E-mail and Web-Based Physician Education Program on the Dissemination of Off-Labe

描述(由申请人提供)：该项目的目的是改善非标签非典型抗精神病药物使用方面的患者护理的质量、安全性和有效性。这项提案描述了一种通过电子邮件提供的交互式学习模块的新应用程序的开发，以帮助医生了解使用非标签药物的风险、好处和成本，以便提供最安全和最有效的患者护理。美国精神病学协会教育分部建议传播有关非标签使用抗精神病药物治疗特定DSM IV TR诊断患者的关键信息，以促进医生对这些药物的有效使用的知识和临床意识，并为临床实践提供信息。2011年AHRQ综述，非典型抗精神病药物的非标签使用：最新情况将被用作关键参考，以提供关于标签外使用证据的最新信息，以及实践指南和已发表的研究。多种学习策略的创新组合将被用来教育执业精神病学家关于在FDA标签外的临床情况下使用非典型抗精神病药物的证据，包括电子邮件和基于网络的视频和图形、在线继续医学教育课程和面对面互动培训。核心创新教育活动将是临床小插曲的电子邮件分发(使用文本和视频)，将为医生学习者提供临床决策选择，并立即对所有医生的反应进行同行比较。它将为精神病学家提供获得CME学分以及美国精神病学和神经病学委员会自我评估学分的机会，这是认证维护的第二部分。为本电子邮件练习创建的课程将是在线继续医学教育课程和互动会议课程的基础。我们将使用多种策略来评估这一教育项目。考虑到非标签使用强效药物的好处和危害，必须让医生意识到使用这些药物的可用临床证据。这项拟议研究的具体目的是1)教育精神病学家关于非标签使用非典型抗精神病药物的现有证据；2)使用技术和创新的教育方法组合来促进学习和保持知识；3)评估这一教育计划。

DESCRIPTION (provided by applicant): The purpose of this project is to improve the quality, safety, and effectiveness of patient care with regard to the off-label use of atypical antipsychotics. This proposal describes the development of a novel application of interactive learning modules delivered via e-mail to help educate physicians on the risks, benefits, and costs of off-label medication use, in order to provide the safest and most effective patient care. The American Psychiatric Association Division of Education proposes to disseminate critical information about the off label use of antipsychotics in the treatment of patients with specific DSM IV TR diagnoses in order to promote physician knowledge and clinical awareness about the effective uses of these medications and inform clinical practice. The 2011 AHRQ Review, Off-Label Use of Atypical Antipsychotics: An Update will be used as a key reference in providing up-to-date information about the evidence for off-label use, in addition to Practice Guidelines and published studies. An innovative combination of multiple learning strategies will be used to educate practicing psychiatrists about evidence for use of atypical antipsychotic medications in FDA off- label clinical situations, including email and web-based video and graphics, an online CME course, and in-person interactive training The core innovative education activity will be email distribution of clinical vignettes (using text and video) that will offer physician learners clinical decision making choices, and immediate peer comparisons of all physician responses. It will offer psychiatrists an opportunity to earn CME credits as well as American Board of Psychiatry and Neurology credit for Self-Assessment, Part 2 of Maintenance of Certification. The curriculum created for this email activity will be the basis of an online CME course and interactive meeting sessions. We will use multiple strategies to evaluate this educational program. Given the benefits and harms of off-label use of powerful medications, physicians must be made aware of the available clinical evidence for their use. The specific aims of the proposed study are 1) To educate psychiatrists about existing evidence for off label use of atypical antipsychotics; 2) To use technology and innovative combinations of educational methods to enhance learning and retention of knowledge; 3) To evaluate this educational program.