Learning Health System training program: PROgRESS--Patient/ pRactice Outcomes and Research in Effectiveness and Systems Science

学习健康系统培训计划：PROgRESS--患者/实践成果以及有效性和系统科学的研究

• 批准号: 10425309
• 负责人: CARLOS G GRIJALVA
• 金额: $ 53.17万
• 依托单位: VANDERBILT UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10425309
• 关键词: Learning; Health; System; training; program

PROJECT SUMMARY Major gaps exist in the generation of relevant clinical evidence, widespread implementation of proven clinical interventions into practice, and formulation of informed policies. The learning healthcare system is designed to “generate and apply the best evidence for the collaborative healthcare choices of each patient and provider, drive the process of discovery as a natural outgrowth of patient care, and ensure innovation, quality, safety, and value in healthcare.” Vanderbilt is committed to develop a cadre of investigators who are formally trained and well versed in best methods for integrating scientific discovery, evidence implementation, and information and evaluation of health policies within the learning healthcare system. We propose to establish the Vanderbilt Patient, pRactice Outcomes and Research in Effectiveness and Systems Science (PROgRESS) Program to cross train post-doctoral investigators with the focus of the learning healthcare system in three core disciplines: 1) Patient Centered Outcomes Research -To determine which strategies are most effective for patients; 2) Implementation Science-To implement and evaluate those effective strategies into practice; and, 3) Health Policy/ Community Health-To influence policy to benefit all patients and improve health of the community. By cross training researchers in these areas we will draw together groups of trainees and mentors across disciplines and model team science; we will provide role models and forums that demonstrate the intellectual productivity and practical benefits of interdisciplinary research in advancing human health; and we will endorse team approaches to filling gaps in knowledge and translating knowledge into application. A diverse pool of talented applicants is available through clinical/research fellowships, a thriving Implementation Science program, a well-positioned Department of Health Policy, and in partners including Meharry Medical College. PROgRESS trainees will have access to well-established faculty mentors with sustained federal funding and an extensive track record of mentoring early career trainees. Each trainee's Scholarship Oversight Committee (SOC) will draw from an experienced pool of mentors in Patient Centered Outcomes Research, Implementation Science and Health Policy/Community Health. The program will have 3 training components conducted over 2 years: 1) advanced didactics, including degree program or focused classwork; 2) formal mentorship that prepares trainees for K level training in Learning Health Systems science; and 3) experiential learning through the conduct of a research project. Trainees will be supported by a broad array of institutional resources for training and development, including: Health Services Works in Progress; Clinical Quality and Implementation Research scholarly series, journal clubs, Biostatistics Seminars, clinical and translational seminars, and peer-mentoring activities. Taken together, these resources provide an optimal environment for developing the next generation of Learning Health System researchers.

项目概要 在相关临床证据的产生、已证实的临床证据的广泛实施方面存在重大差距 干预措施付诸实践，并制定明智的政策。 “为每个患者和提供者的协作医疗选择生成并应用最佳证据， 推动发现过程作为患者护理的自然产物，并确保创新、质量、安全、 和医疗保健价值。” 范德比尔特致力于培养一支受过正式培训、精通最优秀知识的调查员队伍。 整合科学发现、证据实施以及信息和评估的方法 我们建议在学习医疗保健系统内建立范德比尔特患者的健康政策。 有效性和系统科学的实践成果和研究（PROgRESS）计划 交叉培训博士后研究人员，重点关注三个核心学科的学习医疗系统： 1) 以患者为中心的结果研究 - 确定哪些策略对患者最有效 2) 实施科学——将这些有效策略实施并评估到实践中，3) 健康； 政策/社区健康-影响政策以造福所有患者并改善社区健康。 通过对这些领域的研究人员进行交叉培训，我们将把不同领域的学员和导师聚集在一起 学科和模型团队科学；我们将提供展示知识分子的榜样和论坛 跨学科研究在促进人类健康方面的生产力和实际效益； 支持团队方法来填补知识空白并将知识转化为应用。 通过临床/研究奖学金可以获得才华横溢的申请者，这是一项蓬勃发展的实施科学 计划、位置优越的卫生政策部以及包括梅哈里医学院在内的合作伙伴。 PROgRESS 学员将有机会接触到拥有持续联邦资助的知名教师导师，以及 每个学员的奖学金监督委员会都有指导早期职业学员的广泛记录。 （SOC）将从以患者为中心的结果研究领域经验丰富的导师中选拔， 实施科学与健康政策/社区健康 该计划将包含 3 个培训部分。 进行超过 2 年：1) 高级教学，包括学位课程或重点课堂作业；2) 正式课程 为学员提供学习健康系统科学 K 级培训的指导；3) 体验式培训； 通过开展研究项目进行学习将得到广泛机构的支持。 培训和发展资源，包括： 正在进行的卫生服务工作；临床质量和 实施研究学术系列、期刊俱乐部、生物统计学研讨会、临床和转化 研讨会和同行指导活动共同为这些资源提供了最佳环境。 培养下一代学习健康系统研究人员。