Innovative Training to Improve CER PCOR Systematic Review Production and Uptake

创新培训以提高 CER PCOR 系统审查的生产和采用

• 批准号: 8744338
• 负责人: CHRISTOPHER H. SCHMID
• 金额: $ 49.85万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-10 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8744338
• 关键词: Innovative; Training; Improve; CER; PCOR

DESCRIPTION (provided by applicant): The 2010 Affordable Care Act created an unprecedented need for qualified researchers to carry out comparativeness effectiveness and patient centered outcomes research (CER/PCOR). This need cannot be met by existing training programs in the near future. While the generation and analysis of CER/ PCOR is crucial, the amount of data available already overwhelms our capacity to effectively synthesize it. As CER moves to the forefront of evidence used to inform healthcare decisions, there is an increasing need to ensure that these results are produced using the most reliable and rigorous methods. Thus, researchers need to be trained in the most recent methods, standards, and technologies. This proposal will build on our pioneering training effort in systematic review and meta-analysis and long history of teaching graduate courses in methods that now fall under the umbrella of CER and PCOR. We propose an innovative program to teach CER/PCOR methods focused on systematic review, along with cutting-edge computational and information technology focused on producing, interpreting, and utilizing evidence about best healthcare practices, using a combination of didactic, asynchronous, peer, and experiential methods. We expand upon the traditional CER workforce definition to include consumers and other non-traditional groups, such as payers (health plans), professional societies, patients and advocacy groups, commercial sector (pharmaceuticals), government agencies, policy makers, research funders, librarians, journalists, and legislators. Dr. Christopher Schmid will lead this training effort with the followng specific aims: 1. Create a unit within the Center for Evidence-based Medicine (CEBM) at Brown focused on the training and education of current and future CER researchers, including non-traditional groups and consumers. Develop innovative content that are freely accessible and use innovative delivery approaches for the education and training components requested in this RFA, including and not limited to rigorous assessment of the design, conduct, analysis, and interpretation of results from observational studies, registries, and clinical trials, as well as te use of powerful and publicly available software tools to conduct reviews efficiently and reliably. 2. Create and maintain a peer learning network for methodologists, statisticians, and other researchers to exchange knowledge on advanced CER/PCOR analytic techniques, research methods, and best practices. 3. Develop and implement a customized experiential learning/fellowship program for individual researchers to receive direct experience and mentoring on using CER/PCOR methods. 4. Create an R25 program evaluation unit to provide feedback to learners and to the program, which will be used to refine the contents and format of the training. Assess the intermediate and long term outcomes of the education program, including its effects on CER/PCOR systematic reviews and original research and the scientific workforce.

描述（由申请人提供）：《 2010年平价医疗法案》为合格的研究人员提供了前所未有的需要进行比较效率和以患者为中心的结果研究（CER/PCOR）。在不久的将来，现有的培训计划无法满足这一需求。尽管CER/ PCOR的产生和分析至关重要，但可用的数据量已经使我们有效合成它的能力。随着CER迁移到用于为医疗保健决定提供信息的证据的最前沿时，越来越需要使用最可靠和最严格的方法来确保这些结果。因此，需要对最新方法，标准和技术进行培训。这项建议将以我们在系统审查和荟萃分析以及教学研究生课程的长期历史的方法为基础上，在现已属于CER和PCOR的保护下。我们提出了一项创新计划，以教授专注于系统审查的CER/PCOR方法，以及着重于生产，解释和利用有关最佳医疗保健实践的证据，结合了教学，异步，同伴和体验方法。我们扩展了传统的CER劳动力定义，包括消费者和其他非传统群体，例如付款人（健康计划），专业社会，患者和倡导组织，商业部门（制药），政府机构，政策制定者，研究资助者，图书馆馆员，新闻记者和立法者。克里斯托弗·施密德（Christopher Schmid）博士将领导这项培训工作，以特定于Followng的特定目的：1。在Brown的循证医学中心（CEBM）中创建一个单位，专注于对当前和未来的CER研究人员的培训和教育，包括非传统团体和消费者。开发可自由访问的创新内容，并使用此RFA要求的教育和培训组件使用创新的交付方法，包括并且不限于对观察性研究，注册表，注册表，临床试验的设计，行为，分析和解释进行严格评估，以及对强大和公开可用的软件进行审查，以进行有效和可用性的审查。 2。为方法学家，统计学家和其他研究人员创建并维护同行学习网络，以交换有关高级CER/PCOR分析技术，研究方法和最佳实践的知识。 3。制定并实施定制的体验学习/奖学金计划，供各个研究人员获得直接的经验和使用CER/PCOR方法的指导。 4.创建一个R25程序评估单元，以向学习者和计划提供反馈，该单元将用于完善培训的内容和格式。评估教育计划的中级和长期成果，包括其对CER/PCOR系统评价和原始研究以及科学劳动力的影响。