Stimulating Access to Research in the University of Cincinnati Internal Medicine Residency Program

促进辛辛那提大学内科住院医师项目的研究机会

基本信息

批准号：
10615587
负责人：
Jennifer Otoole
金额：
$ 32.32万
依托单位：
UNIVERSITY OF CINCINNATI
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-04-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10615587
关键词：
Academic Medical Centers Accreditation Address Adult American Appointment Basic Science Cardiovascular system Career Choice Child Childhood Clinical Research Competence Complement Complex Coupling Critical Care Dedications Development Plans Discipline Education Educational Curriculum Educational Status Educational workshop Ensure Evaluation Faculty Fellowship Funding Future Goals Grant Individual Infrastructure Internal Medicine Intervention Investments Junior Physician Learning Link Lung Manuscripts Medical Research Medical center Medicine Mentors Modeling National Heart, Lung, and Blood Institute Outcome Pathway interactions Pediatric Hospitals Physicians Positioning Attribute Process Production Program Description Publishing Qualifying Research Research Personnel Research Project Grants Residencies Scientist Secure System Time Training Translational Research United States National Institutes of Health Universities Work career college education research experience falls flexibility graduate medical education implementation science innovation interest online course physician-scientist training program programs recruit success successful intervention systematic review tool working group

项目摘要

The number of physician scientists, in both adult and pediatric medicine, is declining despite an overall increase the total number of physicians. Without a substantial increase the pool of early stage physicians interested in embarking on a research career, the shortfall of successful physician scientists will worsen. Although the reasons are complex and are in part because of the increasing challenge of sustaining a successful research career, an identified and possibly remediable cause is the high attrition rate of potential research capable physicians at the residency stage of training. We now propose a University of Cincinnati (UC)-StARR program focused on identifying internal medicine residents with an interest in a research career. Once identified, we will mentor them through a flexible combined didactic and research experience that places them in a competitive position to pursue a successful physician-scientist career. The overall goal is to increase the pipeline of internal residents earmarked for research-oriented academic careers. We will complement programs that we already have in place at that are primarily focused on fellowship level training. We propose the following: 1) establish a cadre of well-funded NHLBI investigators from the University of Cincinnati College of Medicine and Cincinnati Children’s Hospital Medical Center experienced in training physician scientists in standard disciplines and peds-to-adult transition medicine, 2) recruit high quality resident- investigators from of a pool of qualified and diverse candidates within our internal medicine residency program, 3) implement a unique curriculum that caters to the residents’ different prior experience to complement our existing programs; this will include online courses and a three month elective/workshop during the first half of PGY2 year followed by formal course work during PGY3 year that concludes with a dedicated Research Block during the PGY3 year, and 4) implement an individualized resident-investigator development plan and then evaluate and ensure success by engaging in a validated, state-of-the-art, and real time learning based online evaluation system. In summary, UC-StARR will build upon existing programmatic infrastructure to that brings together 18 experienced, well-funded mentors within the fields of cardiovascular, pulmonary and critical care medicine. The proposal is innovative because we are coupling this not only with our validated and nationally recognized system that enhances resident learning and tracks outcomes but also with our existing largely fellow-focused research investments. The combination of catering to the special needs of residents and training them in a logical sequence on the principles of research is likely to have a significant impact on increasing the number of Internal Medicine physician-scientists being trained at UC. We would expect that this model, if further validated, could serve as readily implemented template for other Internal Medicine residency programs.

尽管总体而言，成人和儿科医学领域的医师科学家数量正在下降增加医生总数，但不大幅增加早期医生队伍。如果有兴趣从事研究事业，成功的医师科学家的短缺将会更加严重。尽管原因很复杂，部分原因是维持成功的挑战越来越大研究生涯中，一个已确定且可能可补救的原因是潜在研究的高流失率我们现在提议建立辛辛那提大学 (UC)-StARR。计划的重点是识别对研究职业感兴趣的内科住院医师。我们将通过灵活的教学和研究经验来指导他们，使他们处于一个追求成功的医生科学家职业的竞争地位总体目标是增加管道。指定从事研究型学术职业的内部居民，我们将补充我们的计划。已经到位，主要侧重于研究员级别的培训。我们建议如下： 1) 建立一支由来自英国大学的资金充足的 NHLBI 调查员组成的骨干队伍。辛辛那提医学院和辛辛那提儿童医院医疗中心培训经验丰富标准学科和成人过渡医学领域的医师科学家，2）招募高素质的住院医师来自我们内科住院医师计划中合格且多样化候选人的研究人员， 3）实施独特的课程，以满足居民不同的先前经验，以补充我们的现有课程；这将包括在线课程和上半年为期三个月的选修课/研讨会 PGY2 学年之后是 PGY3 学年的正式课程作业，最后以专门的研究部分结束在 PGY3 年内，4) 实施个性化的驻地研究员发展计划，然后通过参与经过验证的、最先进的、基于在线的实时学习来评估并确保成功评价体系。总之，UC-StARR 将建立在现有的规划基础设施之上，汇集 18 心血管、肺脏和危重领域医学领域经验丰富、资金雄厚的导师。该提案具有创新性，因为我们不仅将其与我们经过验证和国家认可的系统结合起来增强住院医师学习并跟踪结果，同时也与我们现有的主要以同事为中心的研究相结合满足居民的特殊需求和对他们进行合乎逻辑的培训相结合。研究原理的顺序可能会对增加内部研究的数量产生重大影响我们预计，如果该模型得到进一步验证，可以在加州大学接受培训。作为其他内科住院医师计划的易于实施的模板。