Research Training for the Care of Vulnerable Older Adults with Alzheimer’s Disease and Related Dementias and Other Chronic Conditions

项目概要/摘要 美国人口正在迅速老龄化，护理的复杂性和挑战也随之增加 保持健康持续成长。对于弱势群体的老年人来说尤其如此 (OAVP)，包括那些来自社会人口学上被剥夺权利、经历不平等的社区的人 在医疗保健和结果方面，患有复杂慢性疾病的人和患有痴呆症的人。值得关注的是， 对 OAVP 的研究未能跟上这些人群的增长，部分原因是缺乏 接受过老年人护理临床培训的研究人员。出于这些原因，我们提出了 T32 研究 培训计划的长期目标是培养新的调查员，他们的工作可以改进 OAVP 的福祉。还将特别研究重点放在家庭医疗保健服务上，因为 这种护理方式在改善 OAVP 的结果方面显示出巨大的希望，西奈山已经 具有丰富的家庭医疗研究和临床经验。 OAVP T32 将准备 学者通过以下方式获得成功的研究生涯：（1）杰出的研究培训（良好匹配） 跨学科导师团队、多元化项目机会、促进跨学科合作、 通过学位授予项目 [MPH、MSCR、PhD] 提供出色的研究教学、研究技能 针对与 OAVP 合作的挑战的发展，负责任的研究行为的培训）； (2) 通过有限的临床老年病学培训深入了解 OAVP 患者的临床护理和经验 涉及教学和直接护理责任或非临床科学家的跟踪； （三）专业 职业技能建设（关于手稿和拨款写作和口头表达技能、网络和 合作机会、接触非学术职业以拓宽专业视野 改善 OAVP 护理和结果的途径。该项目拟新招收博士后2名 2年培训项目每年10人，包括医师（MD/DO）、非医师临床医师 接受过博士水平培训（例如，拥有博士学位或同等学位的注册护士、社会工作者、药剂师），以及非 临床博士后科学家。在该计划招募的医生中，大多数缺乏老年病学临床知识 培训。教学培训将通过正式课程和研讨会进行。学者将发表研究成果 手稿，出席国家会议，申请职业发展奖和其他研究补助金， 并过渡到研究或相关领域的全职教职职位，他们的研究技能可以 有效应用于 OAVP 的护理。项目总监 (PD) 将与项目执行人员合作 委员会做出有关项目管理的关键决策。 PD 和执行委员会将 由内部和外部顾问委员会指导其工作，该委员会由能够提供高水平的专家组成 对项目绩效、方向和发展的投入。一套广泛但可行且突出的措施将 收集以指导个别学者及其导师以及整个项目的成长。

Project Summary/Abstract The United States population is rapidly aging, and as it does the complexity of care and challenges to maintaining health continue to grow. This is especially true for older adults from vulnerable populations (OAVP), including those from sociodemographically disenfranchised communities who experience disparities in health care and outcomes, those with complex chronic illnesses, and those with dementia. Concerningly, research on OAVP is not keeping pace with the growth of these populations, owing in part to the shortage of investigators with clinical training in the care of older adults. For these reasons, we propose a T32 research training program with the long term goal of producing new investigators whose work leads to improvements in the wellbeing of OAVP. There will also be special research emphasis on health care delivery in the home as this care modality has shown great promise for improving outcomes for OAVP and Mount Sinai has considerable research and clinical experience with home-based medical care. The OAVP T32 will prepare scholars for successful research careers through: (1) Outstanding research training (well-match interdisciplinary mentorship team, diverse project opportunities, promotion of interdisciplinary collaboration, excellent research didactics through degree granting programs [MPH, MSCR, PhD], research skills development specific to the challenges of working with OAVP, training in the responsible conduct of research); (2) Insight into the clinical care and experiences of OAVP patients through limited clinical geriatrics training involving didactics and direct care responsibilities or shadowing for non-clinician scientists; (3) Professional career skills building (seminars on manuscript and grant writing and oral presentation skills, networking and collaboration opportunities, exposure to non-academic careers to broaden perspectives on professional avenues for improving care and outcomes for OAVP. The program will recruit 2 new post-doctoral scholars in each year of the 2-year training program, 10 in total, including physicians (MD/DO), non-physician clinicians with doctoral level training (e.g., RN, social worker, pharmacist with PhD or equivalent degree), and non- clinical post-doctoral scientists. Among physicians recruited to the program, most will lack geriatrics clinical training. Didactic training will occur through formal courses and seminars. Scholars will publish research manuscripts, present at national meetings, apply for career development awards and other research grants, and transition to full-time faculty-level positions in research or a related field in which their research skills can be effectively applied for the care of OAVP. The Program Director (PD) will work with the Program's Executive Committee to make key decisions about program management. The PD and Executive Committee will be guided in their work by Internal and External Advisory Boards, comprised of experts who can provide high level input into program performance and direction and growth. A broad but feasible and salient set of measures will be collected to guide the growth of the individual scholars and their mentors, and the program overall.