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

项目摘要/摘要 这项T32赠款，生物、临床和社会决定因素对创伤和创伤的影响 成果，将为培养下一代内科科学家提供培训和指导。 内科医生-科学家是改善患者健康所必需的劳动力的关键要素。 创伤造成的伤害和死亡是造成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 资源由于创伤患者的典型年轻年龄。此外，在识别 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到服务不足的少数族裔 导致美国的医疗保健差距扩大。这突显了需要 将领导研究以提高我们的理解并开发干预措施的科学家 创伤护理方面的差距、人际暴力风险(虐待儿童、亲密伴侣暴力、老年人 虐待)导致创伤、社会决定因素和创伤。这一竞争性更新将建立在 成功的前十年的资助。这些成功包括有效地招募少数族裔 医生进入计划，112篇论文由17名学员撰写，其中包括54名第一作者 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日益增长的兴趣 与创伤事件的原因和结果有关的研究。这笔赠款特别要求为 两名博士后研究员接受两年的培训，这一模式自成立以来已被证明是成功的 这个培训项目。执行委员会与个别受训人员密切合作，以确定 其研究与学员的兴趣相匹配的导师。我们之前所有的实习生都抽签了 来自新英格兰最大的安全网医院波士顿医疗中心的住院医生计划。 对征聘和保留以下人员的支助体现了特殊的机构承诺 少数民族医生和残疾实习生。学员在培训期间和培训后的工作效率 参加这一奖学金表明，我们已经为学员的学术生涯做好了准备。

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.