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

成人和儿科医学的医生科学家的数量正在下降，尽管总体上 增加医生总数。如果不大幅增加早期医生的数量， 有兴趣从事研究事业的成功医生科学家的短缺将进一步恶化。 尽管原因很复杂，部分原因是维持一个成功的国家越来越困难， 研究职业，一个确定的，可能是补救的原因是潜在的研究高流失率 有能力的医生在住院医师培训阶段。我们现在提出一个辛辛那提大学（UC）-StARR 该计划的重点是确定有兴趣从事研究工作的内科住院医生。一旦确定， 我们将通过灵活的教学和研究相结合的经验，把他们在一个导师 有竞争力的位置，追求一个成功的物理学家，科学家的职业生涯。总体目标是增加管道 专门从事研究型学术事业的内部居民。我们将补充我们 目前，主要集中在研究金一级的培训。 我们提出以下建议：1）建立一个由资金充足的NHLBI研究人员组成的干部队伍， 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 标准学科和儿科到成人过渡医学的医生科学家，2）招募高素质的住院医师， 从我们的内科住院医师项目中合格和多样化的候选人中挑选研究人员， 3)推行一套独特的课程，以迎合院友以往不同的经验， 现有的方案;这将包括在线课程和三个月的选修/研讨会在上半年 PGY 2年，然后是PGY 3年的正式课程工作，最后是一个专门的研究块 在PGY 3年期间，以及4）实施个性化的住院研究者发展计划，然后 通过参与经过验证的、最先进的、真实的在线学习，评估并确保成功 评价体系 总之，UC-StARR将建立在现有的方案基础设施之上， 在心血管、肺和重症监护医学领域经验丰富、资金充足的导师。的 该提案是创新的，因为我们不仅将其与我们经过验证和国家认可的系统相结合， 加强居民学习和跟踪成果，但也与我们现有的主要以研究人员为重点的研究 投资.将满足住院医师的特殊需求与合理的培训相结合， 序列的原则研究可能会产生重大影响，增加内部的数量 医学科学家正在UC接受培训。我们预计，如果进一步验证该模型， 作为其他内科住院医师项目的现成模板。

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.