Cardiovascular Outcomes Research in Perioperative Medicine - COR-PM

围手术期医学心血管结局研究 - COR-PM

• 批准号: 10392118
• 负责人: Karsten Bartels
• 金额: $ 1万
• 依托单位: UNIVERSITY OF NEBRASKA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-11-23 至 2022-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10392118
• 关键词: Address; Advisory Committees; African; Anesthesiology; Anesthetics; Applications Grants; Area; Atmosphere; Benchmarking; Cardiology; Cardiovascular Surgical Procedures; Cardiovascular system; Career Mobility; Cessation of life; Clinical; Clinical Research; Diagnosis; Effectiveness; Ensure; Event; Expenditure; Funding; Goals; Grant Review; Heart; Home; Hospitals; Human; Institution; International; Knowledge; Lead; Location; Medicine; Mentors; Mentorship; Methods; Modality; Modeling; Operative Surgical Procedures; Organ; Outcome; Outcomes Research; Participant; Patients; Perioperative; Perioperative Care; Peripheral; Physicians; Prevention; Productivity; Professional Organizations; Quality of Care; Recommendation; Research; Research Methodology; Research Personnel; Resources; Scholarship; Scientist; Secondary to; Societies; Surveys; Translating; Underrepresented Populations; United States; United States National Institutes of Health; Woman; base; career development; catalyst; design; disability; innovation; inpatient surgery; meetings; member; mortality; novel; patient safety; perioperative mortality; recruit; satisfaction; success; symposium; translational pipeline; virtual; working group

Abstract Anesthesiology research has contributed to dramatic improvements in patient safety and quality of care. Although in the United States, only 8.2 deaths per million surgical hospital discharges are secondary to apparent anesthetic complications, 30-day mortality after inpatient surgeries still ranges at 1.3%. The most common and potentially preventable causes of 30-day mortality after non-cardiac surgery are cardiovascular events. With more than 300 million patients having surgeries worldwide, the potential of improvements in perioperative care to reduce human suffering and harm is immense. Despite its relevance to perioperative mortality, high-quality clinical cardiovascular outcomes research, in particular, is not commonly conducted in the majority of US academic anesthesiology departments. Indeed, the ongoing decline in the physician-scientist workforce sparked the Director of NIH, Dr. Francis Collins, to convene the physician-scientist working group to provide recommendations to enhance its robustness and diversity. The field of anesthesiology lags behind in NIH funding, e.g., as compared to surgery or medicine departments. Yet, despite efforts to provide junior applicants with a competitive advantage, the critical transition from career development to independent investigator status, often referred to as “K2R”, remains a significant challenge, especially for women and investigators from underrepresented in medicine backgrounds. Currently, the typical model for a mentor/mentee relationship is conditional on physical proximity. COR-PM challenges this status quo, by proposing mentees from around the US to lead a cross-institutional mentoring effort, that will be independent of the physical location of mentee and mentor. To achieve the conference’s objectives, the investigators have designed a steering group comprised of 25 junior investigators from across the US, advised by an international eight-member senior advisory panel comprised of independent investigators with a track record of success in clinical cardiovascular outcomes research. Using a “By Mentees – With Mentors – For Mentees” paradigm, the investigators propos three specific aims. Aim 1: Organize the 2022 Cardiovascular Outcomes Research in Perioperative Medicine - COR-PM to advance clinical outcomes research in cardiovascular medicine within the T2-T4 translational spectrum. Aim 2: Provide mentorship capacity for junior investigators by providing tangible mentoring to attendees through pairing mentees with mentors across institutions. Aim 3: Create an inclusive and welcoming conference atmosphere by enhancing diversity and in all aspects of conference planning and implementation. The expected outcome of this conference is for participants to gain knowledge in the area of perioperative cardiovascular outcomes research and benefit from establishing mentoring relationships outside of their respective home institutions. COR-PM will thereby have an immediate and positive impact.

抽象的 麻醉学研究促进了患者安全和护理质量的巨大改善。 尽管在美国，只有8.2例每百万手术医院出院死亡是次要的 明显的麻醉并发症，住院手术后的30天死亡率仍然为1.3％。这 非心脏手术后，最常见且可能导致30天死亡率的原因是 心血管事件。全球有超过3亿患者进行了手术，其潜力 改善定期护理以减少人类痛苦和伤害是巨大的。尽管有它 与周期性死亡率，高质量临床心血管结局研究的相关性， 特别是在美国大多数学术麻醉学部门中通常进行的。 确实，身体科学家劳动力的持续下降激发了NIH的董事弗朗西斯博士 柯林斯，召集身体科学家工作组，提供建议以增强其 稳健性和多样性。麻醉学领域落后于NIH资金，例如 手术或医学部门。然而，使命努力为初级申请人提供竞争力 优势，从职业发展到独立调查员地位的关键过渡通常 被称为“ K2R”仍然是一个重大挑战，特别是对于女性和调查员 在医学背景中的代表性不足。目前，精神/受训者的典型模型 关系是基于物理接近的条件。 COR-PM通过提案挑战此现状 来自美国各地的梅内斯（Menees）领导跨机构的指导工作，这将独立于 男人和男人的身体位置。为了实现会议的目标，调查人员 已经设计了一个转向组，由美国各地的25名初级调查员组成， 一个国际八人成员的高级咨询小组，包括独立调查员 临床心血管结局研究成功的记录。使用“由受训者 - 与 导师 - 对于受训者而言”范式，调查人员提出三个特定目标。目标1：组织 2022年围手术医学的心血管结局研究-COR -PM用于促进临床 T2-T4翻译光谱中心血管医学的结果研究。目标2：提供 通过为与会者提供有形心理的初级调查人员的精通能力 将月经与跨机构的导师配对。目标3：创建一个包容和热情的会议 通过增强多样性以及会议计划和实施的各个方面的氛围。这 这次会议的预期结果是参与者在期间领域获得知识 心血管结果研究和从其之外建立心理关系而受益 各自的家庭机构。因此，COR-PM将立即产生直接和积极的影响。