Cancer palliative Education Network (Cancer PEN)

描述(由申请者提供)：癌症缓和教育网络(CancerPEN)的目标是为一个与实践相关的、以问题为基础的虚拟学习网络创造机会，该网络专门为跨学科临床医生在临终关怀患者时量身定做。该项目将开发一个跨学科、基于网络的姑息治疗课程，供(A)斯坦福大学医学院的医学生和实习医生，以及(B)在斯坦福大学、退伍军人管理局和加利福尼亚州、内华达州和夏威夷经联邦医疗保险认证的社区临终关怀机构工作的临床医生(医生、护士和社会工作者)使用。姑息治疗课程的总体目标是让学习者了解姑息治疗的科学原理，并学习缓解晚期癌症患者常见的痛苦症状的策略。特别课程的重点领域包括(A)对待死亡和死亡的态度的文化差异，(B)提供对文化敏感和称职的护理，以及(C)评估和缓解癌症患者在生命末期出现的常见和令人痛苦的心理症状。我们将通过链接到数字化视频剪辑、相关的外部网站和其他学习资源来加强基于网络的核心材料。我们将通过互联网门户网站促进访问，这将有两个目的：(A)提供持续的学习者支持(通过网板、可下载的就业辅助材料和其他教育资源)以及(B)网络课程的营销工具。我们将开发练习和评估测试，并在线维护它们。我们将通过课程模块和半结构化在线调查对个别学习者的活动进行自动分析，研究癌症PEN课程的可用性和有效性。将通过基于浏览器的界面对CancerPEN门户活动进行自动分析，目的是提高门户的有效性。我们将制定和评估机制，向全国各地退伍军人管理局、社区临终关怀机构和感兴趣的医学院的姑息治疗临床医生传播基于网络的内容。最后，我们将把癌症PEN纳入斯坦福医学数字课程，并与其他斯坦福课程一起定期更新。

DESCRIPTION (provided by applicant): The goal of the Cancer Palliative Education Network (CancerPEN) is to create opportunities for a practice relevant, problem-based virtual learning network specifically tailored towards interdisciplinary clinicians caring for patients at the end-of-life. The project will develop an interdisciplinary, web-based palliative care course to be used by (a) medical students and physicians-in-training at the Stanford University School of Medicine, and (b) clinicians (physicians, nurses and social workers) working in Stanford University, VA facilities and Medicare-certified community hospices in California, Nevada and Hawaii. The overall objectives of the palliative care curriculum is for learners to develop an understanding of the scientific principles of palliative care as well as learn strategies to palliate common and distressing symptoms often seen in patients with advanced cancer. Areas of special curricular focus include (a) cultural differences in attitudes toward death and dying, (b) provision of culturally sensitive and competent care and (c) assessment and palliation of common and distressing psychological symptoms seen in cancer patients at the end of life. We shall augment the core web-based material with links to clips of digitized video, relevant external web sites, and additional learning resources. We shall facilitate access through an Internet portal, which will serve dual purposes of (a) providing ongoing learner support (through web boards, downloadable job aids and other educational resources) as well as (b) a marketing tool for the web-based curriculum. We shall develop practice and evaluation tests and maintain them online. We will study the usability and effectiveness of the CancerPEN curriculum via automated analysis of individual learner movement through the curricular modules and through semi-structured online surveys. Automatic analysis of the CancerPEN portal activity will be done via a browser-based interface with the goal of improving the effectiveness of the portal. We shall develop and evaluate mechanisms to disseminate the web-based content to palliative care clinicians at VA facilities, community hospice facilities and interested medical schools throughout the country. Finally, we shall incorporate the CancerPEN into the Stanford Medical Digital Curriculum and update it regularly along with the other Stanford curricula.