MOUNT SINAI EMERGENCY MEDICINE RESEARCH CAREER DEVELOPMENT PROGRAM

西奈山急诊医学研究职业发展计划

• 批准号: 8502339
• 负责人: Lynne D. Richardson
• 金额: $ 95.51万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8502339
• 关键词: Accident and Emergency department; Acute; Address; Administrator; Advanced Practice Nurse; Advisory Committees; Area; Budgets; Cardiovascular system; Characteristics; Clinical; Clinical Research; Clinical Trials; Communities; Data; Data Analyses; Data Collection; Development; Disease; Doctor of Philosophy; Doctor' s Degree; Drug Formulations; Educational Curriculum; Educational process of instructing; Effectiveness; Emergency Medicine; Emergency Situation; Environment; Ethics; Evaluation; Faculty; Feedback; Foundations; Funding; Generations; Grant; Health Services; Health Services Research; Human Subject Research; Individual; Informatics; Informed Consent; Instruction; Interdisciplinary Study; Investigation; Leadership; Learning; Life; Lung; Manuscripts; Master' s Degree; Measurement; Medical center; Mentored Clinical Scientist Development Program; Mentors; Mentorship; Methods; Metric; Mind-Body Method; Monitor; NCI Scholars Program; Nurses; Oral; Participant; Pathway interactions; Patient-Focused Outcomes; Patients; Physician Assistants; Physicians; Preparation; Regulation; Reporting; Research; Research Activity; Research Design; Research Ethics; Research Infrastructure; Research Personnel; Resources; Resuscitation; SECTM1 gene; Safety; Social Workers; System; Training; Training Programs; Translating; Translations; Trauma; United States National Institutes of Health; Work; Writing; career; career development; clinical practice; community based participatory research; cultural competence; design; evidence base; health disparity; human subject protection; instrument; investigator training; member; patient oriented; planetary Atmosphere; programs; skills

DESCRIPTION (provided by applicant): The Mount Sinai K12 Research Career Development Program in Emergency Medicine (EM) is designed to build on the Mount Sinai Medical Center's highly productive research infrastructure and create a vibrant, sustainable training program that consistently produces individuals who succeed as independent researchers of life-threatening cardiovascular, pulmonary, hematological and traumatic emergencies and as contributing members of multidisciplinary research teams. The program's specific aims are to provide outstanding, research-minded, junior faculty physicians, nurses, and other clinicians with the strong foundation in the principles of clinical, translational, and health services research and the experiential research opportunities necessary to 1) establish independent research careers in emergency cardiovascular, pulmonary, hematological or trauma investigation; 2) be valuable, contributing members of multidisciplinary research teams; and 3) accelerate dissemination of their research findings and rapidly translate those research findings into clinical practice. Career development will be achieved through outstanding mentorship; formal instruction; individual and collaborative research activities; mastery of dissemination and translation strategies; career and leadership development activities; and a supportive, collegial atmosphere. The Program is comprised of didactic and experiential curricula that build on existing institutional resources and add specific instruction and mentoring to address the unique characteristics of emergency medicine research. Each K12 Scholar will have an academic mentor, a primary research mentor and an individualized training plan to assure mastery of the following eighteen competencies: proper formulation of a research question; hypothesis generation; research design; definition and measurement of patient-centered outcomes and systems-level variables; data collection methods; data monitoring and safety issues; data analysis; oral and written presentation of research to scientific and lay audiences; manuscript preparation, submission, and revision; grant preparation, submission, and revision; project management, budgeting, reporting, and research compliance; protection of human subjects and research ethics; clinical and research informatics; dissemination and implementation of evidence-based therapies and practices; effectiveness in multi-disciplinary groups & teamwork skills; cultural competence; career development; and mentoring skills. The proposed program will be fully integrated into the existing, successful, NIH-funded CTSA KL2/K12 and MSCR / PhDCR programs to enhance the depth and breadth of career training in patient-centered clinical, translational and health services emergency medicine research. All K12 scholars will participate in mentored and independent, Scholar- originated research on acute, life-threatening cardiovascular, pulmonary, hematological and traumatic conditions and that draws on the methodological and disease-specific areas of institutional strength, including a remarkable track record of research in health disparities and community-based participatory research. The K12 program will further expand on the robust CTSA programs for training investigators in the protection of human subjects and the ethical conduct of research. The PI/PD has extensive research expertise in the exception from informed consent regulations that allow clinical investigations of resuscitation and other life-threatening conditions and other faculty members will address specific regulatory requirements and unique ethical research issues that arise in the emergency department setting. Both the departmental and institutional environments have an exceptional record of attracting and supporting diversity among faculty, fellows, trainees, and staff, and of working with patient communities that are among the most ethnically diverse in the nation. The proposed K12 Program will both embody and teach this commitment to diversity. The PI/PD and the Steering Committee will select two K12 Scholars per year to start in years 2, 3, and 4. Each K12 scholar will be supported for 2 to 3 years. Because the program seeks to train individuals with a variety of backgrounds, there will be three pathways into the program, which may be further customized for the needs of individual Scholars. Pathway A is for junior faculty physicians, nurses, or other clinicians possessing a doctoral level professional degree who do not have a research Master's degree (MSCR, MSc), who will be required to complete a MSCR degree during the program. Pathway B is for those with doctoral degrees who already have a research Master's degree; they will be required to complete selected advanced courses from the expanded Masters and PhD in Clinical Research programs to deepen and broaden their research skills. Pathway C is for advanced practice nurses, physician assistants and Masters-level social workers who do not have a doctoral degree; they will be required to obtain a PhD in Clinical Research during the program. A formal, detailed evaluation of all aspects of the Program will be developed by the Program Director and Steering Committee, assisted by an Evaluation Consultant and the External Scientific Advisory Committee. Evaluation will include annual 360o evaluations of each Scholar, the Program Director, the Research Program Administrator and the Program Biostatistician; specific learning objectives for each educational component and instruments to obtain quantitative and qualitative feedback from participants; data from the existing robust feedback mechanisms in the MSCR, PhDCR and KL2 Programs; and metrics for evaluation of individual K12 scholars and the program as a whole by the External Scientific Advisory Committee.

