Collaborative Advances in Clinical Health Education (CACHE)

描述（由申请人提供）：本教育发展计划的目的是改善医学生在社会和行为科学（SBS）方面的临床训练，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 K07课程开发拨款（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教授和监督医学生的住院医生和主治医师。与斯坦福大学和更大的NIH联盟的合作将最大限度地扩大覆盖面和影响，同时为SBS的纳入提供关键的杠杆作用。在这个项目的五年过程中，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。项目创新包括将基于社区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住院医生和教师。将通过与现有的必修课程结构的密切联系确保项目的继续进行。该项目的目标将通过以下四个具体目标来实现：1)伙伴关系，2)SBS翻译，3)传播，4)评估。“伙伴关系”建立了UCSF和斯坦福医学院以及更大的NIH SBS财团之间的合作关系，以促进课程开发和实施策略。“SBS翻译”解决了“知识翻译”的常见问题，从更说教的前两年的医学院到临床实践的第三年见习。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住院医生和教授学生的教师的发展和支持推动。通过地方和国家联盟关系，有针对性的传播方案（目标3）将向更多的卫生专业教育受众提供材料和实施战略。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输出。

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.