Research Training: Complementary & Integrative Medicine

描述（由申请人提供）：本提案是第一个NIH补充和综合医学治疗研究培训计划的五年延续。这个为期三年的课程为普通内科医生作为学术研究教师和教育工作者的成功和有意义的职业做好准备。该项目是在哈佛医学院补充和综合医学治疗研究和教育部门的基础上进行的，这是一个跨机构的项目，旨在促进哈佛教学医院在这一新兴领域的研究和教育的发展。通过在哈佛公共卫生学院注册，合格的学员在前两年的奖学金课程中获得硕士或公共卫生硕士学位。该课程包括临床有效性课程，这是一门集中的夏季核心课程，涉及流行病学、生物统计学、卫生服务研究和决策科学，所有课程都是专门为医生开发的。培训补助金为暑期课程和整个学位课程的学费和费用提供部分支持。受训者的大部分时间都花在了自己的研究上。在一位经验丰富的教师导师的指导下，每个人都使用在课堂上学到的技能来开发、实施和分析至少两项关于补充医学的原始调查。研究的重点是利用结果研究、流行病学、卫生服务研究和临床试验的方法，关注补充医学的风险和益处、作用机制和辅助医学疗法的使用。研究员每周参加方案范围的研究研讨会，并参加旨在提供补充医学领域的教学技能和内容的教育课程。研究员也有很多机会在哈佛医学院的本科课程和由该司赞助的继续医学教育项目中担任补充医学领域的教师。研究员通过培训课程和在附属初级保健综合护理诊所和将于2003年秋末在医疗服务管理局附属医院之一开设的本司综合护理中心的技能应用，发展综合医学的临床技能。每个学员的发展都由哈佛大学公共卫生学院的主要导师、导师和顾问监督。导师将由哈佛医学院的全科医学和综合医学教师提供。

DESCRIPTION (provided by applicant): This proposal is for the five-year continuation of the first NIH research training program in complementary and integrative medical therapies. This three year program prepares general internists for successful and rewarding careers as academic research faculty and educators. The program is based within the Division for Research and Education in Complementary and Integrative Medical Therapies at Harvard Medical School, an inter-institutional program set up to facilitate the development of research and education in this emerging field across the Harvard teaching hospitals. Qualified trainees earn an M.Sc. or M.P.H. degree over the course of the first two years of fellowship through enrollment at the Harvard School of Public Health. This program includes the Program in Clinical Effectiveness, an intensive summer core curriculum in epidemiology, biostatistics, health services research, and decision sciences, all courses developed specifically for physicians. The training grant provides partial support for tuition and fees for the summer program as well as the entire degree program. Much of the trainees' time is devoted to their own research. Each uses skills learned in the classroom to develop, conduct and analyze at least two original investigations on complementary medicine under the direction of an experienced faculty preceptor. Research focuses on the risks and benefits of complementary medicine, mechanisms of action, and use of CAM therapies using methods of outcomes research, epidemiology, health services research and clinical trials. Fellows attend weekly program-wide research seminars and participate in an educational curriculum designed to provide teaching skills and content within the area of complementary medicine. Fellows also have many opportunities to participate as teachers in the field of complementary medicine in undergraduate courses at Harvard Medical School and continuing medical education programs sponsored by the Division. Fellows develop clinical skills in integrative medicine through training courses and application of skills in an affiliated primary care integrative care clinic and the Division's integrated care center to be opened in one of the HMS affiliated hospitals in late Fall 2003. Each fellow's development is supervised by a principal mentor, preceptors, and an advisor at the Harvard School of Public Health. Mentorship will be provided by faculty in general medicine and integrative medicine at Harvard Medical School.