A Research Mentoring Program in Geriatric Rehabilitative Care

康复护理可以在老年人的预防性护理中发挥重要作用， 功能衰退和残疾。这被称为预防性护理。没有足够数量的 老年康复护理特别是预防护理方面的导师。我是理疗师 哈佛医学院物理医学与康复系（PM&R）申请续期 K24职业生涯中期发展奖在我最初的研究中， 该奖项使用纵向队列研究作为其平台，并提高了我们对以下方面的认识：1）临床评估 针对活动性和福尔斯的工具; 2）活动性下降的重要可改变风险因素; 3）特征 影响这些结果的重要条件。我成功地指导了18名学员， 背景，导致超过45个原始出版物。除了现有的纵向队列研究外， 最近公开存档，一项新的VA资助的随机对照试验， 预防保健将作为这一更新的主要平台。学员将接触到 老年康复的原则和概念，预防性护理，POR和临床试验的进行。 在过去的20年里，我在PM&R部门领导了一个成功的研究生涯， 哈佛医学院。2015年，我成为新英格兰老年医学研究教育主任 和临床中心（NEGRECC），第一个物理学家有史以来领导VA GRECC。过渡到我的VA 领导角色需要时间，分散了我的精力。我现在已经准备好恢复我作为K24导师的角色。我是一个 副教授，我被任命为教授是通过晋升程序进行的。我 目前VA内部的行政、研究、教育和临床职责仅允许10%的工作量/周 指导研究实习生。我和退伍军人事务部还有个联合任命在这个奖项下，我 非VA职责将被解除，这样我将能够指导每周额外30%的工作 对POR研究学员的指导，使我的总精力投入到指导的40%。 支持该奖项的项目包括VA优秀奖（RX 003095 - 01 A1）以及最近的 存档纵向队列研究（1 R 01 AG 032052）。此外，这项工作将得到美国国立卫生研究院资助的波士顿 佩珀中心、波士顿罗伊巴尔中心、哈佛临床和转化科学中心以及 NEGRECC。以老年康复和康复为主题，我们将提供： PI，康复科学和老龄化研究方面的培训，负责任地开展研究的培训， 培训研究项目管理，数据分析，生物统计咨询和K24咨询委员会 由相关领域经验丰富的科学家组成。冗余是建立在产品， 提供不同的选择，成功地满足所有学员的个人需求。这笔赠款将有 通过支持我们的实验室作为POR的重要管道，对老年康复护理产生重大影响。

Rehabilitative care can play a major role in preventative care for older adults, targeting the prevention of functional decline and disability. This is known as Prehabilitative Care. There are an insufficient number of mentors in Geriatric Rehabilitative care and specifically Prehabilitative care. I am Physiatrist in the Department of Physical Medicine and Rehabilitation (PM&R) at Harvard Medical School applying for a renewal of a highly successful K24 mid-career development award. The patient-oriented research (POR) in my initial award used a longitudinal cohort study as its platform and advanced our knowledge of: 1) clinical assessment tools targeting mobility and falls; 2) important modifiable risk factors for mobility decline; and 3) characterized important conditions that influence these outcomes. I successfully mentored 18 trainees, from diverse backgrounds, leading to over 45 original publications. In addition to the pre-existing longitudinal cohort study, which was recently publicly archived, a new VA funded randomized controlled trial focusing on Prehabilitative care will serve as the primary platform for this renewal. Trainees will be exposed to principles and concepts of geriatric rehabilitation, Prehabilitative care, POR and the conduct of clinical trials. Over the previous 20 years, I have led a successful research career in the Department of PM&R at Harvard Medical School (HMS). In 2015, I became the Director of New England Geriatric Research Education and Clinical Center (NEGRECC), the first Physiatrist to ever lead a VA GRECC. The transition to my VA leadership role took time and diverted my effort. I am now ready to resume my role as a K24 mentor. I am an Associate Professor, and my appointment to Professor is advancing through the promotions process. My current administrative, research, educational and clinical responsibilities within VA only allows 10% effort/week for mentoring of research trainees. I have a joint appointment between the VA and HMS. Under this award, my non-VA responsibilities will be relieved such that I will be enabled to direct an additional 30% effort/week towards the mentoring of research trainees in POR bringing my total effort to devote to mentoring to 40%. Projects that support this award include a VA merit award (RX003095-01A1) as well as the recently archived longitudinal cohort study (1R01AG032052). Also, the work will be supported by the NIH funded Boston Pepper Center, the Boston Roybal Center and the Harvard Clinical and Translational Science as well as the NEGRECC. With the themes of Geriatric Rehabilitation and Prehabilitation, we will provide: direct mentoring with the PI, training in rehabilitation science and aging research, training in the responsible conduct of research, training in research project management, data analysis, biostatistical consultation, and an K24 advisory board consisting of experienced scientists in relevant fields of interest. Redundancies are built in to the offerings to provide varying options that successfully serve the individual needs of all trainees. This grant will have a significant impact on geriatric rehabilitative care by supporting our laboratory as a vital pipeline for POR.