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（申请人提供）：宾夕法尼亚大学医学院临床流行病学和生物统计学中心与危地马拉危地马拉城的卡洛斯大学和危地马拉城的弗朗西斯科马罗金大学合作，危地马拉重新提交了这项申请，为USAC和UFM的临床医生和研究人员制定一项创新的慢性病临床流行病学研究培训计划。将有两条培训途径。第一个.独立研究者培训，是专门为准备医生谁是或将在USAC和UFM初级教师成为严格的，独立的学术研究人员能够使用一系列的方法在临床流行病学，以解决重要的研究问题，有关病因，预后，预防和早期发现，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，助理研究员培训，旨在准备临床医生和研究人员在USAC和UFM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，这两种途径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。学员将在临床流行病学硕士学位课程录取，并采取临床流行病学，研究方法，生物统计学和慢性病流行病学课程;选修课程;参加杂志俱乐部和临床研究会议，重点是一个或多个慢性病的研究问题;独立阅读适当的主题;出席并参加在CCEB和临床部门的研究研讨会;设计一个独立的研究项目第二年将在其所在机构完成，将专门进行和完成独立研究项目。来自宾夕法尼亚大学的学员导师将在今年访问。危地马拉国家政府已承诺提供额外资金，在完成培训后的三年内提供补充工资支助，以保护毕业生的时间，同时他们随后制定由外部资助的研究方案，条件是他们不发展私人做法。 助理研究员途径w\包括一系列的短期课程，研讨会和宾夕法尼亚大学教师指导的计划，在USAC和UFM现场和西班牙语授课，并通过现场双向视频会议和基于网络的计划以电子方式补充。课程主题将包括研究设计/方法，生物统计学，数据管理，文献的批判性评价，法规事务，患者隐私问题和生物伦理学。 该计划的优势是：（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，作为其全球卫生计划的一部分;（2）CCEB成功的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）为宾夕法尼亚大学的慢性病临床流行病学学员提供全面的课程（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（助理研究者途径）;（6）建议学员加入的研究组织;（7）宾大提供的大量配套资金，以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。 公共卫生相关性：危地马拉严重缺乏能够对慢性病进行严格和合作的临床流行病学研究的临床科学家。这些人可以解决的重大疾病/健康问题包括癌症、脑血管疾病（包括中风）、肺病（包括慢性阻塞性肺病）、肥胖症以及遗传学、环境因素（包括室内空气污染）和与这些疾病相关的生活方式因素。