Career Development in Patient Centered Outcomes Research

描述（由申请人提供）：本提案的主要目的是支持初级教师的发展，追求以患者为中心的成果研究（PCOR）的职业道路。该PCOR学者计划的合格候选人将从几个关键来源中确定，包括1）宾夕法尼亚大学和费城儿童医院的现有临床奖学金培训计划，2）博士后临床研究培训计划，包括卫生政策研究理学硕士，临床流行病学理学硕士，罗伯特·伍德约翰逊基金会临床学者计划和许多美国国立卫生研究院和AHRQ资助的研究生（T32）培训计划和3）整个大学的部门与初级和高级教师有兴趣追求PCOR。此外，国家搜索策略将有助于确保招聘优秀的候选人到宾夕法尼亚大学校园。通过该计划支持的候选人将完成指导研究项目，重点是以患者为中心的结果和比较有效性研究领域的证据的生成，翻译和传播，特别关注评估医疗保健提供系统的设计和政策。提出了两条培训途径。对于那些没有在临床研究方法之前的正式培训的初级研究人员，该计划将支持在临床流行病学（临床流行病学科学硕士）或卫生政策研究（卫生政策研究科学硕士）两年硕士学位课程的完成。对于那些已经完成此类正式培训的变革和组织振兴方案学者，大部分资助时间将用于指导临床研究项目，并有机会根据需要开展额外的教学活动。变革和组织振兴方案的所有学者都将被分配一名初级导师，并将根据需要受益于二级导师的投入以及由该领域领导人组成的咨询委员会。导师库代表了一群国家认可的科学家，他们领导着临床和方法学上多样化的研究项目，特别强调卫生服务和卫生政策研究领域。宾夕法尼亚大学拥有大量资源来支持这些学者，包括几个国家研究网络的项目，以及医学院，护理学院，沃顿商学院和安嫩伯格传播学院的强大多学科联系。还强调研究实施和传播方面的技能。制定了一项评估计划，以跟踪变革和组织振兴方案学者在方案期间及以后取得的成功。 公共卫生相关性：人们越来越认识到，医疗保健结果不仅反映了提供医疗保健的系统，也反映了提供的药物和设备以及开处方的个人。拟议的以患者为中心的成果研究（K12）学者计划将在职业生涯的早期阶段招募和培训临床科学家 并将他们与导师和多学科课程联系起来，这些课程旨在培养比较卫生服务系统和政策及其对患者结果影响研究的领导者。

DESCRIPTION (provided by applicant): The primary aim of this proposal is to support the development of junior faculty pursuing career pathways in patient centered outcomes research (PCOR). Eligible candidates for this PCOR Scholars Program will be identified from several key sources including 1) existing clinical fellowship training programs at the University of Pennsylvania and Children's Hospital of Philadelphia, 2) postdoctoral clinical research training programs including the Masters of Science in Health Policy Research, Masters of Science in Clinical Epidemiology, Robert Wood Johnson Foundation Clinical Scholars Program and numerous NIH and AHRQ funded post graduate (T32) training programs and 3) departments across the University with junior and senior faculty interested in pursuing PCOR. In addition, national search strategies will help assure the recruitment of outstanding candidates to the Penn campus. Candidates supported through this program will complete mentored research projects focusing on the generation, translation, and dissemination of evidence in the areas of patient centered outcomes and comparative effectiveness research, with a specific focus on evaluating health care delivery system designs and policies. Two training pathways are proposed. For those junior investigators without prior formal training in clinical research methods, the program will support the completion of a two year Masters level degree program in Clinical Epidemiology (Masters of Science in Clinical Epidemiology) or Health Policy Research (Masters of Science in Health Policy Research). For those PCOR Scholars having completed such formal training, the majority of the supported time will be devoted towards mentored clinical research projects, with opportunities for additional didactic activities as needed. All PCOR Scholars will be assigned a primary mentor and will benefit from the input of secondary mentors as needed and an advisory committee composed of leaders in the field. The pool of mentors represents a group of nationally recognized scientists leading clinically and methodologically diverse research programs, with special emphasis in the areas of health services and health policy research. The University of Pennsylvania has substantial resources to support these scholars, including programs in several national research networks as well as strong multidisciplinary ties across the School of Medicine, School of Nursing, Wharton School of Business, and Annenberg School of Communication. Skills in research implementation and dissemination are also emphasized. An evaluation plan is in place to track the success of the PCOR Scholars during their time in the program and beyond. PUBLIC HEALTH RELEVANCE: There is a growing recognition that health care outcomes are as much a reflection of the systems that deliver medical care as the drugs and devices that are delivered and the individuals who prescribe them. The proposed Patient Centered Outcomes Research (K12) Scholars program will recruit and train clinical scientists at an early career stage and link them with a mentors and multidisciplinary curriculum designed to produce leaders in the study of comparative health delivery systems and policies and their impact on patient outcomes.