CLINICAL ELECTIVE IN HOSPICE/PALLIATIVE MEDICINE

描述：(申请人描述)我们建议建立一个 以课程为导向的选修课轮换教育住院医师培训 在初级保健医学三个不同的医疗培训计划中 隶属于西北大学医学院关于临终关怀 和姑息治疗。姑息医学的教员将由 在临终关怀/姑息医学方面有专门知识的医生(和 三个临终关怀项目的多学科团队成员)。有两个 为期一个月的选修课的组成部分：直接患者护理和教学 姑息医学课程。第二年和第三年的居民 培训将作为已建立的 (多学科)临终关怀/姑息治疗服务他们会 评估和参与(与跨学科团队成员)护理 在全科医院、住院善终关怀/姑息治疗单位的病人数目，以及 家庭-临终关怀环境。同时，他们将接受由 Hos-pice/姑息医学的明确课程。教育性的 完成选修课程的住院医师的目标是：1)提高知识水平 癌症疼痛管理的知识和技能，2)提高知识和技能 管理晚期疾病的常见症状，3)改善沟通 与患者掌握有关死亡和临终的技能，以及4)提高知识水平 关于姑息治疗的原则，(生物-心理-社会模型 疾病)，临终关怀方案的最佳利用，(以及参与 以团队方式进行护理)。该提案的具体目标是：1)试点 以全日制课程为导向的Hos-pice/姑息医学选修课 对住院医师进行初级保健培训，2)评估是否有教育 课程目标已达到，3)使用录像访谈 住院医生和标准患者之间的沟通评估 技能，以及4)使姑息医学学院正规化，部分地， 来自社区临终关怀计划与Lurie癌症的联系 西北大学中心。将对教育结果进行评估 并对居民的知识基础进行了前后评价 轮换。

DESCRIPTION: (Applicant's Description) We propose to create a curriculum-driven elective rotation to educate resident physicians training in primary care medicine in three separate medical training programs which are affiliated with the Northwestern University Medical School about Hospice and Palliative Care. The faculty in palliative medicine will be comprised of physicians with special expertise in hospice/palliative medicine (and the multidisciplinary team members of three hospice programs). There are two components to the one-month elective: direct patient care and didactic palliative medicine curriculum. Residents in their second and third years of training will serve as an integral part of established (multidisciplinary) Hospice/Palliative Medicine Services. They will evaluate and participate (with interdisciplinary team members) in the care of patients in general hospital, inpatient hospice/palliative care unit, and home-hospice settings. Concurrently they will receive instruction guided by an explicit curriculum in Hos-pice/Palliative Medicine. The educational objectives for residents completing the elective are 1) to improve knowledge and skill in cancer pain management, 2) to improve knowledge and skill in managing common symptoms of advanced disease, 3) to improve communication skills with patients about death and dying, and 4) to improve knowledge about the principles of palliative care, (the bio-psycho-social model of illness), optimal utilization of hospice programs, (and participation in a team approach to care). The specific aims of the proposal are, 1) to pilot a full-time curriculum-driven Hos-pice/Palliative Medicine elective for residents training in primary care, 2) to evaluate whether the educational objectives of the curriculum have been met, 3) to use a videotaped interview between resident and standardized patient to assess essential communication skills, and 4) to formalize a faculty of Palliative Medicine drawn, in part, from an affiliation of community hospice programs with the Lurie Cancer Center of Northwestern University. The educational outcome will be assessed with an evaluation of the knowledge base of the resident before and after the rotation.