Research Training Program in Environmental Pediatrics

环境儿科研究培训计划

• 批准号: 8268167
• 负责人: PHILIP J LANDRIGAN
• 金额: $ 28.97万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8268167
• 关键词: Pediatrics; Research Training; Training Programs

DESCRIPTION (provided by applicant): Children today are at risk of exposure to multiple environmental hazards - toxic chemicals, social stressors and the hazards of the built environment. A growing body of research indicates that environmental exposures contribute to common pediatric diseases: asthma, neurodevelopmental disorders, birth defects, obesity and type 2 diabetes and possibly also to disease in adult life. Yet few pediatricians are trained to study, diagnose, treat or prevent diseases of environmental origin, and few academic health centers have research leaders or programs in environmental pediatrics. The IOM states that there is national need to expand the scientific workforce in environmental medicine. To train the next generation of physician-scientists and academic leaders in environmental pediatrics, the Mount Sinai School of Medicine seeks renewal of its 3-year, interdisciplinary, post-residency/post-doctoral research training program in environmental pediatrics that began in 2007. Epidemiological research in environmental pediatrics is the core training theme. Two new fellows are admitted each year. Selection is competitive, and fellows are a mix of clinically trained pediatricians and doctorally trained research scientists. Emphasis is placed on recruitment of underrepresented minorities. We provide fellows with a robust methodological base and equip them with a versatile set of tools they can apply to study a wide range of scientific questions. The focus in year 1 is on education in epidemiology, biostatistics, toxicology, environmental medicine and research design to fulfill requirements for an MPH degree. In years 2 and 3, emphasis is on mentored research that generates an MPH thesis, produces manuscripts and posters, and fosters transition toward independence. Each fellow is guided by a mentor and advisors from multiple clinical and basic science departments. Courses are provided in grant-writing and responsible conduct of research. For physicians, supervised clinical experience in environmental pediatrics extends throughout the fellowship. Formal evaluation of each fellow is conducted semi-annually. An Executive Faculty Committee and an External Advisory Board have been formed. Expected outcomes include: authorship of 1-2 publishable manuscripts based on original research; authorship of 2-3 posters; completion of an MPH focused on environmental pediatrics; development in year 3 of a K08 or R01 grant proposal; and evidence of transition toward independent investigator status. This program builds on a fellowship in environmental pediatrics supported at Mount Sinai in 2002-2007 by the Academic Pediatric Association. It links to a Breast Cancer and Environment Research Center, a Pediatric Environmental Health Specialty Unit, and the Queens Vanguard Center of the National Children's Study (NCS). The program has successfully recruited 10 fellows and graduated 4. All 4 graduates are pursuing academic careers in environmental pediatrics. Fellows and graduates have published over 30 papers. One graduate is a Lead Investigator in the NCS. Another has secured an NIH K99 award. PUBLIC HEALTH RELEVANCE: The goal of this research training program is to provide post-residency/post-doctoral research fellowship training in environmental pediatrics to a select cadre of clinically trained pediatricians and doctorally trained research scientists to prepare these physicians and researchers to become clinician-scientists and future academic leaders in the emerging field of environmental pediatrics.

描述（由申请人提供）：今天的儿童面临多种环境危害的风险-有毒化学品，社会压力源和建筑环境的危害。越来越多的研究表明，环境暴露会导致常见的儿科疾病：哮喘、神经发育障碍、出生缺陷、肥胖和2型糖尿病，也可能导致成人生活中的疾病。然而，很少有儿科医生接受过研究、诊断、治疗或预防环境源性疾病的培训，也很少有学术卫生中心有环境儿科的研究领导或项目。IOM指出，国家需要扩大环境医学领域的科研队伍。为了培养下一代环境儿科的内科科学家和学术领袖，西奈山医学院（Mount Sinai School of Medicine）寻求更新其从2007年开始的为期3年的跨学科环境儿科住院医师/博士后研究培训计划。环境儿科学流行病学研究是核心培训主题。每年招收两名新研究员。选择是竞争性的，研究员是由临床训练的儿科医生和博士训练的研究科学家组成的。重点放在征聘代表性不足的少数民族。我们为研究员提供了一个强大的方法论基础，并为他们提供了一套多功能的工具，他们可以应用于研究广泛的科学问题。第一年的重点是流行病学、生物统计学、毒理学、环境医学和研究设计，以满足硕士学位的要求。在第2年和第3年，重点是指导研究，生成MPH论文，制作手稿和海报，并促进向独立过渡。每位研究员由来自多个临床和基础科学部门的导师和顾问指导。课程提供拨款写作和负责任的研究行为。对于内科医生来说，环境儿科的临床督导经验贯穿整个研究项目。每位研究员的正式评估每半年进行一次。学院成立了行政委员会和外部咨询委员会。预期成果包括：撰写1-2篇基于原创性研究的可发表论文；创作海报2-3张；完成环境儿科学的公共卫生硕士学位；在K08或R01拨款建议的第三年进行发展；以及向独立调查员身份转变的证据。该项目建立在2002-2007年由学术儿科协会在西奈山支持的环境儿科奖学金的基础上。它与乳腺癌和环境研究中心、儿科环境卫生专业单位和国家儿童研究（NCS）的皇后区先锋中心相连。该项目已成功招募了10名研究员，毕业4人。所有4名毕业生都在追求环境儿科学的学术生涯。研究员和毕业生发表了30多篇论文。一名毕业生是NCS的首席研究员。另一位获得了NIH K99奖。