Cancer palliative Education Network (Cancer PEN)

描述（由申请人提供）：癌症缓和教育网络（CancerPEN）的目标是为实践相关的、基于问题的虚拟学习网络创造机会，专门针对跨学科临床医生在生命末期照顾患者。该项目将开发一个跨学科的、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、退伍军人医院和加利福尼亚州、内华达州和夏威夷的医疗保险认证的社区临终关怀医院工作的临床医生（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和痛苦症状的策略。特别课程的重点领域包括(a)对待死亡和临终的态度上的文化差异；(b)提供文化上敏感和合格的护理；(c)评估和缓解癌症患者临终时常见和令人痛苦的心理症状。我们将增加核心的网络材料，增加到数字化视频剪辑、相关外部网站和其他学习资源的链接。我们会透过互联网入门网站，方便学生使用，以达致双重目的：(a)提供持续的学习者支援（透过网页、可下载的工作辅助及其他教育资源），以及(b)为网上课程提供营销工具。我们将开发实践和评估测试，并在网上进行维护。我们将通过课程模块和半结构化的在线调查对个别学习者的运动进行自动分析，来研究CancerPEN课程的可用性和有效性。CancerPEN门户活动的自动分析将通过基于浏览器的界面完成，目的是提高门户的有效性。我们将制定和评估机制，向退伍军人事务部设施、社区临终关怀设施和全国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CancerPEN纳入斯坦福大学医学数字课程，并与斯坦福大学的其他课程一起定期更新。

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.