MOUNT SINAI EMERGENCY MEDICINE RESEARCH CAREER DEVELOPMENT PROGRAM

西奈山急诊医学研究职业发展计划

• 批准号: 8715846
• 负责人: Lynne D. Richardson
• 金额: $ 117.81万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8715846
• 关键词: Accident and Emergency department; Acute; Address; Administrator; Advanced Practice Nurse; Advisory Committees; Area; Budgets; Cardiovascular system; Characteristics; Clinical; Clinical Research; Clinical Trials; Communities; Data; Data Analyses; Data Collection; Development; Disease; Doctor of Philosophy; Doctor' s Degree; Drug Formulations; Educational Curriculum; Educational process of instructing; Effectiveness; Emergency Medicine; Emergency Situation; Environment; Ethics; Evaluation; Faculty; Feedback; Foundations; Funding; Generations; Grant; Health Services; Health Services Research; Human Subject Research; Individual; Informatics; Informed Consent; Instruction; Interdisciplinary Study; Investigation; Leadership; Learning; Life; Lung; Manuscripts; Master' s Degree; Measurement; Medical center; Mentored Clinical Scientist Development Program; Mentors; Mentorship; Methods; Metric; Mind-Body Method; Monitor; NCI Scholars Program; Nurses; Oral; Participant; Pathway interactions; Patient-Focused Outcomes; Patients; Physician Assistants; Physicians; Preparation; Regulation; Reporting; Research; Research Activity; Research Design; Research Ethics; Research Infrastructure; Research Personnel; Resources; Resuscitation; SECTM1 gene; Safety; Social Workers; System; Training; Training Programs; Translating; Translations; Trauma; United States National Institutes of Health; Work; Writing; career; career development; clinical practice; community based participatory research; cultural competence; design; evidence base; health disparity; human subject protection; instrument; investigator training; member; patient oriented; planetary Atmosphere; programs; skills

DESCRIPTION (provided by applicant): The Mount Sinai K12 Research Career Development Program in Emergency Medicine (EM) is designed to build on the Mount Sinai Medical Center's highly productive research infrastructure and create a vibrant, sustainable training program that consistently produces individuals who succeed as independent researchers of life-threatening cardiovascular, pulmonary, hematological and traumatic emergencies and as contributing members of multidisciplinary research teams. The program's specific aims are to provide outstanding, research-minded, junior faculty physicians, nurses, and other clinicians with the strong foundation in the principles of clinical, translational, and health services research and the experiential research opportunities necessary to 1) establish independent research careers in emergency cardiovascular, pulmonary, hematological or trauma investigation; 2) be valuable, contributing members of multidisciplinary research teams; and 3) accelerate dissemination of their research findings and rapidly translate those research findings into clinical practice. Career development will be achieved through outstanding mentorship; formal instruction; individual and collaborative research activities; mastery of dissemination and translation strategies; career and leadership development activities; and a supportive, collegial atmosphere. The Program is comprised of didactic and experiential curricula that build on existing institutional resources and add specific instruction and mentoring to address the unique characteristics of emergency medicine research. Each K12 Scholar will have an academic mentor, a primary research mentor and an individualized training plan to assure mastery of the following eighteen competencies: proper formulation of a research question; hypothesis generation; research design; definition and measurement of patient-centered outcomes and systems-level variables; data collection methods; data monitoring and safety issues; data analysis; oral and written presentation of research to scientific and lay audiences; manuscript preparation, submission, and revision; grant preparation, submission, and revision; project management, budgeting, reporting, and research compliance; protection of human subjects and research ethics; clinical and research informatics; dissemination and implementation of evidence-based therapies and practices; effectiveness in multi-disciplinary groups & teamwork skills; cultural competence; career development; and mentoring skills. The proposed program will be fully integrated into the existing, successful, NIH-funded CTSA KL2/K12 and MSCR / PhDCR programs to enhance the depth and breadth of career training in patient-centered clinical, translational and health services emergency medicine research. All K12 scholars will participate in mentored and independent, Scholar- originated research on acute, life-threatening cardiovascular, pulmonary, hematological and traumatic conditions and that draws on the methodological and disease-specific areas of institutional strength, including a remarkable track record of research in health disparities and community-based participatory research. The K12 program will further expand on the robust CTSA programs for training investigators in the protection of human subjects and the ethical conduct of research. The PI/PD has extensive research expertise in the exception from informed consent regulations that allow clinical investigations of resuscitation and other life-threatening conditions and other faculty members will address specific regulatory requirements and unique ethical research issues that arise in the emergency department setting. Both the departmental and institutional environments have an exceptional record of attracting and supporting diversity among faculty, fellows, trainees, and staff, and of working with patient communities that are among the most ethnically diverse in the nation. The proposed K12 Program will both embody and teach this commitment to diversity. The PI/PD and the Steering Committee will select two K12 Scholars per year to start in years 2, 3, and 4. Each K12 scholar will be supported for 2 to 3 years. Because the program seeks to train individuals with a variety of backgrounds, there will be three pathways into the program, which may be further customized for the needs of individual Scholars. Pathway A is for junior faculty physicians, nurses, or other clinicians possessing a doctoral level professional degree who do not have a research Master's degree (MSCR, MSc), who will be required to complete a MSCR degree during the program. Pathway B is for those with doctoral degrees who already have a research Master's degree; they will be required to complete selected advanced courses from the expanded Masters and PhD in Clinical Research programs to deepen and broaden their research skills. Pathway C is for advanced practice nurses, physician assistants and Masters-level social workers who do not have a doctoral degree; they will be required to obtain a PhD in Clinical Research during the program. A formal, detailed evaluation of all aspects of the Program will be developed by the Program Director and Steering Committee, assisted by an Evaluation Consultant and the External Scientific Advisory Committee. Evaluation will include annual 360o evaluations of each Scholar, the Program Director, the Research Program Administrator and the Program Biostatistician; specific learning objectives for each educational component and instruments to obtain quantitative and qualitative feedback from participants; data from the existing robust feedback mechanisms in the MSCR, PhDCR and KL2 Programs; and metrics for evaluation of individual K12 scholars and the program as a whole by the External Scientific Advisory Committee.

