Training in Critical Care Health Policy Research

描述（由申请人提供）：本申请申请五年的资金，以支持一个新的博士后培训计划，在重症监护卫生政策研究（CCHPR）。该计划的总体目标是培养训练有素的调查人员进行卫生服务研究，并有能力作为独立研究人员的学术生涯，提高重症监护医学的质量，安全性，效率和公平性。该奖学金支持的所有学员都将参加由宾夕法尼亚大学医学院和沃顿商学院提供的卫生政策研究理学硕士学位课程。学员将在两年多的时间里接受密集、结构化的指导、教学研究培训和体验式研究。该计划包括卫生经济学、卫生政策、定性/定量数据收集和统计学的核心教学课程；急症护理流行病学必修课；高级流行病学或生物统计学、高级卫生保健经济学、卫生保健政策、统计学、调查设计与测量、社会政策、社会环境和人口学等选修课程；由该领域专家在重症监护卫生服务研究方面提供强化指导；参加多学科研究讨论会；指导负责任的研究和监管事务；在多学科指导团队的密切监督下，开发和完成危重病医学临床研究项目。该计划是为具有成人和儿科重症护理临床经验的博士后医师设计的。重症监护的定义包括对患有严重急性医疗问题的成人和儿童的护理、在重症监护病房以及冠状动脉监护病房或急诊科进行的创伤和术后护理。该计划强调在关键护理结果，融资，交付和管理方面的政策相关问题的研究，通常在协作和跨学科的背景下进行。项目参与者将获得必要的技能，将他们的临床专业知识与他们的研究培训相结合，以便提出和回答有关重症监护是如何组织，应该如何组织，资助，管理和交付的重要问题。相关性（见说明）：危重疾病的发病率、死亡率和费用巨大。这个博士后项目将临床经验、卫生服务研究培训和政策分析结合起来，为重症医学医生提供培训。这些受训者将形成一支医师领导骨干队伍，能够在病床边、跨人群和与决策者一起解决重症护理问题。

DESCRIPTION (provided by applicant): This application requests funding for five years to support a new postdoctoral training program in critical care health policy research (CCHPR). The overall goal of this program is to develop skilled investigators trained to conduct health services research and capable of academic careers as independent researchers improving the quality, safety, efficiency, and equity of critical care medicine. All trainees supported by this fellowship enroll in the Masters of Science in Health Policy Research (MSHP) degree program-offered by Penn's School of Medicine and its Wharton School. Trainees receive an intensive, structured program of mentoring, didactic research training, and experiential research over two years. The program includes core didactic courses in health economics, health policy, qualitative/quantitative data collection, and statistics; a required course in the epidemiology of acute care; elective courses in advanced epidemiology or biostatistics, advanced health care economics, health care policy, statistics, survey design and measurement, and social policy, social environment, and demography; intensive mentoring in critical care health services research by experts in the field; participation in multidisciplinary research seminars; instruction in the responsible conduct of research and regulatory affairs; and the development and completion of a clinical research project in critical care medicine under close supervision of a multidisciplinary mentoring team. The program is designed for postdoctoral physician fellows with clinical experience in adult and pediatric critical care. The definition of critical care encompasses care for adults and children with severe acute medical problems, trauma and post-surgical care in intensive care units, and coronary care units or emergency departments. The program emphasizes research on policy-relevant issues in critical care outcomes, financing, delivery, and management, often in contexts that are collaborative and interdisciplinary. Program participants will gain the skills necessary to combine their clinical expertise with their research training in order to ask and answer important questions about how critical care is and ought to be organized, financed, managed, and delivered. RELEVANCE (See instructions): The morbidity, mortality and costs attributable to critical illness are enormous. This postdoctoral program integrates clinical experience, health services research training, and policy analysis for physicians trained in critical care medicine. These trainees will form a cadre of physician leaders capable of addressing critical care issues at the bedside, across populations, and alongside policymakers.