Impact of Biological, Clinical, and Social Determinants on Trauma and Trauma Outcomes

生物学、临床和社会决定因素对创伤和创伤结果的影响

• 批准号: 10344300
• 负责人: Tony E Godfrey
• 金额: $ 25.09万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10344300
• 关键词: Biological; Clinical; Outcome; Trauma; social determinants

PROJECT SUMMARY / ABSTRACT This T32 grant, Impact of Biological, Clinical, and Social Determinants on Trauma and Trauma Outcomes, will provide the training and mentoring to create the next generation of physician scientists. Physician-scientists are a critical element of the workforce necessary to improve the health of patients. Injuries and deaths from traumatic injury represent the major cause of death and impaired function among people under the age of 44. This morbidity and mortality creates a disproportionate drain on healthcare resources due to the typical young age of the trauma patient. Additionally, new advances in identifying the scope of chronic traumatic encephalopathy (football players' brain injury) show the need for increased investment in the basic science of trauma. Trauma also disproportionately affects underserved minority patients, resulting in increased healthcare disparities in the United States. This highlights the need for scientists who will lead studies to improve our understanding of and develop interventions to reduce disparities in trauma care, risk of interpersonal violence (child abuse, intimate partner violence, elder abuse) leading to trauma, and social determinants and trauma. This competing renewal will build on the success of the prior ten years of funding. These successes include effective recruitment of minority physicians into the program, 112 publications authored by 17 trainees, including 54 first-author publications. Some of the significant changes in the new application include inclusion of health services and population sciences faculty mentors to support and mentor trainees increasing interest in these areas of research related to causes and outcomes of traumatic events. This grant specifically requests funding for two postdoctoral fellows for two years of training, a formula which has proven successful since inception of this training program. The Executive Committee works closely with the individual trainees to identify mentors whose research matches the interests of the trainees. All of our prior trainees have been drawn from the residency programs at Boston Medical Center, the largest safety net hospital in New England. There is exceptional institutional commitment manifest by the support for the recruitment and retention of minority physicians and trainees with disabilities. The productivity of trainees both during and after their participation in this fellowship demonstrate that we have prepared our trainees for academic careers.

项目总结/摘要 这个T32补助金，生物，临床和社会决定因素对创伤和创伤的影响 结果，将提供培训和指导，以创造下一代的医生科学家。 医生-科学家是改善患者健康所需的劳动力的关键要素。 创伤性损伤造成的伤害和死亡是死亡和功能受损的主要原因， 44岁以下的人。这种发病率和死亡率对医疗保健造成了不成比例的消耗 由于创伤患者的典型年轻年龄，此外，在确定 慢性创伤性脑病（足球运动员脑损伤）的范围显示需要增加 对创伤基础科学的投资。创伤也不成比例地影响服务不足的少数群体 患者，导致美国医疗保健差距扩大。这突出了 科学家们将领导研究，以提高我们对减少艾滋病毒/艾滋病的理解，并制定干预措施， 创伤护理方面的差异、人际暴力风险（虐待儿童、亲密伴侣暴力、老年人暴力） 虐待）导致创伤，以及社会决定因素和创伤。这种竞争性的更新将建立在 过去十年的融资成功。这些成功包括有效招募少数族裔 医生进入该计划，112出版物撰写的17名学员，其中包括54第一作者 出版物。新应用程序中的一些重大变化包括纳入医疗服务 和人口科学系导师，以支持和指导学员对这些领域的兴趣日益增加 与创伤事件的原因和结果相关的研究。这笔赠款特别要求资助 两名博士后研究员接受两年培训，自成立以来，这一方案已被证明是成功的 这个训练计划。执行委员会与学员个人密切合作， 导师的研究符合学员的兴趣。我们之前所有的学员都被抽中了 波士顿医疗中心是新英格兰最大的安全网医院。 支持征聘和保留工作人员表明了特殊的体制承诺， 少数民族医生和残疾受训人员。培训期间和培训结束后， 参加这项研究表明，我们已经为学员的学术生涯做好了准备。