Chronic disease clinical epidemiology training in guatemala and peru

危地马拉和秘鲁慢性病临床流行病学培训

• 批准号: 7944811
• 负责人: BRIAN LESLIE STROM
• 金额: $ 22万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7944811
• 关键词: Address; Bioethics; Biometry; Cerebrovascular Disorders; Chronic Disease; Chronic Obstructive Airway Disease; Cities; Clinical; Clinical Research; Clinical Treatment; Collaborations; Commit; Decision Making; Disease; Drug Formulations; Early Diagnosis; Economics; Educational process of instructing; Educational workshop; Environmental Risk Factor; Epidemiologic Studies; Epidemiology; Etiology; Faculty; Federal Government; Funding; Genetic; Guatemala; Guatemalan; Home environment; Individual; Indoor Air Pollution; Institution; Interdisciplinary Study; International; Journals; Life; Literature; Lung diseases; Malignant Neoplasms; Master of Science; Medical; Mentors; Methods; Obesity; Online Systems; Pathway interactions; Patient Care; Pennsylvania; Peru; Physicians; Policies; Prevention; Private Practice; Reading; Recording of previous events; Regulatory Affairs; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Research Training; Resources; Scientist; Series; Stroke; Technology Assessment; Time; Training; Training Programs; Universities; Visit; Wages; career; clinical epidemiology; data management; design; experience; global health; innovation; investigator training; lifestyle factors; medical schools; outcome forecast; patient privacy; programs; public health relevance; symposium

DESCRIPTION (provided by applicant): The Center for Clinical Epidemiology and Biostatistics (CCEB) of the University of Pennsylvania (Penn) School of Medicine, in collaboration with the Universidad de San Carlos of Guatemala City (USAC), Guatemala, and Universidad de Francisco Marroquin (UFM), also of Guatemala City, Guatemala resubmits this application to develop an innovative clinical epidemiologic research training program in chronic diseases for clinicians and researchers from USAC and UFM. There will be two training pathways. The first. Independent Investigator training, is specifically designed to prepare physicians who are or will be junior faculty at USAC and UFM to become rigorous, independent academic investigators able to use the range of approaches available in clinical epidemiology to address important research issues regarding the etiology, prognosis, prevention and early detection, treatment, clinical economics, technology assessment, medical decision making, and quality of patient care of one or more chronic diseases. The second pathway, Associate Investigator training, is designed is to prepare clinicians and research staff at USAC and UFM to serve as collaborators in chronic diseases clinical epidemiologic research and/or policy formulation. Upon completion of training, graduates from both pathways will form chronic diseases clinical epidemiology research teams and join multidisciplinary research organizations in their home institutions, formed to synergize and support their research efforts. Year one of the two-year Independent Investigator training program will be conducted at Penn. Trainees will matriculate in the Master of Science in Clinical Epidemiology degree program and take courses in clinical epidemiology, research methods, biostatistics, and chronic diseases epidemiology; take elective courses; attend journal clubs and clinical research conferences focusing on research issues in one or more chronic diseases; read independently on appropriate topics; attend and participate in research seminars at the CCEB and clinical divisions; and design an independent research project. The second year, to be completed at their home institution, will be devoted to the conduct and completion of the independent research project. Trainees' mentors from Penn will visit during this year. Additional funds have been committed by the Guatemalan national government to provide supplemental salary support for the three years following completion of training to protect graduates' time while they then develop extramurally-funded research programs, on the condition that they do not develop private practices. The Associate Investigator pathway w\\\ consist of a series of short courses, workshops, and programs directed by Penn faculty, taught onsite and in Spanish at USAC and UFM and supplemented electronically via live two-way video conferences and web-based programs. Course topics will include research design/methods, biostatistics, data management, critical appraisal of the literature, regulatory affairs, patient privacy issues, and bioethics. Strengths of the program are the: (1) collaborative partnerships that Penn has already developed in Guatemala with USAC and UFM as part of its global health program; (2) CCEB's history of successful research training programs; (3) CCEB's experience as a founder of the International Clinical Epidemiology Network; (4) comprehensive course offerings that are available to chronic diseases clinical epidemiology trainees at Penn (Independent Investigator pathway); (5) training that will provide collaborators and staff for research teams {Associate Investigator pathway); (6) research organizations to which the trainees will be proposed to join; (7) substantial matching funds provided by Penn to maximize resources for the trainees; and (8) matching funds provided by the Guatemalan national government, protecting graduates' time for research and demonstrating a strong national commitment to their research careers. PUBLIC HEALTH RELEVANCE: There are major shortages of clinician scientists able to conduct rigorous and collaborative clinical epidemiologic research in chronic diseases in Guatemala. Critical diseases/health issues that can be addressed by these individuals include cancer, cerebrovascular disease including stroke, lung disease including chronic obstructive pulmonary disease, obesity as well as genetics, environmental factors including indoor air pollution, and lifestyle factors related to these conditions.

