Curricular standards for comparative effectiveness research

摘要 AHRQ寻求支持有助于推进其提高质量、安全、效率和 所有美国人的医疗保健的有效性。为此，我们提议召开一次会议，为 比较有效性研究(CER)。这将有助于推进CER教育，并造就新一代 训练有素的调查人员能够完成这项重要的研究。 CER是对用于诊断、治疗和治疗的替代干预措施进行比较的研究和综合 监控真实环境中的健康状况。CER的目的是通过发展和改善健康状况 向患者、临床医生和其他决策者传播关于哪些干预措施的循证信息 在个体患者和人群层面上最有效。新的调查人员需要知道如何合作 与利益相关者一起构思假设，设计和进行明确的观察和实验研究， 并将这些知识转化为临床和社区环境中的高保真、实际应用。此外， 需要多学科的培训、实践经验和强有力的指导才能培养出这些新的调查人员 世卫组织可以促进临床和CER方法和知识的进步 为了应对这些挑战，学术机构已经开始制定课程，以培训现有的和新的 CER方法中的新兴调查人员。会议的具体目的是：1)审查现有的 已为CER提议的能力；2)描述旨在实现以下目标的现有课程和其他方法 这些能力；3)了解CER培训的研究人员的劳动力需求；4)确定课程改进 可以对现有的CER课程提出建议；以及5)讨论CER的独特方法学问题 纪律。 本提案中概述的会议将进一步促进AHRQ在提高质量、安全、效率方面的使命 以及所有美国人的医疗保健的有效性，因为它将把来自几个学科的利益相关者聚集在一起，这些利益相关者 将建立培训能力，制定课程，确定劳动力需求，并传播结果 通过报告、演讲和个人评论手稿进行的重要工作--所有这些都是为了准备研究 科学家和决策者分别成功地承担和使用了CER。

Abstract AHRQ seeks to support conferences that help to further its mission to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. To this end, we propose a conference to establish curricular standards for comparative effectiveness research (CER). This will contribute to advancing CER education and lead to a new generation of well-trained investigators who can accomplish this vital research. CER is the conduct and synthesis of research comparing alternative interventions designed to diagnose, treat and monitor health conditions in real-world settings. The purpose of CER is to improve health outcomes by developing and disseminating evidence-based information to patients, clinicians, and other decision-makers about which interventions are most effective at the individual patient and population levels. New investigators need to know how to collaborate with stakeholders to conceive a hypothesis, to design and conduct definitive observational and experimental research, and to translate this knowledge into high-fidelity, practical applications in clinical and community settings. Furthermore, multidisciplinary training, practical experiences, and strong mentorship are needed to create these new investigators who can facilitate the advance of clinical and CER methods and knowledge To respond to these challenges, academic institutions have begun to develop curricula to train current and newly emerging investigators in the methods of CER. The specific aims of the conference are to: 1) Review existing competencies that have been proposed for CER; 2) Describe existing curricula and other approaches that aim to achieve these competencies; 3) Learn about workforce needs for CER-trained researchers; 4) Identify curricular enhancements that can be made to existing CER curricula; and 5) Discuss unique methodological issues of CER unaddressed by related disciplines. The conference outlined in this proposal will further the mission of AHRQ in improving the quality, safety, efficiency and effectiveness of healthcare for all Americans in that it will bring together stakeholders from several disciplines who will establish training competencies, develop curricula, identify workforce needs, and disseminate the results of this important work through reports, presentations, and pee-reviewed manuscripts - all with the goal of preparing research scientists and decision-makers to successfully undertake and use CER, respectively.