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: 8442917
• 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/8442917
• 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）：Randall S.斯塔福德，医学博士，博士是一个临床流行病学家，肥胖研究员，和执业初级保健内科医生。本K24更新提案充分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学（MD UCSF，住院医师MGH）和流行病学（加州大学伯克利分校博士，博士后CDC）的培训，目前是斯坦福大学的医学副教授。他指导斯坦福大学预防结果和实践项目（PPOP），并在预防心脏病学和初级保健内科临床活跃。斯坦福大学为面向患者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，特别是斯坦福大学的CTSA的资源。 本次续约的具体目标是：1）利用斯塔福德博士成功的POR议程，以及斯坦福大学的优秀环境，扩大POR培训的创新和动态设置;（二）在斯塔福德博士作为K24导师的成功以及他对新研究和指导技能的持续发展的基础上，应用更系统的指导方法，补充传统的学徒模式; 3）通过工资支持和增加受保护的辅导时间的可用性，提高斯塔福德博士的能力，为更多的学员提供更深入的辅导; 4）通过技能增长，职业重新定位和以影响为导向的重点，丰富斯塔福德博士的研究生涯。 临床研究，特别是以患者为导向的研究（POR），对于将科学知识转化为人口健康益处至关重要。然而，传播新的医疗做法和知识的过程往往不能满足病人的最大利益。有些新做法在没有充分评估的情况下就被轻易采用，而另一些有强有力证据支持的做法则采用缓慢和不一致。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损害。鉴于将研究转化为实践的重要性，具有讽刺意味的是，临床训练的物理学家在强调人口健康的POR中从事职业是多么困难。充分的指导已被确定为一个关键的，但往往缺失，在临床研究的职业发展途径的资源。斯塔福德打算支持学员的职业需求，以确保他们能够追求理想主义和目的在人口科学的长期职业生涯。 斯塔福德博士自己的POR组合提供的研究机会为人口科学和POR培训提供了一个很好的环境。斯塔福德博士的研究旨在了解影响医生和患者行为的力量，重点是通过预防干预改善健康结果。斯塔福德博士的目标是进一步发展卫生保健创新科学，作为设计预防干预措施的工具，以促进患者、其护理提供者和卫生保健系统的循证实践。这一研究议程得到加强，并通过一系列的临床和教学/辅导活动的刺激。指导各种各样的学员和初级教师不仅提供了一个多学科的知识界，使生活中这些问题的至关重要性，而且还创造了成功的科学家和未来的领导者。