million people diagnosed with cancer and 70%-90% of the 500,000 people with end-stage cancer experience unrelieved suffering. This occurs despite research demonstrating that the majority of suffering associated with cancer can be relieved by oncologists with adequate palliative care training. This persistent suffering is a result of the failure to translate palliative care knowledge to the practices of US oncologists. For the last ten years, we have been developing effective curricular elements for teaching palliative care. In this project, we will build on that track record. We have the commitment of the American Society of Clinical Oncology (ASCO) and its Oncology Training Programs Subcommittee of the Professional Development Committee that represents program directors to develop, evaluate, and disseminate a novel, online curriculum that will improve the training of all oncology fellows in perpetuity. This project has the potential for enormous impact on cancer patients. With the commitment and support of ASCO, its strong education programs and excellent online education platform, and the expertise and experience of the investigators, this proposal has the potential to improve the care of all oncology patients through the advancement and standardization of how palliative care is taught to oncology fellows. The specific aims of this project are: 1. Develop an online interactive curriculum in palliative medicine for oncology fellows accessible through the prominent and successful ASCO University educational website; 2. Test the hypothesis that an online interactive curriculum yields changes in knowledge, skills, and behavior to the same extent as exposure to the online curriculum in addition to participation in a clinical rotation in palliative care; 3. Test the hypothesis that fellows who complete an online interactive curriculum will perform better on the oncology in-training examination than fellows who do not complete such a curriculum; and 4. Test the hypothesis that fellows who complete an online interactive curriculum will change their prescribing behavior.