描述（由申请人提供）：西奈山 K12 急诊医学研究职业发展计划 (EM) 旨在以西奈山医疗中心高效的研究基础设施为基础，创建一个充满活力、可持续的培训计划，不断培养在以下领域取得成功的个人：危及生命的心血管、肺部、血液和创伤紧急情况的独立研究人员以及多学科研究团队的贡献成员。该项目的具体目标是为杰出的、有研究意识的初级医师、护士和其他临床医生提供临床、转化和健康服务研究原则方面的坚实基础，以及必要的体验式研究机会，以实现以下目的：1）建立独立研究从事紧急心血管、肺、血液或创伤调查的职业； 2) 成为多学科研究团队中有价值、有贡献的成员； 3）加速研究成果的传播，并将这些研究成果迅速转化为临床实践。职业发展将通过出色的指导来实现；正式指导；个人和合作研究活动；掌握传播和翻译策略；职业和领导力发展活动；以及支持性的学院氛围。该计划由教学和体验课程组成，这些课程以现有机构资源为基础，并增加了具体的指导和指导，以解决急诊医学研究的独特特征。每位 K12 学者将有一名学术导师、一名主要研究导师和个性化培训计划，以确保掌握以下十八项能力：正确提出研究问题；假设生成；研究设计；以患者为中心的结果和系统级变量的定义和测量；数据收集方法；数据监控和安全问题；数据分析；向科学界和非专业观众口头和书面介绍研究成果；稿件准备、提交和修改；拨款准备、提交和修订；项目管理、预算、报告和研究合规性；保护人类受试者和研究道德；临床和研究信息学；传播和实施循证疗法和实践；多学科小组的有效性和团队合作技能；文化能力；职业发展；和指导技巧。拟议的计划将完全融入现有的、成功的、NIH 资助的 CTSA KL2/K12 和 MSCR/PhDCR 计划中，以增强以患者为中心的临床、转化和卫生服务急诊医学研究职业培训的深度和广度。所有 K12 学者都将参与由学者发起的关于急性、危及生命的心血管、肺、血液和创伤性疾病的指导性独立研究，这些研究利用了方法论和特定疾病领域的机构实力，包括卓越的研究记录健康差异和基于社区的参与性研究。 K12 计划将进一步扩展强大的 CTSA 计划，用于培训研究人员保护人类受试者和研究道德行为。 PI/PD 拥有广泛的研究专业知识，但知情同意法规允许对复苏和其他危及生命的情况进行临床调查，其他教职员工将解决急诊科环境中出现的具体法规要求和独特的伦理研究问题。部门和机构环境在吸引和支持教职人员、研究员、实习生和工作人员之间的多样性以及与全国种族最多元化的患者社区合作方面都有着卓越的记录。拟议的 K12 计划将体现并教导这种对多样性的承诺。 PI/PD 和指导委员会每年将选出两名 K12 学者，从第 2、3 和 4 年开始。每位 K12 学者将获得 2 至 3 年的支持。由于该计划旨在培养具有不同背景的个人，因此该计划将有三种途径，可以根据个别学者的需求进一步定制。途径 A 适用于拥有博士学位专业学位但没有研究型硕士学位（MSCR、MSc）的初级医师、护士或其他临床医生，他们需要在课程期间完成 MSCR 学位。途径B适用于那些已经拥有研究型硕士学位且已获得博士学位的人；他们将被要求完成扩大的临床研究硕士和博士学位课程中选定的高级课程，以深化和拓宽他们的研究技能。途径C适用于没有博士学位的高级执业护士、医师助理和硕士级社会工作者；他们将需要在该计划期间获得临床研究博士学位。计划主任和指导委员会将在评估顾问和外部科学咨询委员会的协助下，对计划的各个方面进行正式、详细的评估。评估将包括对每位学者、项目主任、研究项目管理员和项目生物统计学家的年度360度评估；每个教育组成部分的具体学习目标和工具，以获得参与者的定量和定性反馈；来自 MSCR、PhDCR 和 KL2 计划中现有强大反馈机制的数据；外部科学咨询委员会对 K12 学者个人和整个项目进行评估的指标。