HSR&D Research Career Scientist Award

我一直在海因斯大学从事健康服务、流行病学和实施科学方面的研究 弗吉尼亚医学中心、HSR&D复杂慢性医疗创新中心(CINCCH)超过19年 好几年了。我的主要研究领域是患有SCI/D的退伍军人，他们患脊髓损伤/D的风险更高 感染和获得多药耐药生物体(MDRO)。这方面的研究还很少。 患者群体，特别是退伍军人管理局，这是#年SCI/D患者的最大护理来源 美国我的研究对SCI/D退伍军人的护理产生了重大影响，包括 耐甲氧西林金黄色葡萄球菌(MRSA)预防试剂盒的研制与推广 SCI/D患者的定植/感染；教育临床医生关于可改变的危险因素 MDRO及其对该人群发病率和死亡率的影响，以及与临床医生的合作 和全国各地的调查人员开发工具，监测和跟踪退伍军人的结果 SCI/D，包括新的VHA SCI/D成果登记册。我还将这项工作扩展到更广泛的退伍军人管理局 人口包括领导一个关于抗菌素耐药性的QUERI计划。总体而言，这一系列研究 出版了119种出版物(45名第一/高级作者)，并成为总统的国家威望获得者 2012年科学家和工程师早期职业奖(PECASE)，由美国颁发 总统和白宫科技政策办公室。此外，作为博士级别的 流行病学家，我的方法论培训使我能够支持 全国各地的通敌者。我还为临床医生和非临床医生提供指导活动 调查人员、研究员和学生，并参与退伍军人工作组和非退伍军人工作组的服务活动 和委员会。该奖项将用于：1)开展和传播改善健康的研究 退伍军人的护理和结果，特别注重预防和管理感染和 MDRO；2)支持对学生、研究员和早期职业生涯的量化培训和指导 调查人员；以及3)向地方和国家委员会提供服务，以支持退伍军人事务部的任务 HSR&D计划和CINCCH。

I have been conducting research in health services, epidemiology, and implementation science at the Hines VA Medical Center, HSR&D Center of Innovation for Complex Chronic Healthcare (CINCCH) for over 19 years. My primary area of research has focused on Veterans with SCI/D, whom are at increased risk for infections and acquiring multidrug resistant organisms (MDROs). Little research had been conducted in this patient population, particularly in the VA which is the single largest source of care for persons with SCI/D in the U.S. My research has made significant impacts on the care of Veterans with SCI/D. This includes developing and disseminating a toolkit on prevention of methicillin-resistant Staphylococcus aureus (MRSA) colonization/infection for patients with SCI/D; educating clinicians about the modifiable risk factors of MDROs and impacts on morbidity and mortality in this population, and working collaboratively with clinicians and investigators across the country to develop tools for monitoring and tracking outcomes in Veterans with SCI/D, including the new VHA SCI/D outcomes registry. I have also expanded this work to a broader VA population including leading a QUERI program on antimicrobial resistance. Overall, this portfolio of research has led to 119 publications (45 first/senior author) and national prestige as a recipient of the Presidential Early Career Award for Scientists and Engineers (PECASE) in 2012, awarded by the United States president and White House Office of Science and Technology Policy. In addition, as a doctoral level epidemiologist, my methodological training has allowed me to support the research activities of collaborators across the country. I also conduct mentoring activities for both clinician and non-clinician investigators, fellows, and students and participate in service activities for both VA and non-VA workgroups and committees. This award will be used to: 1) conduct and disseminate research that improves the health care and outcomes of Veterans, with a particular focus on prevention and management of infections and MDROs; 2) support the quantitative training and mentoring of students, fellows, and early career investigators; and 3) provide service to local and national committees to support the mission of VA, the HSR&D program, and CINCCH.