Substance Abuse Education for Medical Students

说明(申请人提供)：药物滥用造成的广泛的不良社会、医疗和个人后果都有很好的记录，医生是现有的处理这一问题的教育、预防和治疗网络中的关键资源。医生在早期识别和治疗药物滥用方面发挥着至关重要的作用，他们在教育公众上瘾主要是一个医学问题--一种由药物引起的脑部疾病--方面发挥着至关重要的领导作用。至关重要的是，所有医生都要尽可能地接受有关药物滥用的最好教育。为了解决这个问题，我们计划构建一个独特的基于互联网的药物滥用教育项目，该项目将向美国所有医学生开放。与该领域的主要国家专家合作，正在编写四年医学院每年的神经生物学、发病机制、流行病学、诊断、临床课程、心理学和药物滥用治疗方面的教程。每个教程都使用文本、表格、图形、动画、电影、弹出式词汇表和额外阅读链接。每个教程的一个主要特点是使用交互式动画和问题，这些问题可以立即向学生反馈他们的表现。这让他们参与到主动学习中来，同时评估他们的表现。耶鲁医学院已经建立了一个基于服务器的初始程序，允许教职员工轻松修改和更新每个教程，并提供学生表现的数据。该计划将进行修订和扩展，以服务于大量用户，允许多种类型的问题，可与黑板一起使用，与共享内容对象参考模型(SCORM)兼容，并响应美国残疾人法案。该项目能够提供每个学生在每个教程之前、期间和之后的表现数据，这将允许随着时间的推移在教程中进行循证改进，并允许记录全国医科学生对药物滥用的大量知识和理解。该计算机程序将提供给其他医学院，以便在当地进行修改和改进。通过为医学院提供有效的现代药物滥用教育，我们将朝着改善医生在处理这一严重的全国性问题方面的作用迈出重要的一步。

DESCRIPTION (provided by applicant): The widespread adverse social, medical and personal consequences of substance abuse are well documented, and physicians are a key resource in the network of education, prevention and treatment that exists to deal with this problem. Physicians play an essential role in the early recognition and treatment of substance abuse and they are crucial for providing leadership in educating the public that addiction is primarily a medical problem - a substance-induced disease of the brain. It is essential that all physicians have the best available education possible about substance abuse. To address this problem, we plan to construct a unique state of the art internet-based educational program on substance abuse that will be available to all medical students in the USA. In collaboration with leading national experts in the field, tutorials covering the neurobiology, pathogenesis, epidemiology, diagnosis, clinical course, psychology and treatment of substance abuse for each of the 4 years of medical school are being constructed. Each tutorial utilizes text, tables, figures, animations, movies, a popup glossary and links for additional reading. A central feature of each tutorial is the use of interactive animations and questions that produce immediate feedback to the student regarding their performance. This involves them in active learning and simultaneously assesses their performance. An initial Yale Medical School server based program has been constructed which allows easy modification and updating of each tutorial by faculty and provides data on the students' performance. This program will be revised and extended to serve a large number of users, allow multiple types of questions, be useable with "Blackboard", be compatible with the Shared Content Object Reference Model (SCORM), and respond to the Americans with Disability Act. The ability of the program to provide data on each student's performance before, during and after each tutorial will allow for evidence-based improvements to be made in the tutorials over time, and will allow documentation of the amount of knowledge and understanding of substance abuse for medical students across the nation. The computer program will be made available to other medical schools to allow for local modifications and improvements. By providing effective modern substance abuse education for medical schools we will accomplish a major step toward improving the role of physicians in dealing this serious national problem.