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，促进PA教师采用有效的课程内容；3)使用客观的结果测量评估癌症特定课程和教师发展计划的有效性；通过几种策略（例如，期刊文章、会议报告、在线可下载资源）传播结果。准备PAs以使患者有效参与癌症风险管理的新策略包括：调整以人群为导向的预防中的基于病例的系列用于PAs；运用动机性访谈；并采用客观结构化临床检查（toce）的专门培训形式，在不同文化群体中提高以患者为中心的癌症风险管理的PA技能。将加强贝勒医学院（BCM） 6门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。修订后的课程将在第1-2年在BCM进行现场测试，并在第3-5年采用并改进。教师发展研讨会将在德克萨斯州的6个PA项目（第3年）和其他州的5个项目（第4年）中促进PACE课程内容的复制。在5年的时间里，大约900名学生和30名教师将直接受到PACE计划的影响。学生和教师表现的多模式评估将以定量和定性的方式记录学习，包括使用toce和技能检查表的临床行为测量，以及使用多元文化敏感性量表的文化能力。结果将通过演示、出版物、在线资源中心和其他方式传播。随着大量私人助理在公共卫生服务机构工作，提高他们提供高质量癌症风险评估和管理服务的准备是至关重要的。无论种族、民族、收入水平或服务来源如何，有癌症风险的成人和儿童都应该获得高质量的以患者为中心的医疗保健。该项目旨在确保从事公共卫生保健工作的私人助理能够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.