MS Bup Framework

From Clinicaltools.com

Contents 1 Key Details 2 Need 3 Vision 4 Mission 5 Target Audience 6 Constraints 7 Strengths 8 Goal 9 Objectives 10 Implementation 11 Evaluation 12 Time Line 13 Findings 14 Alternative Solutions 15 New Ideas 16 Communication

Key Details

Title: Medical Student Training on Buprenorphine and Opioid Dependence

Prinicipal Investigator: Tanner, T Bradley

Funding: National Institute on Drug Abuse # R44 DA022069

Start: 8/01/06 End: 1/31/09

Need

Medical school curricula do not adequately teach students how to screen and detect substance abuse, specifically opioid abuse or dependence.

Vision

Medical students will routinely and sensitively screen patients for substance abuse and will know how to effectively treat or refer patients to effective treatment.

Mission

Improve medical students' ability and willingness to screen and treat patients with substance abuse issues before negative stigma for this population forms.

Target Audience

Medical students in years 2 through 4 of medical school.

Constraints

1. Medical schools tend to focus time and resources on non-psychiatric issues.

2. Pinpointing the right medical school contacts to promote our product.

3. Recruiting medical students (e.g. it's difficult to recruit medical students without going through medical schools)

4. Medical students have time constraints that interfere with their willingness to participate in our evaluation

5. Interviews are time consuming

Strengths

1. We already have medical schools who benefit from other Clinical Tools projects.

2. Medical students have little baseline knowledge of the subject and are usually enthusiastic about learning new topics and gaining clinical skills.

Goal

Evaluate the BupMS curriculum and further cultivate the standardized patient component to use as an evaluation tool.

Objectives

1. Develop a curriculum plan for the 6 modules using the Clinical Tools Instructional Design Model (CTIIDM)

2. Gather and incorporate feedback from the project consultants and from 10 additional individuals currently involved in teaching medical students about substance abuse (such as directors of medical student education, professors of psychiatry/related, and directors of related courses/clerkships) related to 1) the curriculum plan, and 2) the prototype module.

3. Create a fully functional prototype online module using a rapid prototyping model involving consultant feedback and 2 rounds of iterative usability testing with the target audience.

4. Perform a small pilot test to assess student knowledge, attitude, and intended behavior using pre/post measures. Satisfaction with the learning experience will be assessed immediately post-experience.

Implementation

PHASE II SPECIFIC AIMS

1. Develop the additional modules based on the curriculum plan using the rapid prototyping method.

2. Gather and incorporate feedback from the expert consultants on the developing modules.

3. Complete a Summative Evaluation

4. Report our results to NIH and the scientific community

Evaluation

Our modules will be evaluated using medical students in their 2-4 years of medical school training (goal of n=80). Knowledge, attitude, and intended behavior will be assessed before the entire learning experience, and after the completion of the required modules. This study is designed to assess change in clinical skills using interviews of simulated patients pre and post-intervention.

Time Line

Evaluation to be completed by August 2009 following grant extension.

Findings

Knowledge scores significantly improved from pretest to posttest during our first round of pilot testing. Self-Efficacy scores were very highly significant (p<.001) pre- to post-experience.

Alternative Solutions

New Ideas

1. Use "Second Life" for standardized patient chats

2. Expand target audience to interns and/or residents

3. Find some solution for keeping up with the standardized patient participants (something attached to google calendar that automatically emails the links to the courses, or some drupal based solution.)

Communication

2008 AAMC Conference on Research in Medical Education- 11/1/08-11/4/08

AAAP 19th Annual Meeting & Symposium 12/4/08-12/7/08

Clinical Tools Frameworks

• Practicing Physicians
  • Pain and Addiction
  • SBIRT
  • Tobacco and AHEC
  • Buprenorphine Practice Advisor
• Medical Students
  • Alcohol
  • Buprenorphine
  • MS Pain and Addiction
  • ELSI of Genetics (ELSI = Ethical, Legal and Social Implications)

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Consumers

• Dementia Care Central

Intermediaries

• EndingSuicide
• Brain Train

Health Researchers

• HealthProposal