IMPROVING THE EDUCATIONAL EFFECTIVENESS OF TUMOR BOARDS

拟议的项目旨在启动和评估 旨在提高肿瘤教育效益的干预措施 董事会和肿瘤会议。 其主要目的是确定 干预措施，将1）优化过程和活动 与肿瘤会议的进行有关; 2）增加规模， 改善观众的构成， 肿瘤会议将产生影响; 3）增加医生的知识 与常见肿瘤的诊断和治疗有关; 4） 影响选择使用的患者管理策略， 治疗肿瘤患者的医生; 5）改善 在死亡率和发病率方面的肿瘤护理;以及6）改善 信息传播的过程从研究中心到 社区医生 这个为期三年的项目将分四个阶段进行， （1）深入评价现有的 肿瘤会议; 2）仔细进行试点试验，选择 在小样本医院中进行教育干预; 3） 通过指定的试验验证成功的战略 医院类别（考虑规模和教学/非教学） 教学状况）;和4）在远程成功的策略试验 研究中心将最终确定 在全国范围内传播，最好与 第二个国家癌症研究所资助的项目地点。 该项目的主要最终产品将是一套 建议和一揽子材料， 分发给全国各地的肿瘤委员会。 的 一揽子计划将包括：1）需要评估程序， 由各肿瘤委员会填写; 2）解释说明 调查结果和从一系列干预措施中选择 包括; 3）详细说明，以执行每一套 （4）用于监测和评估 实施和继续使用干预措施。

The proposed project is designed to initiate and evaluate interventions aimed at improving the educational benefit of tumor boards and tumor conferences. Its primary aim is to identify interventions which will 1) optimize the process and activities related to conduct of tumor conferences; 2) increase the size and improve the composition of the audience upon which typical tumor conferences will impact; 3) increase physician knowledge related to the diagnosis and treatment of common tumors; 4) impact the patient management strategies selected for use by physicians treating tumor patients; 5) improve the outcomes of tumor care in terms of mortality and morbidity; and 6) improve the process of information dissemination from research centers to community physicians. This three-year project will be conducted in four phases of approximately equal length: 1) an in-depth evaluation of existing tumor conferences; 2) carefully conducted pilot tests of selected educational interventions in a small sample of hospitals; 3) validation of successful strategies with trials in designated categories of hospitals (considering size and teaching/non- teaching status); and 4) trial of successful strategies at distant sites to make final determination related to potential for nationwide dissemination, optimally in cooperation with the second NCI-funded project site. The primary end product of the project will be a set of recommendations and a package of materials which could be disseminated to tumor boards throughout the country. The package will include 1) a needs assessment procedure to be completed by each tumor board; 2) instructions for interpreting findings and selecting from among the sets of interventions included; 3) detailed instructions for implementing each set of interventions; 4) and evaluation materials for monitoring the implementation and continued use of the interventions.