描述（申请人提供）：西奈山K12急诊医学研究职业发展计划（EM）旨在建立在西奈山医疗中心的高产研究基础设施上，并创建一个充满活力，可持续的培训计划，持续培养成功作为危及生命的心血管，肺，血液和创伤紧急情况，并作为多学科研究小组的贡献成员。该计划的具体目标是提供优秀的，研究型的，初级教师医生，护士和其他临床医生在临床，转化和卫生服务研究的原则和必要的经验研究机会的坚实基础1）建立在紧急心血管，肺，血液或创伤调查的独立研究事业; 2）是有价值的，多学科研究团队的贡献成员; 3）加速传播他们的研究成果，并迅速将这些研究成果转化为临床实践。职业发展将通过以下方式实现：出色的指导;正式指导;个人和合作研究活动;掌握传播和翻译战略;职业和领导力发展活动;以及支持性的学院氛围。该计划由教学和体验课程组成，这些课程建立在现有的机构资源基础上，并增加了具体的指导和指导，以解决急诊医学研究的独特特点。每个K12学者将有一个学术导师，一个主要的研究导师和一个个性化的培训计划，以确保掌握以下18个能力：研究问题的正确制定;假设生成;研究设计;以患者为中心的结果和系统级变量的定义和测量;数据收集方法;数据监测和安全问题;数据分析;向科学和非专业观众口头和书面介绍研究;手稿准备，提交和修订;拨款准备，提交和修订;项目管理，预算编制，报告和研究合规性;保护人类受试者和研究伦理;临床和研究信息学;传播和实施循证疗法和实践;多学科小组的有效性和团队合作技能;文化能力;职业发展;以及指导技能。拟议的计划将完全整合到现有的，成功的，NIH资助的CTSA KL 2/K12和MSCR / PhDCR计划，以提高以患者为中心的临床，转化和卫生服务急救医学研究的职业培训的深度和广度。所有K12学者将参加指导和独立的，学者发起的关于急性，危及生命的心血管，肺，血液和创伤条件的研究，并借鉴了机构实力的方法和疾病特定领域，包括在健康差距和社区参与性研究方面的卓越记录。K12计划将进一步扩展CTSA的强大计划，以培训研究人员保护人类受试者和研究的道德行为。PI/PD在知情同意法规的例外情况下具有广泛的研究专业知识，这些法规允许对复苏和其他危及生命的情况进行临床研究，其他教职员工将解决急诊科环境中出现的特定法规要求和独特的伦理研究问题。部门和机构环境都有吸引和支持教师，研究员，学员和工作人员之间的多样性，并与病人社区是在全国最种族多元化的工作的特殊记录。拟议中的K12计划将体现和教导这种对多样性的承诺。PI/PD和指导委员会每年将选择两名K12学者，从第2年，第3年和第4年开始。每个K12学者将获得2至3年的支持。由于该计划旨在培养具有各种背景的个人，因此将有三种途径进入该计划，这可能会根据个别学者的需求进一步定制。路径A是初级教师医生，护士，或其他临床医生拥有博士水平的专业学位谁没有研究硕士学位（MSCR，MSc），谁将被要求在程序期间完成MSCR学位。途径B是为那些已经拥有研究硕士学位的博士学位;他们将被要求完成从扩大的硕士和博士临床研究计划中选择的高级课程，以深化和拓宽他们的研究技能。路径C是高级实践护士，医生助理和硕士水平的社会工作者谁没有博士学位;他们将被要求在该计划期间获得临床研究博士学位。项目主任和指导委员会将在评估顾问和外部科学咨询委员会的协助下，对项目的各个方面进行正式、详细的评估。评估将包括对每位学者，项目主任，研究项目管理员和项目生物统计学家的年度360度评估;每个教育组件和工具的具体学习目标，以获得参与者的定量和定性反馈;来自MSCR，PhDCR和KL 2计划中现有强大反馈机制的数据;以及外部科学咨询委员会对K12学者个人和整个项目的评估指标。