ASTHMA TRAINING FOR INNER CITY PRIMARY CARE PROVIDERS

尽管《诊断和处理指南》已经出版 1991年NHLBI对哮喘的评价，哮喘管理的关键方面(吸入性 消炎治疗，病人教育，环境控制，以及 家庭峰值流量监测)很少或根本不被许多人关注 在市中心提供初级保健的医生。哮喘学者 该奖项将允许担任波士顿哮喘中心联席主任的PI 城市医院，制定一项改善市中心护理的计划 加强哮喘患者初级保健的哮喘管理技能 为波士顿的低收入人群(主要是少数族裔)提供护理的医生 邻里关系。具体目标包括：1.)开发和实施 为儿科和儿童医院的居民提供初级保健哮喘课程 波士顿大学医学院内科住院医师计划 医学。本课程将把哮喘作为慢性哮喘的一个范例。 疾病需要全面的初级保健方法，并将提供 完整的培训体验，包括临床轮换 波士顿市立医院哮喘中心。2.)开发和实施 以社区为基础的初级保健哮喘课程，面向工作人员、居民、 以及在波士顿社区卫生中心工作和培训的学生。 3.)制定和实施初级保健哮喘课程 为公立学校医疗诊所工作的医生和护士 由波士顿市立卫生和医院部门运营， 对于驻扎在所有公立学校的学校护士4.)发展 制定全面质量管理计划，以监督上述工作的成效 波士顿市中心的教育项目和哮喘护理质量 邻里关系。

Despite the publication of the Guidelines for the Diagnosis and Management of Asthma by NHLBI in 1991, key aspects of asthma management (inhaled anti-inflammatory therapy, patient education, environmental control, and home peak flow monitoring) are given little or no attention by many physicians providing primary care in the inner city. The Asthma Academic Award will allow the PI, who is Co-Director of the Asthma Center at Boston City Hospital, to develop a program to improve the care of inner-city asthmatics by enhancing the asthma management skills of primary care physicians who provide care to Boston's low-income, largely minority neighborhoods. Specific aims include: 1.) Development and implementation of a primary care asthma curriculum for residents in Pediatric and Internal Medicine Residency Programs of Boston University School of Medicine. This curriculum will present asthma as a paradigm of chronic illness requiring a comprehensive primary care approach and will provide a complete training experience, including a clinical rotation in the Asthma Center at Boston City Hospital. 2.) Development and implementation of a community-based primary care asthma curriculum for staff, residents, and students working and training in Boston's neighborhood health centers. 3.) Development and implementation of a primary care asthma curriculum for the physicians and nurses who staff the public school-based health clinics operated by the City of Boston's Department of Health and Hospitals' and for the school nurses who are based at all public schools 4.) Development of a total quality management program to monitor the efficacy of the above educational programs and the quality of asthma care in Boston's inner-city neighborhoods.