Guyana Research in Injury and Trauma Training (GRITT) Program

自残、暴力和道路事故是圭亚那死亡的主要原因，但却是可以预防的 持续的公共卫生危机。圭亚那的创伤/伤害死亡率负担是南美洲最高的，其 自杀率(80%的杀虫剂摄入量)位居世界第三。幸运的是，圭亚那领导层 学术界和政府都表现出了强烈的公共卫生承诺，以解决这些问题 有问题。然而，不幸的是，该国目前没有研究创伤/伤害的能力。 建立以证据为基础、针对具体情况的预防战略的预防措施。因此，我们建议， 跨国家、跨机构合作，通过以下方式转变其目前在创伤/伤害研究方面的能力 共同创建圭亚那损伤和创伤训练研究(Gritt)计划，这是圭亚那的姊妹计划 哥伦比亚(大学)伤害科学和预防中心(CCISP)。Gritt将在以下方面提供深入培训 研究设计和方法，结合通过密集的实践研究联合指导受训人员 项目和促进进入高级学位课程(硕士或博士)。格里特将建立在 哥伦比亚大学和圭亚那卫生部之间的合作正在进行NIMH资助 全国自杀纵向流行病学研究。主要机构致力于建立和 支持Gritt的是圭亚那大学、乔治敦公立医院公司和哥伦比亚大学 梅尔曼公共卫生学院。流行病学的研究。在一个透明、竞争激烈的过程中 为了确保不被充分代表的参与，格里特将沿着四条途径进行训练，允许在纪律上有所不同， 专业水平，专业角色，并准备在创伤/伤害领域攻读硕士或博士学位 研究。这四条科研培训路径是：(1)急诊卫生专业人员 卫生部和圭亚那紧急医疗服务部将接受个人指导并参与 合作在职研究项目，旨在促进创伤/损伤研究人员的职业生涯 预防；(2)将为住院医师提供研究方法培训和小组/个人指导 侧重于创伤/伤害；(3)硕士研究生(公共卫生、护理、社会工作、心理学、教育学、 药房)将提供以研究为重点的虚拟课程、密集的暑期培训和联合指导 关于创伤/伤害主题的研究实践/项目，旨在追求研究事业，包括博士学位， 和；(4)卫生保健毕业后，参加哥伦比亚大学证书计划将获得在线 在研究方法方面的培训，并将支持以伤害/创伤预防为重点的硕士学位。 此外，在最初的六个月内，格里特的教职员工和当地导师将定期参加 讲习班的重点是研究方法，包括确定教职员工/学生的项目，例如自我伤害， 人际暴力，交通事故。研讨会还将包括有效的指导技术，并建立 CCSIP每月虚拟创伤/伤害研讨会系列的互动学习方法。

Self-harm, violence and road accidents, the leading causes of mortality in Guyana, engender preventable, yet sustained public health crises. Guyana’s trauma/injury mortality burden is the highest in South America, with its suicide rate (80% pesticide ingestion) the third highest in the world. Fortunately, the Guyanese leadership, both academic and governmental, have demonstrated a strong public health commitment to addressing these problems. Unfortunately, however, the country does not currently have research capacity in trauma/injury prevention on which to build evidence-based, context-specific prevention strategies. We propose, therefore, a cross-national, cross-institutional collaboration, to transition their current capacity in trauma/injury research, by jointly creating the Guyana Research in Injury and Trauma Training (GRITT) Program, a Sister Program of the Columbia (University) Center for Injury Science and Prevention (CCISP). GRITT will provide in-depth training in research design and methods, combined with jointly mentoring trainees through intensive, hands-on research projects and by facilitating entry into advanced degree programs (Masters or Ph.D.). GRITT will be built on collaboration between the Columbia University and Guyana’s Ministry of Health ongoing NIMH funded longitudinal epidemiological national study of suicide. The primary institutions devoted to establishing and sustaining GRITT are the University of Guyana, Georgetown Public Hospital Corporation, and Columbia’s Mailman School of Public Health Dept. of Epidemiology. In a transparent, competitive process designed to ensure under-represented participation, GRITT will train along four pathways, allowing for variations in discipline, levels of expertise, professional roles and geared toward pursuit of a Masters or PhD in the area of trauma/injury research. The four research training pathways are: (1) Health Professionals in the Accident and Emergency Department and the Guyana Emergency Medical Services will receive individual mentoring and participate in collaborative on-the-job research projects designed to enhance careers as researchers in trauma/injury prevention; (2) Medical Residents will be offered training in research methods and group/individual mentoring focused on trauma/injury; (3) Masters students (Public Health, Nursing, Social Work, Psychology, Education, Pharmacy) will be offered research-focused virtual courses, intensive summer training, and a jointly mentored research practicum/project on a trauma/injury topic, geared to pursuit of a research career, including a Ph.D., and; (4) Health care Post-Bacs, participating in a Columbia University Certificate program will receive on-line training in research methods and will be supported for a Masters degree focused on injury/trauma prevention. Also, in the first six-months and then on a regular basis, GRITT faculty, staff and local Mentors will participate in workshops focused on research methods, including identification of projects for faculty/students, e.g., self-harm, interpersonal violence, road accidents. Workshops will also include effective mentoring techniques and establish interactive learning approaches for the shared virtual monthly trauma/injury Seminar Series at CCSIP.