Multidisciplinary Research Training in Palliative Care

描述(由申请人提供)：项目摘要/摘要虽然临床姑息治疗奖学金计划的数量和质量都在增长，但在姑息治疗方面的研究培训机会1很少，来自医学研究所和国家卫生研究院的报告强调了在姑息治疗方面进行基础、转化、临床和卫生服务研究的必要性。2、3、4、5、6促进老年晚期疾病护理的最重要方法之一是发展初级调查人员。这种培训对于建立该领域以证据为基础的持续增长所需的学术基础设施是必要的。认识到这一需求，美国老年医学会(AGS)和美国临终关怀与姑息医学学会(AAHPM)在2012年发表的一份联合声明中建议加强姑息医学和老年医学在劳动力、教育、研究和政策方面的合作。7鉴于现有的专业知识、一大批经验丰富的研究人员以及姑息治疗和老年医学之间的长期密切合作，科罗拉多大学是唯一有资格通过T32姑息治疗研究培训赠款来满足这一迫切需求的机构。本T32的目标是为从事姑息治疗研究的博士后研究员做准备。实现这一点的方法是，招募优秀且坚定的申请者，并将他们暴露在一个以敬业、经验丰富和杰出的计划学院为特色的环境中，他们将担任高级导师和附属教师，他们将担任初级/联合导师。这些教师代表了姑息治疗研究的关键学科和资源：医学院、药剂学和公共卫生学院、护理学院、科罗拉多州健康结果计划、生物伦理学和人文科学中心、心理学系、凯撒健康研究所、国家犹太人健康研究所以及科罗拉多州临床和转化科学研究所(CCTSI)、科罗拉多大学CTSA的资源。医学院的关键联系和合作是普通内科、老年医学和卫生保健政策和研究部门之间的联系和合作。该培训计划的具体目标是：1)招聘和留住 这些措施包括：1)培养优秀的博士后实习生；2)通过体验式教学支持他们的研究培训；3)认真监督经过深思熟虑的个人化研究职业发展计划，确保最高水平的学术成功；4)通过与更有经验的资深导师共同指导，提高初级导师的指导技能，扩大姑息关怀研究的资深导师队伍。这些目标将通过以下方式实现：1)每年为4名博士后实习生提供2年的研究培训支持；2)由经验丰富的高级导师(方案学院)与经验较少的研究人员(附属学院)共同指导专家指导；3)根据个别研究员的需要和先前的培训量身定做相关的正式课程；4)定期安排研究和职业发展研讨会；5)将受训人员纳入现有的姑息治疗研究活动和资源；6)经常仔细审查受训人员的进展/成功情况，包括对受训人员的反馈；7)持续评估方案的目标、长处和弱点；8)健全的财务和行政监督。我们的成功将体现在以下方面：1)用优秀的实习生填补我们的职位，并培养持续不断的实习生；2)培养学术上成功和富有成效的实习生；3)通过聘请更多初级教师作为联合导师，扩大姑息关怀研究导师的队伍，目标是在他们获得经验/专业知识后，将他们过渡到计划教员/高级导师；以及4)通过项目和教员之间的刻意和战略互动，扩大姑息关怀研究的能力，为姑息关怀研究带来新的技能和专业知识，并吸引新的资深导师参与。在科罗拉多大学的52项机构培训赠款中，这是唯一一项专门致力于姑息治疗研究的培训。在全国范围内，只有两个机构研究培训奖(T32)专注于姑息治疗，而且这两个奖项都仅限于癌症(NIH报告，2013年5月19日访问)。

DESCRIPTION (provided by applicant): Project Summary / Abstract Although clinical palliative care fellowship programs have been growing in number and quality, there is a paucity of research training opportunities in palliative care1 with reports from the Institute of Medicine and National Institutes of Health highlighting the need for basic, translational, clinical, and heath services research in palliative care. 2 3 4 5,6 One of the most important ways to advance care for older adults with advanced illness is to develop junior investigators. Such training is necessary to build the academic infrastructure required for continued evidence-based growth of the field. Recognizing this need, a 2012 joint statement from the American Geriatrics Society (AGS) and American Academy of Hospice and Palliative Medicine (AAHPM) recommended increased collaboration between palliative and geriatric medicine in workforce, education, research, and policy. 7 Given existing expertise, a critical mass of experienced investigators, and longstanding close collaborations between palliative care and geriatrics, the University of Colorado is uniquely qualified to address this urgent need through a T32 palliative care research training grant. The goal of this T32 is to prepare postdoctoral fellows for careers as palliative care researchers. This is accomplished by recruiting exceptional and committed applicants and exposing them to an environment which features dedicated, experienced, and outstanding Program Faculty who will serve as senior mentors and affiliated faculty who will serve as junior/co-mentors. These faculty represent key disciplines and resources essential for palliative care research: the Schools of Medicine, Pharmacy and Public Health, the College of Nursing, the Colorado Health Outcomes Program, the Center for Bioethics and Humanities, the Department of Psychology, the Kaiser Institute for Health Research, National Jewish Health, and the resources of the Colorado Clinical and Translational Sciences Institute (CCTSI), the University of Colorado CTSA. From the School of Medicine, key connections and collaborations are between the Divisions of General Internal Medicine, Geriatric Medicine and Health Care Policy and Research. The specific objectives of this training program are to: 1) recruit and retain outstanding post-doctoral trainees; 2) support their research training through experiential and didactic instruction; 3) ensure the highest level of academic success through conscientious monitoring of a thoughtfully constructed personalized research career development plan; and 4) enhance the mentoring skills of junior mentors through co-mentoring with more experienced senior mentors, expanding the cohort of senior mentors in palliative care research. These objectives will be carried out by offering: 1) 2 years of research training support for 4-post-doctoral trainees per year; 2) expert mentoring by experienced senior mentors (Program Faculty) with co-mentoring by less experienced investigators (Affiliated Faculty) ; 3) relevant formal coursework tailored to the needs and prior training of individual fellows; 4) regularly scheduled research and career development seminars; 5) integration of trainees into the existing Program in Palliative Care Research activities and resources; 6) frequent and careful review of trainee progress/success, incorporating feedback to and from trainees; 7) ongoing appraisal of the program goals, strength and weaknesses; and 8) sound financial and administrative oversight. Our success will be evidenced by our ability to: 1) fill our positions wih outstanding trainees and foster an ongoing pipeline of trainee candidates; 2) produce academically successful and productive trainees; 3) expand the cohort of palliative care research mentors by engaging more junior faculty as co-mentors with a goal of transitioning them to Program Faculty / senior mentors as they gain experience/expertise; and 4) expand palliative care research capacity through deliberate and strategic interactions amongst programs and faculty, bringing new skills and expertise to and engaging new senior mentors in palliative care research. Of the 52 institutional training grants at the University of Colorado, ths is the only one specifically dedicated to palliative care research. Nationally, only 2 institutiona research training awards (T32) focus on palliative care, and both are limited to cancer (NIH RePORT, accessed 5/19/13).