Integrated Mentored Patient-Oriented Research Training (IMPORT) in Psychiatry

描述(由申请者提供)：从事临床研究的医生数量下降，引发了全国对公共卫生保健即将到来的危机的担忧。虽然许多医学领域都受到了影响，但精神病学的问题尤其严重，预计会出现短缺，促使医学研究所最近对这个问题进行了分析。具有讽刺意味的是，在遗传学和神经科学领域的发现对基础行为科学产生前所未有的影响之际，追求以患者为导向的研究事业的精神病学家却出现了短缺。将这些基础科学见解转化为患者护理领域的发现，对于提高对几种精神疾病的理解和治疗至关重要。目前的R25续期旨在通过几个具体目标进一步解决目前精神健康研究教育中的危机，这些目标建立在最初的五年奖之前的成功基础上。这些措施包括1)将以患者为中心的综合指导研究培训(IMPORT)扩展到临床住院医师培训的最早(PG1)阶段(除了延续先前的PG2经验)，2)通过新的综合(PG3)临床/研究门诊年显著拓宽这些早期经验(扩大他们的准备，使学员能够更充分地利用随后的(PG4)沉浸年，以及3)向其他培训主任(通过资助的现场访问)和通过R25项目主任的全国论坛(与NIMH合作进行)传播有关项目的信息和经验。预计当前方案将在以下方面发挥重要作用 解决住院医师直接从事以病人为导向的研究的预期短缺问题(例如，通过增加鉴定、招聘和留住一批年轻的临床精神病学研究人员)，以及间接地作为其他住院医师的模式/工具包 全国各地的培训计划。

DESCRIPTION (provided by applicant): Declines in the numbers of physicians pursuing careers in clinical research have raised national concerns about an impending crisis in public health care. While numerous medical fields are affected, the problem in psychiatry is particularly acute, with projected shortages prompting a recent analysis of the problem by the Institute of Medicine. Ironically, shortages of psychiatrists pursuing patient-oriented research careers occur at a time when discoveries in the fields of genetics and neuroscience are having an unprecedented impact on the basic behavioral sciences. Translating such basic science insights into discoveries in the patient-care realm will be crucial for improving out understanding and treatment of several mental illnesses. The current R25 renewal is intended to further address the current crisis in mental health research education through several specific aims, aims that build upon prior successes of the original five-year award. These include 1) to extend opportunities for Integrated Mentored Patient-Oriented Research Training (IMPORT) into the very earliest (PG1) stages of clinical residency training (in addition to continuing prior PG2 experiences), 2) to significantly broaden these early experiences through a novel integrated (PG3) clinical/research outpatient year (expanding their preparation and enabling trainees to more fully take advantage of the subsequent (PG4) immersion year, and 3) to disseminate information about and experiences with the program to other training directors (through funded onsite visits) and through national forum of R25 program directors nationally (conducted in collaboration with NIMH). It is anticipated that the current program will play an important role in addressing the anticipated shortfalls in residents pursuing careers in patient-oriented research both directly (e.g., through increased identification, recruitment and retention of a cadre of young clinical psychiatric investigators), and indirectly, as a model / toolkit for other residency training programs across the country.