End of Life Communication Skills for Oncology Fellows

描述（由申请人提供）：对于患有不可治愈或 进行性癌症，与值得信赖的肿瘤学家进行良好沟通至关重要 适当的决策、生活质量和对疾病的适应。 然而，许多人的沟通技巧欠佳，因为他们从来没有 有效的训练。 在这个建议中，我们描述了一种沟通技巧， 医学肿瘤学研究员计划，以证据为基础，以学习者为中心， 并以其为动力。 我们的计划建立在成功的现有计划， 美国和英国，包含了肿瘤学家的基本沟通任务， 利用密集的技能练习和反馈。 为了教授这个课程，我们 已经召集了一批优秀的调查人员和教师， 以传播专业知识和教学能力闻名全国。 最后， 我们设计了一个严格的评估，包括项目审查， 国际专家，自我评估措施的知识，态度， 技能，以及技能获取的公正评级， 标准化的患者参与者。 这项建议的具体目标是： 具体目标1。 制定一个结构化的沟通培训计划 肿瘤内科的生命即将结束， 使用循证技术的研究员 具体目标2。 实施为期4天的全国课程，并提供后续距离 为肿瘤学研究员提供指导。 具体目标3。 为了评估该计划对学习者知识的影响， 技能和态度，使用自我评价和录音表演， 标准化患者 我们的目标是医学肿瘤学研究员，因为他们现有的计划 很少包括通信培训，但他们感兴趣，并接受 学习沟通技巧，他们是榜样和教师， 住院医生和医科学生 该计划将创建一个正式的课程 沟通技巧，可以复制在许多机构， 提高肿瘤科医生与患者沟通的质量， 全国范围内的癌症治疗质量。

DESCRIPTION (provided by applicant): For a patient with incurable or progressive cancer, good communication with a trusted oncologists is critical to appropriate decision-making, quality of life, and adjustment to illness. Yet, many have suboptimal communication skills because they have never had effective training. In this proposal, we describe a communications skill program for Medical Oncology fellows that is evidence-based, learner-centered, and curriculum-driven. Our program builds on successful existing programs in the US and UK, incorporates essential communication tasks for oncologists, and utilizes intensive skills practice and feedback. To teach this program, we have assembled an outstanding group of investigators and faculty who are nationally known for communications expertise and teaching ability. Finally, we have designed a rigorous evaluation that includes program review by international experts, self-assessment measures of knowledge, attitudes, and skills, and also impartial ratings of skill acquisition using encounters with standardized patient-actors. The specific aims of this proposal are to: Specific Aim 1. To develop a structured training program in communication near the end of life for medical oncology fellows using evidence based techniques Specific Aim 2. To implement a national 4 day course with follow-up distance mentorship for oncology fellows. Specific Aim 3. To evaluate the impact of the program on learner knowledge, skills, and attitudes using self-evaluation and audio taped performance with standardized patients. We have targeted Medical Oncology Fellows because their existing programs rarely include communications training, yet, they are interested and receptive to learning communication skills, and they are role models and teachers for residents and medical students. This program will create a formal curriculum for communication skills that could be replicated in many institutions to improve the quality of oncologists-patient communication--and ultimately the quality of cancer care--nationwide.