Translating Clinical Decision Making into Systems of Care: A Mid-Career Mentor

将临床决策转化为护理系统：职业中期导师

• 批准号: 8300609
• 负责人: RANDALL SCOTT STAFFORD
• 金额: $ 18.12万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8300609
• 关键词: Adopted; Award; Behavior; Cardiology; Caring; Centers for Disease Control and Prevention (U.S.); Clinical; Clinical Investigator; Clinical Practice Patterns; Clinical Research; Collaborations; Communities; Complement; Development; Disease Management; Doctor of Philosophy; Educational Curriculum; Educational process of instructing; Effectiveness; Ensure; Environment; Epidemiologist; Epidemiology; Equilibrium; Evidence based practice; Faculty; Failure; Fellowship Program; Funding; Future; Goals; Growth; Health; Health Benefit; Health Care Reform; Health Policy; Healthcare; Healthcare Systems; Heart Research; Internal Medicine; Internist; Intervention; Investments; Knowledge; Leadership; Life; Medical; Medicine; Mentors; Methodology; Mid-Career Clinical Scientist Award (K24); Modeling; Obesity; Outcome; Ownership; Pathway interactions; Patients; Pattern; Physicians; Population; Population Sciences; Positioning Attribute; Postdoctoral Fellow; Prevention; Preventive; Preventive Intervention; Primary Health Care; Process; Research; Research Personnel; Research Training; Residencies; Resources; Science; Scientist; Services; Staging; Statutes and Laws; Stress; Supervision; Testing; Time; Training; Translating; Translations; Universities; Wages; Work; care systems; career; career development; clinical decision-making; cohort; comparative effectiveness; design; disorder prevention; effectiveness research; evidence base; experience; health disparity; improved; innovation; interest; member; multidisciplinary; next generation; patient oriented research; population health; professor; programs; research to practice; skills; success

DESCRIPTION (provided by applicant): Randall S. Stafford, MD, PhD is a clinical epidemiologist, obesity researcher, and practicing primary care internist. This K24 renewal proposal capitalizes on Dr. Stafford's clinical research expertise, ongoing research program, and mentoring experience. With training in Internal Medicine (MD UCSF, Residency MGH) and Epidemiology (PhD UC Berkeley, post-doc CDC), Dr. Stafford is currently an Associate Professor of Medicine at Stanford University. He directs the Stanford Program on Prevention Outcomes and Practices (PPOP) and is clinically active in Preventive Cardiology and Primary Care Internal Medicine. Stanford University provides an exceptional setting for patient-oriented research training. Dr. Stafford's mentoring plan leverages existing training resources, particularly those of Stanford's CTSA. The Specific Aims of this renewal award are to: 1) Leverage Dr. Stafford's successful POR agenda, as well as the outstanding environment of Stanford University to enlarge an innovative and dynamic setting for POR training; 2) Build on Dr. Stafford's success as a K24 mentor and his continued development of new research and mentoring skills to apply a more systematic approach to mentoring that supplements the traditional apprenticeship model; 3)Through salary support and the increased availability of protected mentoring time, enhance Dr. Stafford's capacity to provide a greater depth of mentoring to a larger number of mentees; 4) Enrich Dr. Stafford's research career through skill growth, career re-focusing, and an impact-oriented emphasis. Clinical research, particularly patient-oriented research (POR), is critical to the translation of scientific knowledge into population health benefits. The process by which new medical practices and knowledge are disseminated, however, often fails to serve patients' best interests. Some new practices are readily adopted without adequate assessment while others with strong evidence-based support are adopted slowly and inconsistently. National investment in biomedical science is jeopardized if we fail to guide the translation of scientific evidence into practice. Given the importance of translating research into practice, it is ironic how difficult it is for clinically trained physicins to pursue careers in POR that emphasize population health. Adequate mentoring has been identified as a critical, but often missing, resource in the clinical research career development pathway. Dr. Stafford is intent on supporting the career needs of mentees to ensure that they can pursue long-term careers in population science with idealism and purpose. The research opportunities available from Dr. Stafford's own POR portfolio provide an excellent milieu for population science and POR training. Dr. Stafford's research aims to understand the forces influencing physician and patient behavior, with a focus on intervening to improve health outcomes through prevention. Dr. Stafford's objective is to further develop the science of health care innovation as a vehicle for designing prevention interventions to facilitate evidence-based practices by patients, their care providers, and health care systems. This research agenda is reinforced and stimulated by an array of clinical and teaching/mentoring activities. Mentoring a wide variety of trainees and junior faculty members not only provides a multidisciplinary intellectual community that brings to life the vital importance of these issues, but also creates successful scientists and future leaders.

描述(由申请人提供)：兰德尔·S·斯塔福德，医学博士，临床流行病学家，肥胖研究人员，初级保健内科执业医师。这项K24更新建议利用了斯塔福德博士的临床研究专业知识、正在进行的研究计划和指导经验。斯塔福德博士接受过内科(MD UCSF，住院医师MGH)和流行病学(加州大学伯克利分校博士，CDC博士后)的培训，目前是斯坦福大学的医学副教授。他领导着斯坦福大学预防结果和实践计划(PPOP)，并在预防心脏病学和初级保健内科方面临床活跃。斯坦福大学为以患者为中心的研究培训提供了一个特殊的环境。斯塔福德博士的指导计划利用了现有的培训资源，特别是斯坦福大学CTSA的培训资源。这一续展奖项的具体目的是：1)利用斯塔福德博士成功的POR议程以及斯坦福大学出色的环境，扩大POR培训的创新和动态环境；2)以斯塔福德博士作为K24导师的成功和他不断发展的新研究和导师技能为基础，应用更系统的指导方法来补充传统的学徒模式；3)通过工资支持和更多可获得保护的辅导时间，增强斯塔福德博士为更多的学员提供更深入的指导的能力；4)通过技能增长、职业生涯调整和注重影响力，丰富斯塔福德博士的研究生涯。临床研究，特别是以患者为中心的研究(POR)，对于将科学知识转化为人群健康益处至关重要。然而，传播新的医疗实践和知识的过程往往不能服务于患者的最佳利益。有些新做法在没有充分评估的情况下就很容易被采纳，而另一些有强有力的证据支持的做法则缓慢而不一致地被采纳。如果我们不能指导将科学证据转化为实践，国家对生物医学科学的投资就会受到威胁。鉴于将研究转化为实践的重要性，具有讽刺意味的是，受过临床培训的物理学家在POR中追求强调人口健康的职业是多么困难。充分的指导已被认为是临床研究职业发展道路上的一项关键但往往缺失的资源。斯塔福德博士致力于支持受训者的职业需求，以确保他们能够怀着理想主义和目标在人口科学领域追求长期的职业生涯。斯塔福德博士自己的POR组合中提供的研究机会为人口科学和POR培训提供了一个极好的环境。斯塔福德博士的研究旨在了解影响医生和患者行为的因素，重点是通过干预来通过预防来改善健康结果。斯塔福德博士的目标是进一步发展卫生保健创新科学，将其作为设计预防干预措施的工具，以促进患者、他们的护理提供者和卫生保健系统的循证实践。这一研究议程得到了一系列临床和教学/指导活动的加强和刺激。指导各种各样的受训者和初级教员不仅提供了一个多学科的智力社区，使这些问题变得至关重要，而且还培养了成功的科学家和未来的领导者。