DEVELOPMENT OF A TUBERCULOSIS CURRICULUM

本提案的目标是制定和实施全面的， 为卫生保健提供者开设的结核病跨学科课程， 学术和社区环境。 我们将首先建立 在健康科学校园的跨学科课程，培训教师， 传播这些课程，并调整课程， 社区 我们的具体目标是：1）建立全面的， 健康科学校园的跨学科结核病课程。 目标受众将包括医生、医生助理和 在城市地区照顾大多数肺结核病人的护士， 评估大多数结核病患者的初级保健提供者 感染 作为这一目标的一部分，我们将使用远程医疗系统， 允许传输高质量的图像和互动 在中心位置的教师和学员之间举行视频会议， 地理上不同的地点。 肺结核的有效性 课程将通过以下方式进行衡量：（1）对事实知识进行客观测试 和临床决策技能，使用书面测试和结构化 临床检查;（2）临床实践变化的评估 模式，使用重点图表审查。 2)培训健康科学 教师提供结核病教学。 教师将接受培训， 传播根据目标1编制的课程。 定期安排 将建立论坛，提供持续的教育和讨论 学员和教师之间，教师教学质量将是 通过受训人员、同行和 专家 3)将教育工作扩大到社区。 使用 洛杉矶结核病控制教育基础设施 县，我们将调整目标1中制定的结核病课程， 向社区保健提供者提供服务，包括那些 遇到特殊问题的人口，包括 无家可归者、移民、艾滋病毒感染者和监狱囚犯 惩教机构。 基于计算机的交互式程序， 光盘技术和/或因特网将用于某些目标， 受众 结核病控制中心的监督医生和护士 将接受培训，以传播这些课程。 这些的功效 课程将通过临床决策的客观措施进行评估- 制作技能和临床实践模式。

The goal of this proposal is to develop and implement comprehensive, interdisciplinary curricula on tuberculosis for health care providers in academic and community settings. We will first establish interdisciplinary curricula at a Health Sciences campus, train faculty to disseminate these curricula, and adapt the curricula for use in the community. Our specific aims are: 1) Establishment of comprehensive, interdisciplinary tuberculosis curricula at a Health Sciences campus. The target audience will include physicians, physician assistants and nurses who care for most tuberculosis cases in urban areas, and primary care providers who evaluate most patients for tuberculosis infection. As part of this aim, we will use a Telemedicine system that allows transmission of high-quality images and interactive videoconferencing between faculty at a central location and trainees at geographically separate sites. The effectiveness of the tuberculosis curricula will be measured by: (1) objective tests of factual knowledge and clinical decision-making skills, using written tests and structured clinical examinations; (2) evaluation of changes in clinical practice patterns, using focused chart reviews. 2)Training Health Sciences faculty to provide instruction in tuberculosis. Faculty will be trained to disseminate the curricula developed in aim 1. Regularly scheduled forums will be established to provide ongoing education and discussion among trainees and faculty, and the quality of faculty teaching will be assessed and improved through evaluations by trainees, peers and experts. 3) Expansion of educational efforts to the community. Using the educational infrastructure of Tuberculosis Control of Los Angeles county, we will adapt the tuberculosis curricula developed in aim 1 for delivery to community health care providers, including those who work with populations in which special problems are encountered, including the homeless, immigrants, HIV-infected persons and inmates of correctional institutions. Computer-based interactive programs using CD-ROM technology and/or the Internet will be used for some target audiences. Supervisory physicians and nurses at Tuberculosis Control will be trained to disseminate these curricula. The efficacy of these curricula will be assessed by objective measures of clinical decision- making skills and clinical practice patterns.