Mid Career Mentoring Award In Patient-Oriented Research

以患者为导向的研究中的职业生涯中期指导奖

• 批准号: 7113184
• 负责人: MARK STEVEN LACHS
• 金额: $ 12.21万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7113184
• 关键词: alcoholic beverage consumption; behavioral /social science research tag; cognition disorders; functional ability; health behavior; human old age (65+); human subject; interview; mental health epidemiology; patient oriented research; psychological aspect of aging

DESCRIPTION (provided by applicant): This application proposes use of the NIA mid-career award in patient-oriented research to create and sustain a mentoring program for aspiring aging researchers at the Weill Medical College of Cornell University led by Dr. Mark Lachs. Dr. Lachs is a geriatrician and clinical epidemiologist with expertise in the areas of elder mistreatment, protective services, and functional status. He is also Directs the Cornell Center for Aging Research and Clinical Care (CCARCC), an institution wide entity seeded by an NIA Academic Leadership Award and formalized by the Dean in 2000. CCARCC's infrastructure will assist in identifying mentored trainees, provide additional resources to them (e.g., through its pilot grant program), and formally evaluate Dr. Lachs' K24 program through an external advisory committee led by Dr. William Hazzard. Two new patient-oriented research projects are proposed in the area of elder self-neglect (ESN). The specific aims of these are: (1) to estimate the contribution of executive dysfunction to self-care behaviors that may precede ESN, and (2) to determine if alcohol consumption is an risk factor for ESN. These studies hypothesize that ESN is a continuum of progressively more egregious low self-care states. ESN as chosen as a content area because (a) it is a multi-factorial syndrome likely to attract trainees with interests from diverse fields (e.g., geriatric medicine and psychiatry, neuropsychology, nutrition, alcohol, and medicalethics), (b) it is prevalent but studied despite substantial mortality and indignity, and (c) Cornell has an unusual depth of expertise (and potential mentees) in geriatric psychiatry in the form of the Cornell Geriatric Psychiatry Institute headed by George Alexopoulos. Preliminary data on depression and ESN are provided. Strengths of the candidate include his formal training in research methodology as an RWJ Clinical Scholar at Yale, his history of academic productivity and continuous NIH funding including an active RO1 in the area of crime and health in older people, and an early track record of mentoring junior trainees at all levels. Strengths of the institution include the resources of CCARCC, several aging related Centers at Cornell from which to garner potential mentees, the availability of divisional resources to "protect" promising trainees in the critical period between fellowship and initial extramural funding, and a divisional co-chief structure that can insulate the candidate from undue administrative and clinical burdens should this application be successful.

描述(由申请者提供)：本申请建议在以患者为导向的研究中使用NIA职业生涯中期奖，为康奈尔大学威尔医学院由马克·拉克斯博士领导的有抱负的老年研究人员创建并维持一个指导计划。拉克斯博士是一名老年病学家和临床流行病学家，在虐待老年人、保护服务和功能状态等领域拥有专业知识。他还领导着康奈尔老龄研究和临床护理中心(CCARCC)，这是一个机构范围的实体，由NIA学术领袖奖种子，并于2000年由院长正式确定。CCARCC的基础设施将帮助确定接受指导的学员，为他们提供额外的资源(例如，通过其试点资助计划)，并通过William Hazzard博士领导的外部咨询委员会正式评估拉克斯博士的K24计划。在老年人自我忽视(ESN)领域，提出了两个新的以患者为导向的研究项目。这些研究的具体目的是：(1)估计执行功能障碍对ESN之前可能出现的自我照顾行为的贡献，以及(2)确定饮酒是否为ESN的危险因素。这些研究假设，ESN是一个连续体，由越来越严重的低自理状态组成。选择ESN作为内容领域是因为(A)它是一种多因素综合征，可能吸引来自不同领域(例如老年医学和精神病学、神经心理学、营养、酒精和医学伦理学)的受训者，(B)它很普遍，但在极大的死亡率和屈辱的情况下仍被研究，以及(C)康奈尔大学在老年精神病学方面具有不同寻常的深度的专业知识(和潜在的辅导者)，其形式是由George Alexopoulos领导的康奈尔老年精神病学研究所。提供了有关抑郁症和ESN的初步数据。候选人的优势包括他作为耶鲁RWJ临床学者接受过正式的研究方法培训，他的学术生产力和NIH持续资助的历史，包括在老年人犯罪和健康领域的积极RO1，以及在所有级别指导初级实习生的早期记录。该机构的优势包括CCARCC的资源，康奈尔大学几个与老龄化有关的中心可以从中获得潜在的导师，部门资源的可用性，以在奖学金和最初的校外资金之间的关键时期“保护”有前途的受训者，以及部门联席主任结构，可以使候选人免受不必要的行政和临床负担，如果申请成功。