Evidence-Based Practice II: Faculty & Curriculum Development

描述（由申请人提供）：西部州脊医学院（与俄勒冈健康与科学大学合作）已经成功实施了第一版新的EBP课程和对教师的初步培训。续期拨款的主要目标是建立和改善新的EBP课程，并将其更无缝地融入学院的制度和文化结构，以便在第一个拨款周期内取得的成果得以维持。为了实现这一目标，必须进一步关注确保项目的可持续性，扩大教师EBP技能和参与，向脊医和CAM社区传播EBP过程和产品，加强EBP方法在临床层面的应用，并继续进行项目评估。为此目的，已确定了五个目标，并为实现这些目标制订了若干项目。目标1是评估、修订和管理新的EBP课程。这将通过三个项目来完成。在第一笔拨款中开发的EBP课程将被评估和更新。教授EBP学习模块的教师将协调课堂作业并解决差距/重叠问题。将开发和维护支持工具，供学生和教师使用。目标二是通过三个项目加强教师发展计划。高级教师EBP培训将包括文献检索和批判性评价、教学策略和生物统计学方面的课程研讨会。一个教师指导计划将被开发，以满足个别教师的需求。此外，还将为新教师制定一个自我指导、导师协助的课程，以涵盖所需的EBP技能。目标3是增加专业外联。会议将介绍补充和替代医学（CAM）机构的EBP教学和项目开发。研究生研讨会亦会为脊医及其他CAM从医人士举办应用EBP的讲座。目标4是通过开发患者护理途径来扩大EBP的临床应用。教师将使用EBP原理来创建评估和管理常见头痛的协议，以用于我们的脊椎指压临床系统。目的5是评估EBP项目。我们将继续使用第一笔拨款的工具评估学生的知识、态度和技能；我们将开发新的工具来评估EBP实践和校友面临的障碍。我们将评估学生和教师对EBP培训的满意度。最后，我们将在课堂和诊所系统中监测项目的实施情况。该计划的创新之处在于，它不是更新单一的EBP课程或系列课程，而是寻求将EBP技能和知识整合到整个课程中，同时培养一支懂EBP的大学教师队伍，而不是仅仅培养几个内容专家。这样一个项目的成功可能会对脊医学院如何教授EBP产生重大影响。

DESCRIPTION (provided by applicant): Western States Chiropractic College (in conjunction with the Oregon Health & Science University) has successfully implemented the 1st version of the new EBP curriculum and initial training of the faculty. The principal goal of this grant renewal will be to build upon and improve the new EBP curriculum and to integrate it more seamlessly into the institutional and cultural fabric of the College so that gains made during the first grant cycle are sustained. To achieve this goal, further attention must be paid to ensuring program sustainability, broadening faculty EBP skills and involvement, disseminating EBP processes and products to the chiropractic and CAM communities, enhancing the application of EBP methods at the clinical level, and continuing program evaluation. To this end, five aims have been identified with a number of projects to accomplish them. Aim 1 is to assess, revise, and manage the new EBP curriculum. This will be accomplished through three projects. The EBP curriculum developed in the first grant will be assessed and updated. Faculty teaching EBP learning modules will coordinate class assignments and address gaps/overlap. Support tools will be developed and maintained for use by students and instructors. Aim 2 is to enhance the faculty development program with three projects. Advanced faculty EBP training will include course seminars in literature search and critical appraisal, teaching strategies, and biostatistics. A faculty mentoring program will be developed to address the needs of the individual faculty members. A self- directed, mentor-assisted program for new faculty will also be developed to cover required EBP skills. Aim 3 is to increase professional outreach. A conference will be presented on EBP teaching and program development for complementary and alternative medicine (CAM) institutions. Postgraduate seminars will also be conducted on application of EBP for practicing chiropractors and other CAM practitioners. Aim 4 is to expand clinical application of EBP by developing a care pathway for patient care. Faculty will use EBP principles to create protocols for assessing and managing commonly seen headaches for specific use in our chiropractic clinic system. Aim 5 is to evaluate the EBP program. We will continue to assess student knowledge, attitudes, and skills using instruments from the first grant; we will develop new instruments to evaluate EBP practice and barriers for alumni. We will assess student and faculty satisfaction with EBP training. Finally, we will monitor program implementation in the classroom and clinic system. The program is innovative in that, rather than renovating a single course in EBP or course series, it seeks to integrate EBP skills and knowledge across an entire curriculum, and to simultaneously develop an EBP- literate college faculty as opposed to simply developing a few content experts. Success of such a program could have a significant impact on how chiropractic colleges approach teaching EBP. PUBLIC HEALTH RELEVANCE: This grant will enhance the training of chiropractic students in evidence-based practice (EBP). Through resources made available through this grant, chiropractors and other complementary and alternative medicine practitioners will develop greater EBP skills. They will be better able to apply the best available care to their patients to the benefit of society.