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

项目总结/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。 保持健康继续增长。对于来自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的社区， 在医疗保健和结果方面，那些患有复杂慢性疾病的人，以及那些患有痴呆症的人。令人担忧的是， 对OAVP的研究没有跟上这些人口的增长，部分原因是缺乏 接受过老年人护理临床培训的调查人员。基于这些原因，我们提出了一个T32研究 培训计划的长期目标是培养新的调查人员，他们的工作导致改善 OAVP的福利。还将特别强调家庭保健服务的研究， 这种护理方式显示出改善OAVP结局的巨大希望， 在家庭医疗护理方面有相当多的研究和临床经验。OAVP T32将准备 学者通过以下方式获得成功的研究生涯：（1）出色的研究培训（匹配 跨学科导师团队，多样化的项目机会，促进跨学科合作， 优秀的研究教学法通过学位授予计划[MPH，MSCR，博士]，研究技能 针对与OAVP合作的挑战的具体发展，负责任地开展研究的培训）; (2)通过有限的临床老年医学培训了解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影子;（3）专业 职业技能建设（关于手稿和赠款写作和口头陈述技能、建立网络和 合作机会，接触非学术职业，以拓宽专业视角 改善OAVP的护理和结局的途径。该项目将在2015年新招收2名博士后。 每年的2年培训计划，共10名，包括医生（MD/DO），非医生临床医生 具有博士水平的培训（例如，注册护士、社会工作者、药剂师（具有博士学位或同等学历），以及非 临床博士后科学家在招募到该计划的医生中，大多数将缺乏老年病临床 训练教学培训将通过正式课程和研讨会进行。学者将发表研究 手稿，出席国家会议，申请职业发展奖和其他研究赠款， 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 有效地应用于OAVP的护理。项目总监（PD）将与项目执行人员合作 委员会对项目管理做出关键决策。PD和执行委员会将 由内部和外部咨询委员会指导其工作，该委员会由能够提供高水平 对项目执行、方向和增长的投入。一套广泛但可行和突出的措施将 收集来指导个别学者和他们的导师的成长，以及整个计划。

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.