Medical Student Education on Alcohol Abuse and Dependence

关于酒精滥用和依赖的医学生教育

• 批准号: 7599723
• 负责人: Bradley Tanner
• 金额: $ 38.04万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7599723
• 关键词: Alcohol abuse; Alcohol consumption; Alcohol dependence; American; Area; Attitude; Biological; Clinical; Clinical Skills; Communities; Congresses; Counseling; Custom; Data; Dependence; Detection; Development; Diagnosis; Education; Educational Curriculum; Educational Intervention; Educational process of instructing; Effectiveness; Ensure; Evaluation; Face; Family; Feedback; Fees; Funding Agency; Future; Goals; Happiness; Health; Individual; Internet; Intervention; Interview; Journals; Knowledge; Learning; Marketing; Measures; Medical; Medical Education; Medical Students; Medicine; Methods; Mission; Modeling; Morbidity - disease rate; Online Systems; Outcome; Outcome Measure; Participant; Patients; Perception; Pharmacology; Phase; Physicians; Population; Pre-Post Tests; Problem-Based Learning; Randomized; Randomized Controlled Trials; Research Design; Research Personnel; Resources; Role; Self Efficacy; Small Business Innovation Research Grant; Societies; Solutions; Specific qualifier value; Stigmata; Students; Substance abuse problem; Technology; Testing; United States; United States Substance Abuse and Mental Health Services Administration; Vision; Work; alcohol abuse therapy; alcohol use disorder; base; clinical practice; commercialization; design; experience; follow-up; improved; innovation; instrument; medical schools; medical specialties; meetings; model design; novel; prototype; satisfaction; skills; skills training; social stigma; success; tool; usability; web site; willingness

DESCRIPTION (provided by applicant): Alcohol use disorders continue to be a growing problem in the United States. Fifty-three percent of Americans consume alcohol on a regular basis (SAMHSA, 2006). Approximately 6 percent of those users meet the criteria for alcohol abuse or dependence (SAMHSA, 2005); 3 percent of the U.S. population. Currently, alcohol use disorders are only covered superficially in many medical schools. Future physicians may lack the necessary knowledge and skills to effectively screen, assess, and intervene with patients with alcohol use disorders. SOLUTION: We propose a suite of Internet based modules to provide education and skills training to medical students on the topic of alcohol abuse and dependence. We will educate medical students on the background, proper assessment, and treatment options for patients with alcohol use disorders. Each module will contain a course developed with a problem-based learning approach. These modules will provide valued skills training in interviewing and assessment utilizing an approach that many medical schools are adapting today. The final product will include six individual modules for medical students. Each module will utilize a clinical case scenario approach, which will include straightforward clinical scenarios involving patients with issues related to alcohol abuse or dependence. The modules will include the following subject areas: 1) the scope of the alcohol abuse and dependence problem, 2) the role of the practicing physician in treatment, 3) proper detection, diagnosis and assessment of alcohol use disorders, 4) psychiatric and other common co-morbidities, 5) pharmacology of alcohol (and treatment options), and 6) how novel treatments are developed and implemented. APPROACH: During the Phase I project period, we will develop one of the six modules and evaluate the module with medical school students. In Phase II, we will evaluate the entire curriculum's effect on attitudes toward substance abuse patients, clinical practice, self-efficacy, and knowledge. A randomized study will compare subjects using the alcohol modules to subjects exposed to no intervention. Clinical practice changes will be measured using interviews with standardized patients. Satisfaction with our product will also be assessed. COMMERCIALIZATION: We will work with medical schools to add the modules to their curriculum. We have already developed relationships with 13 medical schools via other Clinical Tools' products and feel confident that we can create a product that will be purchased by medical schools and individual students. Three of our consultants are also directly involved in medical school curriculum review, and will guide the direction and marketing of the product. BENEFITS: Our finalized product will expand the capabilities of medical students and prepare them for the challenges they will face as practicing physicians. Upon completion of our modules, medical students will be able to effectively interview, assess, and provide proper treatment to patients with alcohol use disorders. The skills learned can also be more broadly applied to the treatment of all patients with substance abuse problems.

描述（由申请人提供）：酒精使用障碍在美国仍然是一个日益严重的问题。百分之五十三的美国人经常饮酒（SAMHSA，2006）。其中约 6% 的使用者符合酒精滥用或依赖的标准（SAMHSA，2005 年）；占美国人口的 3%。目前，许多医学院只在表面上涵盖了酒精使用障碍。未来的医生可能缺乏必要的知识和技能来有效筛查、评估和干预酒精使用障碍患者。解决方案：我们提出了一套基于互联网的模块，为医学生提供有关酒精滥用和酒精依赖的教育和技能培训。我们将为医学生提供关于酒精使用障碍患者的背景、正确评估和治疗选择的教育。每个模块将包含一门采用基于问题的学习方法开发的课程。这些模块将利用当今许多医学院正在采用的方法，提供面试和评估方面的宝贵技能培训。最终产品将包括针对医学生的六个单独模块。每个模块都将采用临床案例场景方法，其中包括涉及与酒精滥用或依赖相关问题的患者的简单临床场景。这些模块将包括以下主题领域：1) 酒精滥用和依赖问题的范围，2) 执业医师在治疗中的作用，3) 酒精使用障碍的正确检测、诊断和评估，4) 精神疾病和其他常见并发症，5) 酒精药理学（和治疗方案），以及 6) 如何开发和实施新的治疗方法。方法：在第一阶段项目期间，我们将开发六个模块之一，并与医学院学生一起评估该模块。在第二阶段，我们将评估整个课程对药物滥用患者的态度、临床实践、自我效能和知识的影响。一项随机研究将使用酒精模块的受试者与未接受干预的受试者进行比较。将通过对标准化患者的访谈来衡量临床实践的变化。还将评估对我们产品的满意度。商业化：我们将与医学院合作，将这些模块添加到他们的课程中。我们已经通过其他临床工具产品与 13 所医学院建立了合作关系，并且相信我们能够创造出可供医学院和个别学生购买的产品。我们的三名顾问也直接参与医学院课程审查，并将指导产品的方向和营销。好处：我们的最终产品将扩展医学生的能力，并使他们为作为执业医生将面临的挑战做好准备。完成我们的模块后，医学生将能够有效地采访、评估酒精使用障碍患者并为其提供适当的治疗。学到的技能还可以更广泛地应用于治疗所有有药物滥用问题的患者。