Department of Medicine, University of Chicago Medicine, Chicago, IL.
American College of Chest Physicians, Glenview, IL.
Chest. 2018 Apr;153(4):876-887. doi: 10.1016/j.chest.2017.11.032. Epub 2017 Dec 12.
Successful implementation of non-small cell lung cancer (NSCLC) evidence-based guideline recommendations requires effective educational programs that target all clinicians from interdisciplinary teams. This study describes and evaluates the Engaging an Interdisciplinary Team for NSCLC (GAIN 3.0) experiential learning-based educational curriculum.
GAIN 3.0 was designed to enhance interdisciplinary collaboration for effective NSCLC diagnosis, assessment, and treatment. The program used a flipped classroom model that included an e-learning component prior to a live 6-hour interactive program. The interactive program included hands-on simulations, small group workshops, gamification, and case discussions. Participants included academic and community members of multidisciplinary lung cancer teams. Assessments included an online baseline survey, a pretest and posttest, a program evaluation, a long-term survey (LTS), and on-site faculty evaluation of participants.
Of 416 attendees to 13 live GAIN 3.0 programs (nine in the United States and four in Europe), 304 (73%) completed the pretest and 187 (45%) completed the posttest. Out of a perfect score of 12 points, program participants had a mean test score of 6.3 ± 2.1 on the pretest (52%) and 7.8 ± 2.1 on the posttest (65%) (P = .03). There was an overall knowledge increase of 13% from pretest to posttest. Most LTS respondents (65%) rated the GAIN 3.0 live programs as "high impact." On the LTS, the areas with the greatest gains in participants who had very high confidence were communication across disciplines, use of a team-based approach, and personalized treatment.
GAIN 3.0 was a highly successful interdisciplinary activity that improved participants' knowledge, competence, and likely the clinical care provided to patients with NSCLC.
成功实施非小细胞肺癌（NSCLC）循证指南建议需要有针对跨学科团队所有临床医生的有效教育计划。本研究描述并评估了以体验式学习为基础的跨学科非小细胞肺癌协作教育课程（GAIN 3.0）。
GAIN 3.0 的设计目的是增强跨学科协作，以实现有效的 NSCLC 诊断、评估和治疗。该方案采用翻转课堂模式，在为期 6 小时的现场互动课程之前，包括一个电子学习部分。互动课程包括实践模拟、小组研讨会、游戏化和病例讨论。参与者包括多学科肺癌团队的学术和社区成员。评估包括在线基线调查、前测和后测、方案评估、长期调查（LTS）以及现场对参与者的教师评估。
在 13 次现场 GAIN 3.0 课程（美国 9 次，欧洲 4 次）的 416 名与会者中，有 304 名（73%）完成了前测，187 名（45%）完成了后测。在 12 分满分中，方案参与者的前测平均得分为 6.3 ± 2.1（52%），后测平均得分为 7.8 ± 2.1（65%）（P =.03）。从前测到后测，知识总体增长了 13%。大多数 LTS 受访者（65%）认为 GAIN 3.0 现场课程具有“高影响力”。在 LTS 中，对非常有信心的参与者来说，学科间交流、使用团队方法和个性化治疗这三个领域的获益最大。
GAIN 3.0 是一项非常成功的跨学科活动，提高了参与者的知识、能力，可能还提高了为 NSCLC 患者提供的临床护理水平。
