Physician Assistant Cancer Education Program

描述（由申请人提供）：医师助理癌症教育（PACE）项目的具体目标是：1）开发，测试和完善癌症风险评估，风险降低和管理课程; 2）实施教师发展计划，以促进PA教师采用有效的课程组成部分;以及3）使用客观结果测量来评估癌症特定课程和教师发展倡议的有效性;通过几种策略（例如，期刊文章、会议演示、在线下载资源）。新的策略，准备PA有效地参与癌症风险管理的患者包括：适应人口为导向的预防与PA使用的病例为基础的系列;使用动机访谈;并使用一个专门的培训形式的客观结构化的临床检查（tOSCE），以提高PA的技能，以患者为中心的癌症风险管理在不同的文化群体。贝勒医学院（Baylor College of Medicine）PA课程（行为咨询、临床遗传学、临床医学、文化能力、身体诊断、妇女健康）中的癌症内容将得到加强。修订后的课程将在1-2年级的学校进行实地测试，并在3-5年级进行使用和改进。教师发展研讨会将促进在得克萨斯州（3年）和其他州（4年）的5个项目的6个PA程序的PACE课程组成部分的复制。在5年内，大约900名学生和30名教师将直接受到PACE倡议的影响。对学生和教师表现的多模式评估将记录定量和定性方面的学习，包括使用tOSCE和技能清单的临床行为措施，以及使用多元文化敏感度量表的文化能力。结果将通过介绍、出版物、在线资源中心和其他方式传播。随着大量的PA追求事业在公共卫生服务环境中，提高他们的准备提供高质量的癌症风险评估和管理服务是至关重要的。无论种族、民族、收入水平或服务来源如何，有患癌风险的成年人和儿童都应该获得以患者为中心的高质量医疗保健。该项目旨在确保从事公共卫生保健事业的PA准备为所有患者提供高质量的癌症相关护理。

DESCRIPTION (provided by applicant): The specific aims of the Physician Assistant Cancer Education (PACE) project are to: 1) develop, test, and refine a Cancer Risk Assessment, Risk Reduction, and Management curriculum; 2) implement a faculty development program to promote adoption of effective curriculum components by PA faculty members; and 3) evaluate the effectiveness of cancer-specific curricular and faculty development initiatives using objective outcome measures; disseminating the results through several strategies (e.g., journal articles, conference presentations, online down-loadable resources). Novel strategies for preparing PAs to engage patients effectively in cancer risk management include: adapting the Case-based series in Population-Oriented Prevention for use with PAs; using motivational interviewing; and using a specialized training form of objective structured clinical examinations (tOSCE) to enhance PA skills in patient-centered cancer risk management across diverse cultural groups. Cancer content in 6 Baylor College of Medicine (BCM) PA courses (Behavioral Counseling, Clinical Genetics, Clinical Medicine, Cultural Competency, Physical Diagnosis, Women's Health) will be strengthened. Revised courses will be field tested at BCM in years 1-2 and adopted for use and refinement in years 3-5. Faculty development workshops will foster replication of PACE curriculum components in 6 PA programs in Texas (year 3) and 5 programs in other states (year 4). Over 5 years, some 900 students and 30 faculty will be directly affected by the PACE initiative. Multimodal evaluations of student and faculty performance will document learning in both quantitative and qualitative terms, including measures of clinical behaviors using the tOSCE and skills checklists, and cultural competency using a multicultural sensitivity scale. Results will be disseminated through presentations, publications, an online resource center, and other means. With large numbers of PAs pursuing careers in public health service settings, enhancing their readiness to provide high quality cancer risk assessment and management services is of utmost importance. Regardless of race, ethnicity, income level, or source of service, adults, and children at risk from cancer should have access to high quality patient- centered healthcare. The project is designed to ensure that PAs who pursue careers in public health care are prepared to deliver high quality cancer-related care to all patients.