Interdisciplinary Cerebrovascular Diseases Training Program in South America

本次跨学科脑血管培训更新的总体目标 南美洲的一个项目（ICTuS）将继续培养秘鲁医生的骨干队伍，以降低发病率 秘鲁脑血管疾病的发病率和死亡率，方法是：a）确定环境、宿主和生活方式因素 与脑血管疾病风险增加相关，B）实施治疗和预防计划 为了减少这些风险，c）加强中风患者的中风后康复治疗， （d）与学术机构和医院合作，调整政策， 通过该计划确定的水平卒中护理需求。为实现这一目标，我们提出以下具体建议： 目标：#1.加强脑血管病的调查管理和脑卒中后康复 秘鲁通过研讨会、教学课程和研究方法学硕士学位水平培训，与 为年轻的秘鲁医生提供临床指导; #2。支持秘鲁的临床研究项目 供所有中期和长期医师受训人员获取论文工作、出版物和未来补助金所需的数据 脑血管和中风后康复领域的应用;以及#3：提高中风护理质量 秘鲁通过实施科学、质量评估和质量 改进.在第二个五年培训期间，我们提出要强调执行科学， 不断提高质量-这将作为秘鲁讲习班的主题， 在西雅图的中期和长期培训人员，并作为指导论文项目的主题。另外通过 在等待秘鲁的第一个中风培训奖学金的认证-由ICTuS的前实习生Dr. 卡洛斯阿班托，我们预计提供我们所有的建议研究培训活动，以新的秘鲁中风 研究员-增加研究的重点和整合到中风奖学金，并增加我们的 在秘鲁和西雅图培训的候选人库。我们的具体目标将通过以下方式实现： 短期、中期和长期培训，重点是秘鲁大学的硕士学位培训 卡耶塔诺·埃雷迪亚（UPCH）和华盛顿大学（UW）以及为期三个月的 流行病学研究方法在华盛顿大学与中风管理和康复的实践经验 药我们还建议短期培训讲习班在实施科学，脑血管和慢性 疾病流行病学，手稿和赠款准备，以及负责任的研究行为;导师培训 课程将与讲习班同时举办。这项培训计划的最大优点是 是秘鲁第一个中风奖学金的发展，正在接受认证，并将提供一个 我们建议的培训活动的申请者越来越多;世界知名的临床研究人员， 西雅图和秘鲁的神经流行病学家和中风专家将担任导师; 秘鲁的研究中心。

The Overarching Goal of this proposed competing renewal of the Interdisciplinary Cerebrovascular Training program in South America (ICTuS) is to continue building a cadre of Peruvian physicians to reduce the morbidity and mortality of cerebrovascular disease in Peru through: a) identifying environmental, host and lifestyle factors associated with increased risk for cerebrovascular disease, b) implementing treatment and prevention programs to reduce these risks, c) enhancing post-stroke rehabilitation therapies for persons with stroke and their caregivers, and d) collaborating with academic institutions and hospitals to adapt policies to address population- level stroke care needs identified through this program. To achieve this goal, we propose the following specific aims: #1. Enhance investigation and management of cerebrovascular disease and post-stroke rehabilitation in Peru through workshops, didactic courses and Masters degree-level training in research methodology with clinical preceptorships for young Peruvian physicians; #2. Support mentored clinical research projects in Peru for all medium and long-term physician trainees to obtain data for thesis work, publications and future grant applications in the fields of cerebrovascular and post-stroke rehabilitation; and #3: Improve quality of stroke care and post-stroke rehabilitation in Peru through implementation science, quality assessment and quality improvement. Over this second five-year training period, we propose to emphasize implementation science and continuous quality improvement – which will be included as topics of workshops in Peru, didactic classes for medium and long-term trainees in Seattle, and as topics for mentored thesis projects. In addition, through the pending accreditation of the first stroke training fellowship in Peru – spearheaded by prior ICTuS trainee Dr. Carlos Abanto, we anticipate offering all of our proposed research training activities to new Peruvian stroke fellows – increasing the emphasis and integration of research into the stroke fellowship and increasing our candidate pool for training in Peru and Seattle. Our specific aims will be addressed through a combination of short, medium and long-term training, with an emphasis on master's degree training at the Universidad Peruana Cayetano Heredia (UPCH) and the University of Washington (UW) and three-month Comprehensive training in epidemiologic research methods at the UW with practical experience in stroke management and rehabilitation medicine. We also propose short training workshops in implementation science, cerebrovascular and chronic diseases epidemiology, manuscript and grant preparation, and responsible conduct of research; mentor training courses will be held concomitantly with workshops. The greatest strengths of this proposed training program are the development of the first stroke fellowship in Peru that is undergoing accreditation and will provide an increased stream of applicants for our proposed training activities; world-renowned clinical researchers, neuroepidemiologists, and stroke experts in Seattle and Peru who will serve as mentors; and well-developed study sites in Peru.