Integrating Patient Centered EHR and HIT Curriculum into BSS Medical Education

描述(由申请者提供)：本提案的总体目标是俄勒冈健康与科学大学(OHSU)与德克萨斯大学圣安东尼奥健康科学中心(UTHSCSA)合作，开发、实施、评估和输出创新的行为和社会科学(BSS)电子健康记录和健康信息技术(EHR/HIT)课程，教授将技术作为医疗保健的一个内在方面的有效、专业和文化敏感的使用。该项目将涉及2004年国际移民组织报告中提到的所有六个BSS领域，这促使了最初的NIH K-07 RFA(患者行为、医生角色和行为、医生与患者互动、社会/文化问题、卫生政策/经济以及身心互动)。各机构之间以及与BSS R-25联盟的合作将使课程创新能够在各种教育环境中进行测试，并增加BSS EHR/HIT课程的普及性。在整个项目中，OHSU和UTHSCSA都将通过指导教学、研究、演示和出版来招聘和培养对BSS职业感兴趣的教师。我们的具体目标包括：开发一个全面的BSS EHR/HIT课程，其中包括一个模拟EHR(SIM-EHR)培训数据库，其中包含适用于不同专业和不同医学教育水平(医学生、住院医师、实习教师)的虚拟病例。继续有选择地加强两所学校的整体BSS课程。“评估一般BSS课程和BSS EHR/HIT课程的有效性。”将BSS EHR/HIT课程创新和研究成果输出给更多的全国受众。通过招聘BSS EHR/HIT项目产生的跨学科发展、教学、评估和传播课程的教师来促进BSS的职业生涯。将目前的行为和社会科学联盟从9所学校扩大到18所学校，继续合作和全国传播努力，并在协调中心的主持下加强集体评估。这项提议的相关性在于，在专业人员以安全、有成本意识、对文化敏感、以病人为中心的方式进行使用培训之前，电子病历/HIT正在迅速得到实施。BSS EHR/HIT技能需要传授，目前尚不存在经过验证的现有课程。这项提案将填补这一教育空白，并允许研究和传播教育创新，以造福于其他卫生保健培训计划。

DESCRIPTION (provided by applicant): The overarching goal of this proposal is for Oregon Health & Science University (OHSU) to work with the University of Texas Health Sciences Center at San Antonio (UTHSCSA) to develop, implement, evaluate, and export innovative behavioral and social science (BSS) Electronic Health Record and Health Information Technology (EHR/HIT) curriculum teaching the effective, professional and culturally sensitive use of technology as an intrinsic aspect of health care. The project will address all six BSS domains mentioned in the 2004 IOM report which prompted the original NIH K-07 RFA (Patient Behavior, Doctor Role and Behavior, Doctor-Patient Interactions, Social/Cultural Issues, Heath Policy/Economics, and Mind-Body Interactions). Collaboration between institutions and with the BSS R-25 consortium will allow curricular innovations to be tested in a wide variety of educational settings and increase the generalizability of the BSS EHR/HIT curriculum. Throughout the project, both OHSU and UTHSCSA will recruit and develop faculty interested in BSS careers through mentored teaching, researching, presenting and publishing. Our Specific aims include: " Develop a comprehensive BSS EHR/HIT curriculum which includes a Simulated EHR (SIM-EHR) training database containing virtual patient cases adaptable to different specialties and levels of medical education (medical student, resident, practicing faculty). " Continue to selectively enhance the overall BSS curriculum at both schools. "Evaluate the effectiveness of both the general BSS curriculum and BSS EHR/HIT curriculum." Export BSS EHR/HIT curricular innovations and research findings to a larger national audience. "Foster BSS careers by recruiting faculty for the interdisciplinary development, teaching, evaluation, and dissemination of curriculum resulting from the BSS EHR/HIT project." Expand the current behavioral and social science consortium from 9 to 18 schools, continue collaborations and national dissemination efforts, and enhance collective evaluation under the aegis of a coordinating center. The relevance of this proposal lies in the fact that EHR/HIT is rapidly being implemented before professionals are trained in its use in a safe, cost-aware, culturally sensitive, patient-centric manner. BSS EHR/HIT skills need to be taught and existing validated curriculum does not currently exist. This proposal will fill that educational void and allow educational innovations to be researched and disseminated for the benefit of other health care training programs.