Collaborative Advances in Clinical Health Education (CACHE)

该教育发展项目的目的是改善医学生在社会和行为科学（SBS）的临床培训，并将这些进步传播到更广泛的医学教育界。根据我们最近的NIH K 07课程开发补助金（RFA-OD-05-001）确定的课程进展和学习者需求，创新的教育干预措施将针对医学住院医师和教授和监督医学生的主治医师。与斯坦福大学和更大的NIH联盟的合作伙伴关系将最大限度地扩大覆盖面和影响力，同时为SBS的纳入提供关键的杠杆作用。在这个项目的五年课程中，960名医学生，250名内科和儿科住院医生，以及100名医学院教师将接受我们的课程干预。项目创新包括将以社区为基础的研究理念和传播与实施科学应用于医学教育，使用循证教学方法，以及在使用直接患者护理的临床教学背景下集中关注医疗居民和教师。将通过与现有的必要课程结构密切联系，确保项目的继续。该项目的目标将通过4个具体目标实现：1）伙伴关系，2）SBS翻译，3）传播，4）评估。“伙伴关系”建立了UCSF和斯坦福大学医学院和更大的NIH SBS财团之间的合作关系，以促进课程开发和实施战略。“SBS翻译”解决了“知识翻译”的共同问题，从医学院的前两年更多的说教，以临床实践在第三年的见习。三年级医学生SBS临床教育的创新将主要由元认知技能指导以及教授学生的居民和教师的发展和支持驱动。通过地方和国家联盟的关系，有针对性的传播方案（目标3）将使更多的卫生专业教育受众获得材料和实施战略。使用标准化患者考试和SBS组合（目标4）对学习者进行基于能力的评估，将展示干预的影响，并激励学术出口。

DESCRIPTION (provided by applicant): The purpose of this educational development project is to improve medical student clinical training in the social and behavioral sciences (SBS) and to disseminate those advances to the broader medical education community. Based on curricular advances and learner needs identified by our recent NIH K07 curriculum development grant (RFA-OD-05-001), innovative educational interventions will target medical residents and attending faculty physicians who teach and supervise medical students. Partnerships with Stanford and the larger NIH consortium will maximize reach and impact while providing critical leverage for SBS inclusion. Over the five year course of this project, 960 medical students, 250 internal medicine and pediatrics residents, and 100 medical school faculty will receive our curricular interventions. Project innovations include the application of community-based research philosophies and dissemination & implementation science to medical education, the use of evidence-based teaching methods, and the intensive focus on medical residents and faculty within the context of clinical teaching using direct patient care. Project continuation will be ensured through careful linkages with existing, required curricular structures. The goals of this project will be achieved through 4 specific aims: 1) Partnership, 2) SBS Translation, 3) Dissemination, and 4) Assessment. "Partnership" establishes a collaborative relationship between UCSF and Stanford Schools of Medicine and the larger NIH SBS consortium to facilitate curriculum development and implementation strategies. "SBS Translation" addresses the common problem of "knowledge translation" from the more didactic first two years of medical school to clinical practice in third year clerkships. Innovations in SBS clinical education for third year medical students will be primarily driven by meta-cognitive skills instruction and the development and support of both the residents and faculty who teach students. Through local and national consortium relationships, targeted programs for dissemination (Aim 3) will make materials and implementation strategies available to a larger health professions education audience. Competency-based evaluations of learners using standardized patient exams and SBS portfolios (Aim 4) will demonstrate intervention impact and motivate scholarly exports.