iPadEMR Pain Management Simulator: Tablet-based Skills Development

描述（由申请人提供）：估计有1.16亿美国成年人患有慢性疼痛，估计费用为6350亿美元，不幸的是，现有的疼痛管理培训没有充分准备卫生专业人员来解决这一问题[1]。为了解决这一差距，我们建议创建iPad EMR疼痛管理模拟器，一个基于iPad的应用程序，为卫生专业学生提供一个学习和共享经验的环境，以提高他们与疼痛评估和控制相关的技能。模拟EMR将反映临床实践和当前病例模拟中使用的任何EMR的核心特征。对于学习者来说，它将提供方便和负担得起的标准化基于技能的疼痛管理培训。对于教师/教育工作者，它将评估：1）学生在诊断和治疗疼痛患者方面的临床能力和技能，同时2）减少阿片类药物滥用和转移的机会。对于每个iPad EMR模拟疼痛管理案例，健康专业学生将收集数据，检查患者，选择适当的行动方案，概述治疗计划并获得反馈。对所作选择和决定的反馈将以最佳做法为基础。讲师将通过提供增加或减少的临床信息、挑战、反馈或提示来控制应用程序的临床组件。第一阶段将开发一个原型，并根据不同目标受众的积极参与进行潜在干预的基本可用性：1）医学和护理专业的健康专业学生，2）医学和护理教育工作者。第一阶段将进行精心规划的形成性分析，包括需求分析调查、半结构化访谈、顾问指导、创建原型体验和可用性评估。第二阶段将完成该计划，并使用随机，交叉[等待列表控制]，前后测设计进行评估，估计有60名来自医学和护理的参与者。我们将专门评估模拟学习和经验共享环境是否对目标临床技能产生积极影响，并增加与疼痛评估和治疗相关的核心能力。第三阶段将通过与Clinical Tools的现有和新的合作伙伴关系积极销售该产品。我们将寻求额外的内容定制，以满足医生和护士以外的特定受众，如牙医，P.A.s，物理治疗师和其他人。我们的解决方案将支持对培训的持续评估，以确定可以随着时间的推移进行改进和改进的薄弱环节。

DESCRIPTION (provided by applicant): An estimated 116 million US adults suffer from chronic pain at an estimated cost of $635 billion and, unfortunately, existing pain management training is not adequately preparing health professionals to address this area [1]. To address this gap we propose to create iPad EMR Pain Management Simulator, an iPad- based application to provide a learning and shared experience environment for health professional students to enhance their skills related to pain assessment and control. The simulated EMR will echo core features of any EMR used in clinical practice and present case simulations. For learners it will provide easy and affordable access to standardized skill-based pain management training. For faculty/educators it will assess: 1) a student's clinical competence and skills in diagnosing and treating patients with pain, while 2) decreasing the chance of opioid misuse and diversion. For each iPad EMR simulated pain management case, health professional students will collect data, examine the patient, choose the appropriate course of action, outline a treatment plan, and receive feedback. Feedback from choices and decisions made will be based on best practice. The instructor will have control over the clinical components of the application by providing increasing or decreasing clinical information, challenge, feedback, or prompts. Phase I will develop a prototype and perform basic usability of the potential intervention based on the active involvement of different target audiences: 1) health professional students in medicine and nursing, and 2) educators in medicine and nursing. Phase I will proceed with a carefully planned formative analysis involving needs analysis surveys, semi-structured interviews, guidance from consultants, creation of prototype experiences, and usability assessments. Phase II will complete the program and conduct an evaluation using a randomized, cross-over [wait-list control], pretest-posttest design with an estimated 60 participants from medicine and nursing. We will specifically assess if the simulated learning and shared experience environment positively impacts target clinical skills and increases core competencies related to assessment and treatment of pain. Phase III will market the product actively via existing and novel partnerships with Clinical Tools. We will pursue additional tailoring of the content to specific audiences beyond physicians and nurses such as dentists, P.A.s, physical therapists and others. Our solution will support ongoing assessment of the training to determine areas of weakness which can be refined and improved over time.