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（由申请人提供）：Sinai K12山急诊医学研究职业发展计划（EM）旨在在西奈山医学中心高产的研究基础架构上建立，并创建了一个充满活力的可持续培训计划，该计划始终如一地培养出成为生命威胁生命的心血管疾病，流血病，血液学，血液学和创新成员的独立研究人员的个人，并撰写成员的成员。该计划的具体目的是为临床，转化和卫生服务研究原理以及必要的经验研究机会提供强大的基础，以提供杰出的，研究意识的，初级的教职员工，护士和其他临床医生。 2）有价值，多学科研究团队的成员； 3）加速他们的研究发现，并将这些研究结果迅速转化为临床实践。通过杰出的指导将实现职业发展；正式教学；个人和协作研究活动；掌握传播和翻译策略；职业和领导力发展活动；以及支持性的大学氛围。该计划由基于现有机构资源的教学课程和体验式课程组成，并添加了特定的指导和指导，以解决急诊医学研究的独特特征。每个K12学者将有一位学术导师，一位主要的研究导师和个性化的培训计划，以确保掌握以下18个能力：正确提出研究问题；假设产生；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；数据监视和安全问题；数据分析；口头和书面研究向科学和外行观众展示；手稿准备，提交和修订；授予准备，提交和修订；项目管理，预算，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；多学科小组和团队合作技能的有效性；文化能力；职业发展；和指导技能。拟议的计划将完全集成到现有的，成功的NIH资助的CTSA KL2 / K12和MSCR / PHDCR计划中，以增强以患者为中心的临床，转化和卫生服务急诊医学研究中职业培训的深度和广度。所有K12学者将参与有关急性，威胁生命的心血管，肺，血液学和创伤状况的指导和独立的学者研究，并借鉴了制度力量的方法论和疾病特异性领域，包括在健康差异和基于社区的参与性研究方面的显着记录。 K12计划将进一步扩展强大的CTSA计划，以培训调查人员的保护人类受试者和研究的道德行为。 PI/PD具有广泛的研究专业知识，在知情同意法规的例外，允许对复苏和其他威胁生命的条件进行临床调查，而其他教职员工将解决急诊室环境中出现的特定监管要求和独特的道德研究问题。部门和机构环境都具有吸引和支持教师，研究员，学员和员工的多样性以及与全国最多样化的患者社区合作的卓越记录。拟议的K12计划将体现并教授对多样性的承诺。 PI/PD和指导委员会将每年选择两个K12学者，以在2、3和4年度开始。每个K12学者将得到2至3年的支持。由于该计划试图培训具有多种背景的个人，因此该计划将有三个途径，可以进一步定制各个学者的需求。途径A适用于没有研究硕士学位（MSCR，MSC）的博士专业学位的初级教师，护士或其他临床医生，他们将被要求在该计划期间完成MSCR学位。途径B适用于已经拥有研究硕士学位的博士学位的人；他们将被要求从临床研究计划中扩展的硕士学位和博士学位的精选课程完成选定的高级课程，以加深和扩大其研究技能。途径C适用于没有博士学位的高级练习护士，医师助理和硕士级社会工作者；他们将被要求在该计划期间获得临床研究博士学位。计划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计划的各个方面进行正式的详细评估。评估将包括每个学者，计划主任，研究计划管理员和计划生物统计学家的年度评估；每个教育组成部分和工具的特定学习目标，以从参与者那里获得定量和定性的反馈；来自MSCR，PHDCR和KL2程序中现有强大反馈机制的数据；以及评估单个K12学者的指标和外部科学咨询委员会的整体计划。