Appalachian Career Training in Oncology (ACTION) Program

项目摘要/摘要 阿巴拉契亚肯塔基州面临着与健康、社会经济和教育相关的重大挑战 差距。这个以农村为主的地区不仅癌症发病率和死亡率是全国最高的 在美国，它也是经济上最不利的国家之一，医疗服务不足，而且 不到1%的居民获得博士学位的受过教育的地区。这些差异形成了 需要创建有针对性的教育和科学工作人员准备和健康素养的基础 针对这一人群的干预策略。因此，研究、教育和推广方面的优势 将利用肯塔基大学马基癌症中心开展阿巴拉契亚职业培训 在肿瘤学(行动)计划中，作为一名青少年享受科学教育干预。行动计划将 沉浸在代表不足和服务不足的阿巴拉契亚高中生和本科生中 肯塔基州的跨学科指导研究项目、癌症护理观察经验和癌症 教育和职业发展活动，以及提供实践社区和学校外联 机遇。该计划的首要目标是加强以癌症为重点的生物医学劳动力的多样性。 在高危、农村人群中，提高社区的癌症相关素养。预期的影响 计划包括：1)增加我们的学生进入大专、专业和/或研究生的预科 理科学位课程；2)向我们的学生灌输终身致力于研究、教育/推广或 卫生保健事业的重点是阿巴拉契亚、肯塔基和其他地区的癌症负担和独特的挑战； 以及，3)加强阿巴拉契亚肯塔基州社区对癌症研究和临床护理的了解， 将这些方面与科学教育的好处联系起来。总体目标和计划影响将是 通过四个具体目标实现：1)发展参与者的癌症研究知识和 通过跨学科教师指导的研究培训经验获得技能；2)增强学生的癌症- 通过以下途径提供癌症教育和职业发展指导，为职业生涯做好准备 教员主导的课程、研讨会、研讨会以及职业指导和指导；3)开展外展活动 在参与者社区中增加对癌症和癌症临床研究方面的了解 大学科学教育的重要性；中小学团体；民间组织； 医疗保健提供者；以及学生参与者的家庭和社区；以及，4)评估计划 进展和影响，侧重于纵向参与者数据(包括跟踪参与者的进展 通过他们的学术和职业生涯)和外展活动的功效。最终，该计划将 建立一个新的范例，在农村、低收入人群中加强以癌症为重点的教育准备 社会经济学学生和增加公民对癌症和科学重要性的了解 农村、社会经济水平低和受教育程度低地区的教育。

PROJECT SUMMARY/ABSTRACT Appalachian Kentucky has significant challenges associated with health, socioeconomic, and education disparities. This predominantly rural region not only has the highest cancer incidence and mortality rates in the United States, it is also one of the most economically disadvantaged, medically underserved, and poorly educated regions of the country in which less than 1% of residents earn doctoral degrees. These disparities form the basis for the need to create targeted educational and scientific workforce preparedness and health literacy intervention strategies for this population. As such, the research, educational, and outreach strengths of the University of Kentucky's Markey Cancer Center will be leveraged to develop the Appalachian Career Training In ONcology (ACTION) Program as a Youth Enjoy Science education intervention. The ACTION Program will immerse underrepresented and underserved high school and undergraduate students from Appalachian Kentucky in cross-disciplinary mentored research projects, cancer care observational experiences, and cancer education and career development activities, as well as provide hands-on community and school outreach opportunities. The overarching goal of the program is to enhance cancer-focused biomedical workforce diversity in a high-risk, rural population and to increase the community's cancer-related literacy. Expected impacts of the program include: 1) increasing our students' matriculation into post-secondary, professional, and/or graduate science degree programs; 2) instilling in our students lifelong commitments to research, education/outreach, or health care careers focused on the cancer burden and unique challenges in Appalachian Kentucky and beyond; and, 3) enhancing the Appalachian Kentucky community's understanding of cancer research and clinical care, linking these facets to the benefits of science education. The overarching goal and the program impacts will be accomplished through four Specific Aims including: 1) developing participants' cancer research knowledge and skills through cross-disciplinary faculty-mentored research training experiences; 2) enhancing students' cancer- focused career preparation by providing didactic cancer education and career development mentoring through faculty-led courses, workshops, seminars, and career coaching and mentoring; 3) conducting outreach activities in participant communities to increase the understanding of the research and clinical aspects of cancer and the importance of science education among universities; primary and secondary school groups; civic organizations; health care providers; and the families and communities of our student participants; and, 4) evaluating program progress and impacts, focusing on longitudinal participant data (including tracking progression of participants through their academic and professional careers) and outreach activity efficacy. Ultimately, the program will establish a new paradigm for enhancing cancer-focused educational preparation among rural, low- socioeconomic students and increasing citizens' understanding of cancer and the importance of science education in rural, low-socioeconomic and low-education-attainment areas.