Education and training program in patient-centered outcomes research

以患者为中心的结果研究的教育和培训计划

• 批准号: 8862439
• 负责人: PAUL R MARANTZ
• 金额: $ 1.3万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-06-05 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8862439
• 关键词: Education; training; program; patient; centered

DESCRIPTION (provided by applicant): This application proposes to develop a new, multifaceted education and training program in patient-centered outcomes research (PCOR). Set in the medically underserved community of the Bronx, it represents a partnership between the Albert Einstein College of Medicine (a research-intensive medical school), which will develop and deliver this educational program, and Montefiore Medical Center (a community-oriented academic medical center and primary-care-focused healthcare delivery system), whose clinicians will be trained as researchers. The program will have 3 distinct but connected components: an educational program in the fundamental methodologies of PCOR, leading to a Certificate; an advanced "learning collaborative," where faculty and students learn, develop, and debate advanced and emerging PCOR methodologies; and an experiential short-term fellowship based at Montefiore's care management company, CMO, where selected, highly motivated PCOR Certificate graduates will get hands-on PCOR experience under close and expert supervision. This program plays to the strengths of Einstein's teaching and research faculty, and to Montefiore's leadership in delivering high-quality, cost-effective care in a diverse and economically disadvantaged inner-city setting. The program will maintain an innovative focus on engagement (of patients, communities, payers, and other 'stakeholders') and on dissemination and implementation of research findings. One aspect of community engagement will be the requirement that fellows obtain consultation from a community research review board as they develop their research projects. The entire program will be evaluated carefully under the aegis of an independent evaluation unit examining both process and outcomes. These evaluation data will be presented to an executive committee (overseeing the program's day-to-day operations) and an advisory committee (a panel providing expert guidance on an annual basis), and the program will be revised as needed, in accordance with these findings. Through this program, we will imbue a cadre of clinicians from different health professions with knowledge and skills in PCOR. Graduates of our Certificate in Patient-Centered Outcomes Research will use what they learn to advance evidence-based clinical practice, to advocate for evidence-based healthcare improvement, and to meaningfully contribute to multidisciplinary PCOR teams. Those who complete our fellowship will go on to lead PCOR teams and enhance the PCOR workforce. Our expert faculty will be engaged not only as educators and trainers, but will both learn and help develop emerging PCOR methodologies. This entire program will be developed within an underserved inner-city setting, and within a managed and accountable care organization. Thus, the program will not only produce an expert PCOR workforce, but also lead to a savvier clinical workforce, enhanced institutional PCOR capacity, advances in PCOR methodology, and ultimately healthcare improvement.

描述（由申请人提供）：本申请建议在以患者为中心的结果研究（PCOR）中制定新的，多方面的教育和培训计划。它设置在布朗克斯的医学缺乏社区中，它代表了阿尔伯特·爱因斯坦医学院（一所研究密集型医学院）之间的合作伙伴关系，该学院将开发和交付该教育计划，蒙特菲奥雷医疗中心（蒙特菲奥尔医学中心（一个面向社区的学术医疗中心与以初级保健为中心的医疗保健系统），其临床医生将受过培​​训。该计划将具有3个不同但相互联系的组成部分：PCOR基本方法中的一个教育计划，导致证书；高级“学习协作”，教师和学生在这里学习，发展和辩论高级和新兴的PCOR方法论；以及位于CMO蒙特菲奥尔护理管理公司的体验短期奖学金，在那里选择的PCOR证书毕业生备受积极性的PCOR证书毕业生将在近距离和专家监督下获得动手的PCOR经验。该计划发挥了爱因斯坦教学和研究教师的优势，以及蒙特菲奥尔在在多样化和经济上处于劣势的内部城市环境中提供高质量，具有成本效益的护理的领导。该计划将保持对参与度的创新关注（患者，社区，付款人和其他“利益相关者”）以及研究结果的传播和实施。社区参与的一个方面将是，研究员在开发研究项目时从社区研究审查委员会中获得咨询。整个程序将在一个独立评估单元的宙斯盾下仔细评估，以研究过程和结果。这些评估数据将介绍给执行委员会（监督该计划的日常运营）和咨询委员会（每年提供专家指导的小组），并根据这些发现将根据需要修改该计划。通过该计划，我们将在PCOR中提供来自不同健康职业的临床医生的干部。我们以以患者为中心的结果证书的毕业生将利用他们学到的知识来推进基于证据的临床实践，倡导基于证据的医疗保健改善，并有意义地为多学科的PCOR团队做出贡献。那些完成我们奖学金的人将继续领导PCOR团队并增强PCOR劳动力。我们的专家教师不仅将作为教育者和培训师聘用，而且还将学习并帮助发展新兴的PCOR方法论。整个计划将在服务不足的内城设置以及托管和负责任的护理组织中开发。因此，该计划不仅会产生专业的PCOR劳动力，而且还会导致较美味的临床劳动力，增强的机构PCOR容量，PCOR方法论的进步以及最终改善医疗保健。