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）：医学博士Randall S. Stafford是临床流行病学家，肥胖研究人员和执业初级保健内科医生。这项K24更新提案资本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。在内科培训（MD UCSF，居住MGH）和流行病学（博士学位伯克利，DOS DOC CDC），斯塔福德博士目前是斯坦福大学医学副教授。他指导了斯坦福大学的预防成果和实践计划（PPOP），并在预防性心脏病学和初级保健内科医学方面具有临床活动。斯坦福大学为以患者为导向的研究培训提供了杰出的环境。斯塔福德博士的指导计划利用现有的培训资源，尤其是斯坦福大学的CTSA资源。 该更新奖的具体目标是：1）利用斯塔福德博士成功的POR议程，以及斯坦福大学的杰出环境，扩大了用于POR培训的创新和动态环境； 2）基于斯塔福德博士作为K24导师的成功，以及他继续发展新的研究和指导技能，以采用更系统的方法来补充传统的学徒模型； 3）通过薪水支持和增加受保护的指导时间的可用性，提高了斯塔福德博士为更多受训者提供更深入的指导能力； 4）通过技能增长，职业重新关注和面向影响的重点，丰富了斯塔福德博士的研究职业。 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。但是，新的医疗实践和知识被传播的过程通常无法为患者的最大利益提供服务。在没有充分评估的情况下，很容易采用一些新的实践，而其他具有强大循证支持的人则被缓慢而不一致地采用。如果我们未能指导将科学证据转化为实践，那么国家生物医学科学的投资将受到危害。鉴于将研究转化为实践的重要性，具有讽刺意味的是，受过临床训练的物理素在POR中从事职业而强调人口健康的职业是多么困难。在临床研究职业发展途径中，足够的指导被确定为一种关键但经常缺少的资源。斯塔福德博士打算支持受训者的职业需求，以确保他们可以以理想主义和目的从事人口科学的长期职业。 斯塔福德博士自己的POR POTFOLIO提供的研究机会为人口科学和POR培训提供了绝佳的环境。斯塔福德博士的研究旨在了解影响医师和患者行为的力量，重点是干预以通过预防改善健康结果。斯塔福德博士的目标是进一步发展医疗保健创新科学，作为设计预防干预措施的工具，以促进患者，护理提供者和医疗保健系统的循证实践。这项研究议程受到一系列临床和教学/指导活动的加强和刺激。指导各种各样的学员和初级教师，不仅提供了一个多学科知识界，这使这些问题的重要性至关重要，而且还创造了成功的科学家和未来的领导者。