E-mail and Web-Based Physician Education Program on the Dissemination of Off-Labe

描述（由申请人提供）：该项目的目的是提高非典型抗精神病药物说明书外使用患者护理的质量、安全性和有效性。本提案描述了一种通过电子邮件传递的交互式学习模块的新应用程序的开发，以帮助医生了解说明书外药物使用的风险、收益和成本，从而提供最安全、最有效的患者护理。美国精神病学协会教育部门建议传播关于抗精神病药物在治疗特定DSM IV TR诊断患者的标签外使用的关键信息，以提高医生对这些药物有效使用的知识和临床意识，并为临床实践提供信息。2011年AHRQ审查，非典型抗精神病药物的说明书外使用：更新将作为提供说明书外使用证据最新信息的关键参考，除了实践指南和已发表的研究。多种学习策略的创新组合将用于教育执业精神科医生在FDA标签外临床情况下使用非典型抗精神病药物的证据，包括电子邮件和基于网络的视频和图形，在线CME课程和面对面的互动培训。核心创新教育活动将是通过电子邮件分发临床小片段（使用文本和视频），为医师学习者提供临床决策选择。并立即对所有医生的反应进行同行比较。它将为精神科医生提供一个获得CME学分以及美国精神病学和神经病学委员会自我评估学分的机会，认证维护的第2部分。为这个电子邮件活动创建的课程将成为在线继续教育培训课程和互动会议的基础。我们将使用多种策略来评估这个教育项目。考虑到超说明书使用强效药物的益处和危害，医生必须了解使用这些药物的现有临床证据。拟议研究的具体目的是：1)教育精神科医生关于非典型抗精神病药物超说明书使用的现有证据；2)运用科技和创新的教育方法组合，加强知识的学习和记忆；3)评估本教育计划。

DESCRIPTION (provided by applicant): The purpose of this project is to improve the quality, safety, and effectiveness of patient care with regard to the off-label use of atypical antipsychotics. This proposal describes the development of a novel application of interactive learning modules delivered via e-mail to help educate physicians on the risks, benefits, and costs of off-label medication use, in order to provide the safest and most effective patient care. The American Psychiatric Association Division of Education proposes to disseminate critical information about the off label use of antipsychotics in the treatment of patients with specific DSM IV TR diagnoses in order to promote physician knowledge and clinical awareness about the effective uses of these medications and inform clinical practice. The 2011 AHRQ Review, Off-Label Use of Atypical Antipsychotics: An Update will be used as a key reference in providing up-to-date information about the evidence for off-label use, in addition to Practice Guidelines and published studies. An innovative combination of multiple learning strategies will be used to educate practicing psychiatrists about evidence for use of atypical antipsychotic medications in FDA off- label clinical situations, including email and web-based video and graphics, an online CME course, and in-person interactive training The core innovative education activity will be email distribution of clinical vignettes (using text and video) that will offer physician learners clinical decision making choices, and immediate peer comparisons of all physician responses. It will offer psychiatrists an opportunity to earn CME credits as well as American Board of Psychiatry and Neurology credit for Self-Assessment, Part 2 of Maintenance of Certification. The curriculum created for this email activity will be the basis of an online CME course and interactive meeting sessions. We will use multiple strategies to evaluate this educational program. Given the benefits and harms of off-label use of powerful medications, physicians must be made aware of the available clinical evidence for their use. The specific aims of the proposed study are 1) To educate psychiatrists about existing evidence for off label use of atypical antipsychotics; 2) To use technology and innovative combinations of educational methods to enhance learning and retention of knowledge; 3) To evaluate this educational program.