Translating Clinical Decision Making into Systems of Care: A Mid-Career Mentor

将临床决策转化为护理系统：职业中期导师

基本信息

批准号：
8442917
负责人：
RANDALL SCOTT STAFFORD
金额：
$ 18.12万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-01 至 2017-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8442917
关键词：
Adopted Award Behavior Cardiology Caring Centers for Disease Control and Prevention (U.S.)Clinical Clinical Investigator Clinical Practice Patterns Clinical Research Collaborations Communities Complement Development Disease Management Doctor of Philosophy Educational Curriculum Educational process of instructing Effectiveness Ensure Environment Epidemiologist Epidemiology Equilibrium Evidence based practice Faculty Failure Fellowship Program Funding Future Goals Growth Health Health Benefit Health Care Reform Health Policy Healthcare Healthcare Systems Heart Research Internal Medicine Internist Intervention Investments Knowledge Leadership Life Medical Medicine Mentors Methodology Mid-Career Clinical Scientist Award (K24)Modeling Obesity Outcome Ownership Pathway interactions Patients Pattern Physicians Population Population Sciences Positioning Attribute Postdoctoral Fellow Prevention Preventive Preventive Intervention Primary Health Care Process Research Research Personnel Research Training Residencies Resources Science Scientist Services Staging Statutes and Laws Stress Supervision Testing Time Training Translating Translations Universities Wages Work care systems career career development clinical decision-making cohort comparative effectiveness design disorder prevention effectiveness research evidence base experience health disparity improved innovation interest member multidisciplinary next generation patient oriented research population health professor programs research to practice skills success

项目摘要

DESCRIPTION (provided by applicant): Randall S. Stafford, MD, PhD is a clinical epidemiologist, obesity researcher, and practicing primary care internist. This K24 renewal proposal capitalizes on Dr. Stafford's clinical research expertise, ongoing research program, and mentoring experience. With training in Internal Medicine (MD UCSF, Residency MGH) and Epidemiology (PhD UC Berkeley, post-doc CDC), Dr. Stafford is currently an Associate Professor of Medicine at Stanford University. He directs the Stanford Program on Prevention Outcomes and Practices (PPOP) and is clinically active in Preventive Cardiology and Primary Care Internal Medicine. Stanford University provides an exceptional setting for patient-oriented research training. Dr. Stafford's mentoring plan leverages existing training resources, particularly those of Stanford's CTSA. The Specific Aims of this renewal award are to: 1) Leverage Dr. Stafford's successful POR agenda, as well as the outstanding environment of Stanford University to enlarge an innovative and dynamic setting for POR training; 2) Build on Dr. Stafford's success as a K24 mentor and his continued development of new research and mentoring skills to apply a more systematic approach to mentoring that supplements the traditional apprenticeship model; 3)Through salary support and the increased availability of protected mentoring time, enhance Dr. Stafford's capacity to provide a greater depth of mentoring to a larger number of mentees; 4) Enrich Dr. Stafford's research career through skill growth, career re-focusing, and an impact-oriented emphasis. Clinical research, particularly patient-oriented research (POR), is critical to the translation of scientific knowledge into population health benefits. The process by which new medical practices and knowledge are disseminated, however, often fails to serve patients' best interests. Some new practices are readily adopted without adequate assessment while others with strong evidence-based support are adopted slowly and inconsistently. National investment in biomedical science is jeopardized if we fail to guide the translation of scientific evidence into practice. Given the importance of translating research into practice, it is ironic how difficult it is for clinically trained physicins to pursue careers in POR that emphasize population health. Adequate mentoring has been identified as a critical, but often missing, resource in the clinical research career development pathway. Dr. Stafford is intent on supporting the career needs of mentees to ensure that they can pursue long-term careers in population science with idealism and purpose. The research opportunities available from Dr. Stafford's own POR portfolio provide an excellent milieu for population science and POR training. Dr. Stafford's research aims to understand the forces influencing physician and patient behavior, with a focus on intervening to improve health outcomes through prevention. Dr. Stafford's objective is to further develop the science of health care innovation as a vehicle for designing prevention interventions to facilitate evidence-based practices by patients, their care providers, and health care systems. This research agenda is reinforced and stimulated by an array of clinical and teaching/mentoring activities. Mentoring a wide variety of trainees and junior faculty members not only provides a multidisciplinary intellectual community that brings to life the vital importance of these issues, but also creates successful scientists and future leaders.

描述（由申请人提供）：Randall S. Stafford，医学博士，哲学博士是一位临床流行病学家、肥胖症研究员和初级保健内科医生。这项 K24 更新提案充分利用了 Stafford 博士的临床研究专业知识、正在进行的研究计划和指导经验。斯塔福德博士接受过内科医学（加州大学旧金山分校医学博士、麻省总医院住院医师实习）和流行病学（加州大学伯克利分校博士、疾病预防控制中心博士后）培训，目前是斯坦福大学医学副教授。他指导斯坦福大学预防结果和实践项目 (PPOP)，并在预防心脏病学和初级保健内科医学方面临床活跃。斯坦福大学为以患者为导向的研究培训提供了优越的环境。 Stafford 博士的指导计划利用了现有的培训资源，特别是斯坦福大学 CTSA 的资源。此次续签的具体目标是： 1) 利用斯塔福德博士成功的 POR 议程以及斯坦福大学的优秀环境，为 POR 培训扩大创新和充满活力的环境； 2) 以斯塔福德博士作为 K24 导师的成功以及他不断发展的新研究和指导技能为基础，应用更系统的指导方法来补充传统的学徒模式； 3）通过薪资支持和增加受保护的指导时间，增强斯塔福德博士为更多学员提供更深入指导的能力； 4) 通过技能发展、职业重新定位和以影响力为导向的重点，丰富斯塔福德博士的研究生涯。临床研究，特别是以患者为导向的研究 (POR)，对于将科学知识转化为人口健康益处至关重要。然而，新的医疗实践和知识的传播过程往往无法满足患者的最大利益。一些新做法未经充分评估就很容易被采用，而另一些具有强有力证据支持的做法却被缓慢且不一致地采用。如果我们不能指导科学证据转化为实践，国家对生物医学的投资就会受到损害。鉴于将研究转化为实践的重要性，具有讽刺意味的是，经过临床培训的物理学家想要从事强调人口健康的 POR 职业是多么困难。充分的指导已被认为是临床研究职业发展路径中的关键但经常缺失的资源。斯塔福德博士致力于支持学员的职业需求，以确保他们能够怀着理想主义和目标在人口科学领域追求长期职业生涯。 Stafford 博士自己的 POR 组合提供的研究机会为人口科学和 POR 培训提供了良好的环境。斯塔福德博士的研究旨在了解影响医生和患者行为的力量，重点是通过预防进行干预以改善健康结果。斯塔福德博士的目标是进一步发展医疗保健创新科学，作为设计预防干预措施的工具，以促进患者、其护理提供者和医疗保健系统的循证实践。该研究议程通过一系列临床和教学/指导活动得到加强和刺激。指导各种各样的学员和初级教员不仅可以提供一个多学科的知识社区，让人们认识到这些问题的至关重要性，而且还可以培养成功的科学家和未来的领导者。