Standardized Patients to Assess Competency in Tobacco Cessation Counseling

摘要 最有效的戒烟方法是药物治疗和保健咨询相结合 然而，很少有健康专业学位课程为他们的毕业生做好充分的准备，以胜任这一角色。在……里面 响应国家对加强卫生保健专业人员戒烟培训的需求，我们 十多年前开发了Rx for Change：临床医生辅助戒烟计划。至 促进规划工作，确保卫生专业学生获得烟草方面的能力 戒烟咨询，我们建议开发、评估和传播特定于烟草的标准化 患者/欧安组织评估作为共享的教育资源。所有工具的开发都将使用来自 医学、护理和药学系，将具有广泛的适用性，并将与 RX代表改变。此R25应用程序的具体目标是： N目标1.开发和试行一套核心课程材料，以促进烟草专用材料的使用 卫生专业课程中标准化的患者/欧安组织评估：(A)三个基于网络的虚拟 患者，(B)六个标准化的患者情景和相关的欧安组织评分标准，(C)基于网络的， 继续教育(CE)--经认可的“欧安组织辅导”方案，为教职员工提供必要的 将标准化患者和欧安组织评估纳入卫生专业人员的知识和技能 课程；和(D)建立一个项目网站，存放课程材料并支持教学活动 在奖助金有效期内及之后。 N目标2.采用一组设计，实施Rx for Change计划和虚拟患者的试点测试 医学生组140例。学生将接受4小时的教学培训，1小时的角色 进行锻炼，并与三名虚拟患者进行1小时的练习。参赛者将完成(A)预赛和 培训后调查：(B)培训后标准化患者/OSCE；(C)欧安组织培训后调查。 N目标3.使用与目标2相同的单组设计，在6个月中对课程资源进行试点测试 学校--2所医学院，2所护理学校，2所药学学校(共824名学生)。我们假设有重大的变化 知识、自我效能和自我报告的咨询能力(前与后；p&lt；0.05)，证实了 欧安组织能力评分。 目标4.向全美的医学、护理和药学学校传播课程资源。 这个项目汇聚了烟草教育、学习技术和标准化领域的领先者 患者/OSCE，将开发和传播针对烟草的标准化患者/欧安组织模块， 适用于任何健康学科的虚拟患者学习工具。为了降低与烟草相关的死亡率， 让所有健康专业的学生都具备戒烟咨询的能力是至关重要的。

ABSTRACT The most effective method for quitting smoking combines pharmacotherapy with counseling from a health-care provider, yet few health professional degree programs adequately prepare their graduates for this role. In response to a national need for enhanced tobacco cessation training of health-care professionals, we developed the Rx for Change: Clinician-Assisted Tobacco Cessation program more than a decade ago. To facilitate programmatic efforts and ensure that health professional students achieve competency for tobacco cessation counseling, we propose to develop, evaluate, and disseminate tobacco-specific standardized patients/OSCE assessments as shared educational resources. All tools will be developed with input from medical, nursing, and pharmacy faculty, will have broad applicability, and will be disseminated in tandem with Rx for Change. The specific aims of this R25 application are: n AIM 1. To develop and pilot test a core set of curricular materials for promoting use of tobacco-specific standardized patients/OSCE assessments in health professional curricula: (a) three web-based virtual patients, (b) six standardized patient scenarios and associated OSCE scoring criteria, (c) a web-based, continuing education (CE)-accredited "OSCE tutorial" program to equip faculty/staff with the necessary knowledge and skills to integrate standardized patients and OSCE assessments into health professional curricula, and (d) a project web-site to house the curricular materials and to support teaching activities during and beyond the life of the grant. n AIM 2. Using a one-group design, implement a pilot test of the Rx for Change program plus virtual patients and among medical students (n=140). Students will receive 4 hours of didactic training, 1 hour of role playing exercises, and 1 hour of practice with three virtual patients. Participants will complete (a) pre- and post-training surveys, (b) post-training standardized patients/OSCEs, and (c) a post-OSCE survey. n AIM 3. Using the same one-group design as described in AIM 2, pilot test the curricular resources at six schools-2 medical, 2 nursing, 2 pharmacy (n=824 students, total). We hypothesize significant changes in knowledge, self-efficacy, and self-reported counseling abilities (pre vs post; p<0.05), corroborated with OSCE competency scores. n AIM 4. Disseminate curricular resources to medical, nursing, and pharmacy schools throughout the U.S. This project, which brings together leaders in tobacco education, learning technology, and standardized patients/OSCEs, will develop and disseminate a tobacco-specific standardized patient/OSCE module with virtual patient learning tools that will be applicable to any health discipline. To reduce tobacco-related mortality, it is essential that all health professional students achieve competency for tobacco cessation counseling.