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）：本申请提议在以患者为中心的结果研究（PCOR）方面开发一个新的、多方面的教育和培训计划。它位于布朗克斯医疗服务匮乏的社区，代表了阿尔伯特·爱因斯坦医学院（一所研究密集型医学院）与蒙特菲奥里医疗中心（一所面向社区的学术医学中心）之间的合作伙伴关系，该学院将开发和提供这一教育项目。中心和以初级保健为重点的医疗保健服务系统），其临床医生将接受研究人员培训。该计划将包含 3 个不同但又相互关联的组成部分： PCOR 基本方法的教育计划，获得证书；先进的“学习协作”，教师和学生可以在这里学习、开发和辩论先进的和新兴的 PCOR 方法；以及以 Montefiore 护理管理公司 CMO 为基础的体验式短期奖学金，经过挑选、积极性高的 PCOR 证书毕业生将在专家的密切监督下获得 PCOR 实践经验。该项目发挥了爱因斯坦教学和研究人员的优势，以及蒙蒂菲奥里在多元化和经济弱势的市中心环境中提供高质量、具有成本效益的护理方面的领导力。该计划将继续创新地关注（患者、社区、付款人和其他“利益相关者”）的参与以及研究成果的传播和实施。社区参与的一方面是要求研究员在开发研究项目时获得社区研究审查委员会的咨询。整个计划将在独立评估单位的支持下进行仔细评估，审查过程和结果。这些评估数据将提交给执行委员会（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），并且该计划将根据需要进行修订发现。通过该计划，我们将为来自不同卫生专业的临床医生骨干人员灌输 PCOR 方面的知识和技能。我们以患者为中心的结果研究证书的毕业生将利用他们所学到的知识来推进循证临床实践，倡导循证医疗保健改善，并为多学科 PCOR 团队做出有意义的贡献。完成我们的奖学金的人将继续领导 PCOR 团队并增强 PCOR 员工队伍。我们的专家教师不仅将担任教育者和培训师，还将学习并帮助开发新兴的 PCOR 方法。整个计划将在服务不足的市中心环境中以及在管理和负责任的护理组织内开发。因此，该计划不仅将培养一支专业的 PCOR 劳动力队伍，还将培养一支更精明的临床劳动力队伍，增强机构 PCOR 能力，推动 PCOR 方法的进步，并最终改善医疗保健。