End of Life Communication Skills for Oncology Fellows

描述(由申请人提供)：适用于患有不治之症或 进展性癌症，与值得信赖的肿瘤学家进行良好沟通至关重要 做出适当的决策，提高生活质量，适应疾病。 然而，许多人的沟通技能并不理想，因为他们从来没有 有效的培训。在这份提案中，我们描述了一种沟通技能 医学肿瘤学研究员计划，以证据为基础，以学习者为中心， 并以课程为导向。我们的计划建立在成功的现有计划的基础上 美国和英国，包括肿瘤学家的基本沟通任务，以及 利用密集的技能练习和反馈。为了教授这个节目，我们 已经召集了一批优秀的调查人员和教职员工 以沟通专业知识和教学能力而闻名全国。最后， 我们设计了一项严格的评估，其中包括通过 国际专家，自我评估知识、态度和 技能，以及通过接触获得的技能的公正评级 标准化的病人演员。 这项建议的具体目的是： 具体目标1.制定有条理的沟通培训计划 内科肿瘤学的生命接近尾声 使用循证技术的研究员 具体目标2.实施全国为期4天的课程，跟踪距离 肿瘤学研究员的导师。 具体目标3.评估项目对学习者知识的影响， 使用自我评估和录音表演的技能和态度 标准化患者。 我们瞄准了医学肿瘤学研究员，因为他们现有的计划 很少包括沟通培训，然而，他们感兴趣并乐于接受 学习沟通技巧，他们是 住院医生和医科学生。该计划将创建一个正式的课程 对于可以在许多机构复制的沟通技能 提高肿瘤学家与患者沟通的质量--最终 癌症护理质量--全国范围内。

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.