Academic Palliative Care

描述（由申请人提供）：Charles F. von Gunten，医学博士，正在寻求支持，作为国家癌症研究所预防和控制项目的一部分，作为姑息治疗的既定研究者。姑息治疗可以概括为预防和减轻痛苦。作为一名拥有资助研究、同行评审出版物和指导记录的知名研究者，他现在处于一个独特的位置，以促进该领域的进一步发展，正如医学研究所和国家癌症政策委员会最近的报告所呼吁的那样。作为圣地亚哥临终关怀和姑息治疗中心的姑息研究中心主任，加州大学圣地亚哥分校医学院的一个教学和研究附属机构，nci指定的加州大学圣地亚哥摩尔斯综合癌症中心的成员，EPEC项目的联合负责人，《姑息医学杂志》的高级副主编和美国临终关怀和姑息医学委员会主席，NCI能够保护他进行姑息治疗研究的能力，并指导该领域的学员和领导者。

DESCRIPTION (provided by applicant): Charles F. von Gunten, MD, PhD is seeking support as an established investigator in palliative care, part of National Cancer Institute's prevention and control program. Palliative care can be summarized as the prevention and relief of suffering. As an established investigator with a track record of funded research, peer-reviewed publications and mentoring, he is now in a unique position to foster further development of the field as called for in the recent reports by the Institute of Medicine and National Cancer Policy Board. In roles as Director of the Center for Palliative Studies at San Diego Hospice & Palliative Care, a teaching and research affiliate of the University of California San Diego School of Medicine, member of the NCI-designated University of California San Diego Moores Comprehensive Cancer Center, Co-Principal of the EPEC Project, Senior Associate Editor of the Journal of Palliative Medicine and Chairman, American Board of Hospice and Palliative Medicine, the NCI is able to protect his abilities to conduct palliative care research and mentor trainees and leaders in the field. He has pursued research objectives to understand education (particularly physicians) and symptom control (particularly neuropathic pain) and as well as broad advocacy and leadership objectives to achieve his goals. Scientifically supported approaches to the prevention and relief of suffering are as important to the overall care of patients with cancer and their families as are approaches to the treatment of cancer itself. He needs protected time to continue a vital research program in the creation and dissemination of palliative care knowledge and reentering new physician scientists in the field. He is responsible for the educational and research developments in the largest department of subspecialist palliative medicine physicians in the USA. In addition, he is responsible for nurturing and developing nurse practitioners, nurses, social workers, and chaplains in a similar way. His personal research plan addresses the question "How is palliative care best taught?" This K05 will permit him to conduct educational research for resident physicians, physician fellows, nurses, social workers and chaplains. This K05 will permit him to mentor junior investigators in projects to test the ability of infusional lidocaine to relieve severe refractory pain, to understand patient, family, staff communication in terminal illness, and to test the ability of acupuncture to relieve distress in patients with terminal illness. All reentered investigators are seeking NCI funding and have the potential to become independent investigators.