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: 8327366
• 负责人: BRIAN LESLIE STROM
• 金额: $ 5.4万
• 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/8327366
• 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; Health; 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（Penn）医学院临床流行病学和生物统计学中心（CCEB）与危地马拉市圣卡洛斯大学（USAC）和危地马拉市弗朗西斯科马罗昆大学（UFM）合作，重新提交此申请，为USAC和UFM的临床医生和研究人员开发一项创新的慢性疾病临床流行病学研究培训计划。将有两个培训途径。第一个。独立调查员培训是专门为USAC和UFM的初级教师准备的医生，使他们成为严谨、独立的学术调查员，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、预防和早期检测、治疗、临床经济学、技术评估、医疗决策、以及一种或多种慢性疾病的患者护理质量。第二个途径是副研究员培训，旨在为USAC和UFM的临床医生和研究人员做好准备，以作为慢性病临床流行病学研究和/或政策制定的合作者。完成培训后，这两个方向的毕业生将组成慢性病临床流行病学研究团队，并加入其所在机构的多学科研究组织，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大学进行。进入临床流行病学理学硕士学位课程，学习临床流行病学、研究方法、生物统计学、慢性病流行病学等课程；选修课程；参加期刊俱乐部和临床研究会议，关注一种或多种慢性疾病的研究问题；独立阅读适当的主题；参加和参与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，将在他们自己的机构完成，将致力于进行和完成独立的研究项目。宾大的学员导师将于年内来访。危地马拉国家政府承诺提供额外的资金，在完成培训后的三年里提供额外的工资支持，以保护毕业生在发展校外资助的研究项目时的时间，条件是他们不发展私人实践。副研究员途径由宾夕法尼亚大学教师指导的一系列短期课程、研讨会和项目组成，在USAC和UFM现场和西班牙语授课，并通过实时双向视频会议和网络项目进行电子补充。课程主题将包括研究设计/方法、生物统计学、数据管理、文献批判性评价、法规事务、患者隐私问题和生物伦理学。该计划的优势在于：(1)宾夕法尼亚大学已经在危地马拉与USAC和UFM建立了合作伙伴关系，作为其全球健康计划的一部分；(2) CCEB成功的科研培训项目历史；(3) CCEB作为国际临床流行病学网络创始人的经验；(4)宾夕法尼亚大学慢性病临床流行病学培训生的综合课程设置（独立研究者途径）；(5)为研究团队提供合作者和工作人员的培训（副研究员途径）；（六）拟参加的研究机构；(7)宾大提供大量配套资金，最大限度地为学员提供资源；(8)危地马拉国家政府提供的配套资金，保护毕业生的研究时间，并表明国家对他们的研究事业的坚定承诺。