Standardized Patients to Assess Competency in Tobacco Cessation Counseling

描述（由申请人提供）：最有效的戒烟方法是结合药物治疗和卫生保健提供者的咨询，然而很少有卫生专业学位课程为毕业生做好充分的准备。十多年前，为了响应全国对卫生保健专业人员加强戒烟培训的需要，我们制定了“改变处方：临床医生协助戒烟计划”。为了促进规划工作并确保卫生专业学生获得戒烟咨询的能力，我们建议开发、评估和传播针对烟草的标准化患者/欧安组织评估，作为共享的教育资源。所有工具都将在医学、护理和药学教师的投入下开发，将具有广泛的适用性，并将与“变革处方”一起传播。这个R25应用程序的具体目标是：制定并试点测试一套核心教材，以促进在卫生专业课程中使用针对特定烟草的标准化患者/欧安组织评估；(a)三个基于网络的虚拟病人，(b)六个标准化的病人情景和相关的欧安组织评分标准，(c)一个基于网络的、经欧安组织认可的继续教育“教程”方案，为教职员工提供必要的知识和技能，将标准化的病人和欧安组织的评估纳入卫生专业课程，以及(d)一个项目网站，以容纳课程材料，并在赠款期间和之后支持教学活动。目标2。采用单组设计，实施Rx for Change项目加上虚拟患者和医学生的试点测试（n=140）。学生将接受4小时的教学训练，1小时的角色扮演练习，以及1小时的与三个虚拟病人的练习。参与者将完成(a)培训前和培训后调查，(b)培训后标准化患者/ osce，以及(c) osce后调查。目标3。采用与AIM 2相同的单组设计，对6所学校（2所医学院、2所护理学院、2所药房）的课程资源进行了试点测试（共824名学生）。我们假设知识、自我效能和自我报告的咨询能力有显著的变化（p <0.05），与OSCE能力得分相证实。目标4。向全美的医学、护理和药学学校传播课程资源。该项目汇集了烟草教育、学习技术和标准化患者/OSCE方面的领导者，将开发和传播一个烟草特定的标准化患者/OSCE模块，其中包含适用于任何健康学科的虚拟患者学习工具。为了减少与烟草有关的死亡率，所有卫生专业的学生都必须具备戒烟咨询的能力。

DESCRIPTION (provided by applicant): 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: AIM 1. To develop and pilot test a core set of curricula 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. 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-trainng surveys, (b) post-training standardized patients/OSCEs, and (c) a post-OSCE survey. 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. 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.