The Network offers curricula and trainings that promote improvement
in the quality of care. A variety of publications and internet-based
learning materials are available. For more detailed information about
the curricula please contact Lisa Leiva at lisao@itsa.ucsf.edu
Toward
Culturally Competent Care: A Toolbox for Teaching Communication Strategies
Lead Author: Sunita Mutha, MD, FACP
This 170-page curriculum is a toolbox of materials for teaching culturally
competent skills needed for practical day-to-day encounters between
clinicians and patients. The materials can be adapted for sequential
one-hour sessions or for daylong seminars. The goals of the curriculum
are to teach participants to recognize when cultural differences exist
in patient encounters and to use specific communication skills to
elicit their patients' cultural perspectives about health and illness.
The curriculum includes specific instructions to faculty, didactic
and experiential sessions and all handouts and overheads.
Discussing Tough
Issues With Patients: Managing Unreasonable Requests, Mistakes, and
Conflicts of Interest
Grantee: Thomas Gallagher, MD, Washington
University School of Medicine
In an environment of shrinking health care resources and patients'
changing expectations of their clinicians, effective communication
is critical in maintaining the doctor-patient relationship. This curriculum
provides clinicians with focused training in discussing difficult
issues with their patients. It uses a combination of brief didactic
sessions interspersed with experiential activities in which participants
practice new approaches to discussing difficult issues with their
patients.
Core Learning
for Improving Care - available in 2003
Grantee: Linda A. Headrick, MD, MS, Case Western Reserve/MetroHealth
Medical Center
This curriculum uses internet-based learning and teaching materials
to speed the diffusion of health care improvement knowledge. Nine
self-study internet-based learning modules have been peer-reviewed
by an interdisciplinary editorial board of practicing clinicians,
technical experts and internationally known practitioners and educators
in health care improvement. The web-based modules will be available
in 2003 and are free of charge except for a small fee for CMEs.
Evidence-Based
Shared Decision-Making in Adult Primary Care
Grantee: David Price, MD, FAAFP, Permanente Medical
Group/University of Colorado
Most clinicians cite time constraints as a major barrier to practicing
shared decision-making (SDM). This curriculum and toolkit help clinicians
incorporate evidence-based medicine (EBM) and SDM into their practices.
Four clinical topics are highlighted where the "best course"
is unclear and inclusion of patient preferences is essential: mammography
screening for breast cancer in women ages 40-49; prostate cancer screening
for men over 50 using prostate specific antigen (PSA) testing; hormone
replacement therapy (HRT) for post-menopausal women; and antidepressant
and/or psychotherapy. The curriculum includes videotaped lectures
combined with experiential exercises.
Best Practices for
Busy Clinicians: Applying Continuous
Quality Improvement in Practice
Grantee: Peter Rudd, MD, FACP, Stanford University
Medical Center
This curriculum uses continuous quality improvement (CQI) as a central
focus for teaching clinicians to learn the core concepts and skills
to initiate, implement and expand local programs of "best practices."
It includes ten web-based, self-paced modules on CQI principles and
techniques coupled with two small group sessions. Each module includes
specific learning objectives, summaries of major points and self-assessment
quizzes.