描述（由申请人提供）：宾夕法尼亚大学（宾夕法尼亚大学）医学院临床流行病学与生物统计学中心（CCEB），与危地马拉市（USAC）的San Carlos合作为USAC和UFM的临床医生和研究人员开发创新的临床流行病学研究培训计划。将有两种训练途径。第一个。独立研究者培训是专门设计的，旨在为USAC和UFM的初级教师做好准备，以成为严格的独立学术研究人员，能够使用临床流行病学中可用的一系列方法来解决有关病因，预后，预防和早期探测，治疗，临床经济学，技术评估，技术评估，医疗决策，医疗保健和质量的医疗保养和质量综合的重要研究问题。第二个途径是副研究人员培训，旨在为USAC和UFM的临床医生和研究人员做好准备，以作为慢性疾病临床流行病学研究和/或政策制定的合作者。培训完成后，两种途径的毕业生将组成慢性疾病临床流行病学研究团队，并加入多学科研究组织的家庭机构，以协同和支持他们的研究工作。 为期两年的独立调查员培训计划的第一年将在宾夕法尼亚州进行。受训者将入学临床流行病学学位课程，并参加临床流行病学，研究方法，生物统计学和慢性疾病流行病学课程；参加选修课程；参加致力于一种或多种慢性疾病的研究问题的期刊俱乐部和临床研究会议；独立阅读适当的主题；参加并参加CCEB和临床部门的研究研讨会；并设计一个独立的研究项目。第二年将在其家庭机构完成，将致力于独立研究项目的行为和完成。来自宾夕法尼亚州的学员的导师将在今年访问。危地马拉国民政府已经筹集了额外的资金，以在完成培训后的三年内为毕业生的时间提供补充薪水支持，同时他们开发了室外资助的研究计划，条件是他们不开发私人实践。 副研究人员途径W \\\由Penn教职员工执导的一系列简短课程，讲习班和课程，在USAC和UFM上教西班牙语，并通过实时的双向视频会议和基于Web的计划进行电子方式补充。课程主题将包括研究设计/方法，生物统计学，数据管理，对文献的批判性评估，监管事务，患者隐私问题和生物伦理学。 该计划的优势是：（1）佩恩已经在危地马拉与USAC和UFM建立的合作伙伴关系，作为其全球健康计划的一部分； （2）CCEB的成功研究培训计划的历史； （3）CCEB作为国际临床流行病学网络的创始人的经验； （4）可用于佩恩（Independent Resuctionator Pathway）的慢性疾病临床流行病学学员可用的全面课程； （5）将为研究团队提供合作者和员工的培训{副研究员途径）； （6）将向学员加入的研究组织； （7）Penn提供的大量匹配资金，以最大程度地利用受训者的资源； （8）危地马拉国民政府提供的匹配资金，保护毕业生的研究时间，并证明了对其研究职业的强有力的国家承诺。 公共卫生相关性：临床医生科学家能够在危地马拉慢性疾病中进行严格且协作的临床流行病学研究。这些人可以解决的关键疾病/健康问题包括癌症，包括中风，肺部疾病，包括慢性阻塞性肺部疾病，肥胖以及遗传学，包括室内空气污染在内的环境因素以及与这些疾病有关的生活方式因素，包括肺部疾病，肺部疾病。