TUBERCULOSIS ACADEMIC AWARD

我们建议制定和实施一项协调一致、基础广泛的 结核病的多学科课程在大学内 密苏里-堪萨斯城医学院及其附属设施。的 拟议的课程将为卫生保健提供教育干预 包括社区医生和护士在内的各级医疗服务提供者。在 此外，卫生保健提供者的社区外展工作， 接受文化敏感性培训的人员将扩大到 大都会堪萨斯城地区。成功实施 建议将减少社区结核病的发病率， 卫生保健提供者和“高危”人群的状况将有所改善， 有关预防、诊断和治疗的知识 结核 项目的具体目标：实施多学科教育 在UMKC-SOM医学院的整个六年课程中。2. 制定和执行一个多学科的研究生和 在UMKC-SOM的研究生医师。3.进行自我评估， 教师，社区医生和护士的教育计划， 为结核病“高危”人群提供护理。4.产生 专门针对少数民族医学生的培训计划， 将对他们进行培训，以便对“高危”少数民族患者进行社区教育， 结核5.为所有人的健康制定强制性皮肤测试制度 UMKC-SOM系统中的护理提供者。6.培育发展 受过负责任培训的教师、社区医生和联合保健 提供者可以教育社区内的同龄人。7.促进 所有教育干预措施的可移植性， 在其他机构复制。 教育干预和评估：基于能力的学习 目前正在制定的结核病计划将用于 卫生保健提供者;此外，基于问题的学习和基于案例的 将采用介绍。 技能站，道德研讨会， 将发展结核病会议和诊所。录像带将会 在文化敏感性培训后制作，供少数群体使用 患者在相关设施。 教育评估技术包括：问卷调查，事前和事后 测试，OSCE，基于计算机的自我评估，医疗记录审查， 临床性能改善和使用频率评价 自我评估项目和新课程的提供。 基线数据将 在1994-1995年期间收集的数据， 按照提案中所述的干预措施实现。

We propose to develop and implement a coordinated, broad-based multidisciplinary curriculum for tuberculosis within the University of Missouri-Kansas City, School of Medicine and its allied facilities. The proposed curriculum will provide educational interVentions for health care providers at all levels including community physicians and nurses. In addition, community outreach efforts by health care providers who have received cultural sensitivity training will extend to lay persons within the metropolitan Kansas City area. Successful implementation of the proposal will reduce the incidence of tuberculosis in the community as health care providers and "at-risk" populations will have improved knowledge related to the prevention, diagnosis and treatment of tuberculosis. Specific aims of the project: Implement the multidisciplinary educational program throughout the entire six years of medical school at UMKC-SOM. 2. Formulate and execute a multidisciplinary program for graduate and postgraduate physicians at UMKC-SOM. 3. Generate self-assessment and educational programs for faculty, community physicians, and nurses who provide care for populations "at-risk" for tuberculosis. 4. Produce a training program specifically aimed at minority medical students which will train them for community education of minority patients "at-risk" for tuberculosis. 5. Institute a mandatory skin-testing system for all health care providers in the UMKC-SOM system. 6. Foster the development of responsibly trained faculty, community physicians and allied health care providers who can educate peers within the community. 7. Facilitate portability of all educational interventions such that they might be reproduced at other institutions. Educational interventions and assessment: A competence-based learning program for tuberculosis, currently being developed will be utilized for health care-providers; in addition, problem-based learning and case-based presentations will be employed. Skills stations, ethical symposia, tuberculosis conferences and clinics will be developed. Videotapes will be produced following cultural sensitivity training for use within minority patients at allied facilities. Educational assessment techniques include: questionnaires, pre and post testing, OSCEs, computer-based self assessments, medical record review, improvement in clinical performance, and evaluations of frequency of use of self-assessment programs and new course offerings. Baseline data will be collected during the 1994-1995 year to serve in comparison to results achieved following interventions as delineated in the proposal.