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.

项目摘要 相关临床证据的产生中存在主要差距 干预措施实践，并制定知情政策。学习医疗系统的设计 “为每个患者和提供者的协作医疗保健选择生成并应用最佳证据， 将发现过程作为患者护理的自然产物，并确保创新，质量，安全性， 和医疗保健的价值。” 范德比尔特（Vanderbilt 整合科学发现，证据实施以及信息以及评估的方法 学习保健系统中的健康政策。我们建议建立范德比尔特患者， 实践有效性和系统科学（进度）计划的成果和研究 跨列车后的研究人员以三个核心学科的学习医疗系统的重点为重点： 1）以患者为中心的结果研究 - 确定哪些对患者最有效的策略； 2） 实施科学到实施并评估这些有效的策略实践； 3）健康 政策/社区健康影响政策，使所有患者受益并改善社区的健康。 通过这些领域的交叉培训研究人员，我们将汇集各个学员和导师团体 学科和模型团队科学；我们将提供榜样和论坛来展示智力 跨学科研究的生产力和实际利益在推动人类健康方面；我们会的 认可团队的方法来填补知识的空白并将知识转化为应用程序。多元化 有才华的申请人可以通过临床/研究奖学金获得，这是一项蓬勃发展的实施科学 计划，位置良好的卫生政策部以及包括Meharry医学院在内的合作伙伴。 进步学员将有持续的联邦资金获得成熟的教师导师， 心理早期职业学员的广泛记录。每个学员的奖学金监督委员会 （SOC）将从经验丰富的导师池中汲取以患者为中心的结果研究， 实施科学与健康政策/社区健康。该计划将有3个培训组件 进行了2年的时间：1）高级教学，包括学位课程或重点课堂； 2）前 为学习卫生系统科学的K级培训的学员准备的遗产； 3）专家 通过研究项目的进行学习。学员将得到一系列机构的支持 培训和开发资源，包括：卫生服务正在进行中；临床质量和 实施研究科学系列，期刊俱乐部，生物统计学研讨会，临床和翻译 半手和同行吸引活动。综上所述，这些资源为 发展下一代学习卫生系统研究人员。