Guyana Research in Injury and Trauma Training (GRITT) Program

自我伤害、暴力和交通事故是圭亚那的主要死亡原因，这些都是可以预防的， 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， 自杀率（80%的农药摄入）是世界第三高。幸运的是，圭亚那领导层， 学术界和政府，都表现出了强有力的公共卫生承诺，以解决这些问题， 问题然而，不幸的是，该国目前没有创伤/伤害方面的研究能力， 在此基础上制定循证的、针对具体情况的预防战略。因此，我们建议， 跨国家、跨机构的合作，以转变其目前在创伤/伤害研究方面的能力， 共同创建圭亚那伤害和创伤训练研究计划（GRITT），这是一个姐妹计划， 哥伦比亚大学伤害科学与预防中心（CCISP）。GRITT将提供深入的培训， 研究设计和方法，结合通过密集的实践研究共同指导学员 项目和促进进入高级学位课程（硕士或博士）。GRITT将建立在 哥伦比亚大学和圭亚那卫生部之间的合作， 全国自杀纵向流行病学研究。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的 梅尔曼学院公共卫生系。流行病学。在一个透明的、竞争性的过程中， 确保代表性不足的参与，GRITT将沿着沿着四条途径进行培训，允许学科的变化， 专业知识水平，专业角色，并面向追求创伤/伤害领域的硕士或博士学位 research.四个研究培训途径是：（1）事故和紧急情况中的卫生专业人员 部门和圭亚那紧急医疗服务将接受个人指导，并参加 合作在职研究项目，旨在提高职业生涯的研究人员在创伤/伤害 预防;（2）将为住院医师提供研究方法和小组/个人指导方面的培训 专注于创伤/伤害;（3）硕士生（公共卫生，护理，社会工作，心理学，教育， 药学）将提供以研究为重点的虚拟课程，密集的夏季培训，以及联合指导 研究实习/创伤/伤害主题的项目，面向追求研究生涯，包括博士学位， 及;（4）参加哥伦比亚大学证书课程的保健Post-Bacs将获得在线 培训的研究方法，并将支持硕士学位侧重于伤害/创伤预防。 此外，在前六个月，然后定期，GRITT教师，工作人员和当地导师将参加 讲习班侧重于研究方法，包括为教师/学生确定项目，例如，自残 人际暴力交通事故讲习班还将包括有效的辅导技术， 在CCSIP的共享虚拟每月创伤/伤害研讨会系列互动学习方法。

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.