MOUNT SINAI EMERGENCY MEDICINE RESEARCH CAREER DEVELOPMENT PROGRAM

描述（由申请人提供）：西奈山K12急诊医学研究职业发展计划（EM）旨在建立在西奈山医疗中心高效的研究基础设施上，并创建一个充满活力，可持续的培训计划，始终如一地培养出作为危及生命的心血管，肺部，血液和创伤紧急情况的独立研究人员成功的个人，并成为多学科研究团队的贡献成员。该计划的具体目标是提供优秀的，具有研究意识的，初级教师医师，护士和其他临床医生，他们在临床，转化和健康服务研究的原则方面有着坚实的基础，并提供必要的经验研究机会：1)在紧急心血管，肺部，血液或创伤调查方面建立独立的研究事业；2)多学科研究团队中有价值、有贡献的成员；3)加快研究成果的传播，并迅速将这些研究成果转化为临床实践。通过优秀的导师指导实现职业发展；正式的指令;个人和合作研究活动；掌握传播与翻译策略；职业和领导力发展活动；以及一种相互支持的大学氛围。该计划包括以现有机构资源为基础的教学和体验课程，并增加具体的指导和指导，以解决急诊医学研究的独特特点。每位K12学者将有一名学术导师、一名主要研究导师和一份个性化的培训计划，以确保掌握以下18项能力：正确提出研究问题；假设一代;研究设计;以患者为中心的结果和系统级变量的定义和测量；数据收集方法；数据监控和安全问题；数据分析;向科学和非专业观众口头和书面介绍研究成果；稿件准备、提交和修改；奖助金的准备、提交及修订；项目管理、预算、报告和研究合规；人类受试者保护与研究伦理；临床和研究信息学；传播和实施循证疗法和实践；有效的多学科团队合作能力；文化能力;职业发展;以及指导技巧。拟议的项目将完全整合到现有的、成功的、nih资助的CTSA KL2/K12和MSCR / PhDCR项目中，以提高以患者为中心的临床、转化和卫生服务急诊医学研究的职业培训的深度和广度。所有K12学者将参与指导和独立的，学者发起的关于急性，危及生命的心血管，肺部，血液学和创伤性疾病的研究，并利用方法学和特定疾病领域的机构优势，包括在健康差异和社区参与性研究方面的卓越记录。K12项目将进一步扩展CTSA强健的项目，培训研究人员保护人类受试者和研究的道德行为。PI/PD在允许对复苏和其他危及生命的情况进行临床调查的知情同意规定的例外情况方面具有广泛的研究专长，其他教职员工将解决急诊部门环境中出现的具体监管要求和独特的伦理研究问题。院系和机构环境在吸引和支持教师、研究员、学员和工作人员的多样性以及与全国最具种族多样性的患者社区合作方面都有着卓越的记录。拟议中的K12项目将体现并教授这种对多样性的承诺。PI/PD和指导委员会每年将选出两名K12学者，从第2、3和4年开始。每位K12学者将获得2至3年的资助。由于该计划旨在培养具有各种背景的个人，因此将有三种途径进入该计划，这些途径可能会根据个别学者的需要进一步定制。途径A适用于拥有博士学位的初级教师医师，护士或其他临床医生，他们没有研究硕士学位（MSCR, MSc），他们将被要求在项目期间完成MSCR学位。路径B是针对已经获得研究型硕士学位的博士学位者；他们将被要求完成临床研究硕士和博士项目中选择的高级课程，以深化和拓宽他们的研究技能。路径C面向没有博士学位的高级执业护士、医师助理和硕士级社会工作者；他们将被要求在项目期间获得临床研究博士学位。项目主任和指导委员会将在评估顾问和外部科学咨询委员会的协助下，对项目的各个方面进行正式、详细的评估。评估将包括每年对每位学者、项目主任、研究项目管理员和项目生物统计学家进行3600次评估；每个教育组成部分的具体学习目标和工具，以获得参与者的定量和定性反馈；来自MSCR、PhDCR和KL2项目中现有稳健反馈机制的数据；以及外部科学咨询委员会对个别K12学者和整个项目的评估指标。

DESCRIPTION (provided by applicant): The Mount Sinai K12 Research Career Development Program in Emergency Medicine (EM) is designed to build on the Mount Sinai Medical Center's highly productive research infrastructure and create a vibrant, sustainable training program that consistently produces individuals who succeed as independent researchers of life-threatening cardiovascular, pulmonary, hematological and traumatic emergencies and as contributing members of multidisciplinary research teams. The program's specific aims are to provide outstanding, research-minded, junior faculty physicians, nurses, and other clinicians with the strong foundation in the principles of clinical, translational, and health services research and the experiential research opportunities necessary to 1) establish independent research careers in emergency cardiovascular, pulmonary, hematological or trauma investigation; 2) be valuable, contributing members of multidisciplinary research teams; and 3) accelerate dissemination of their research findings and rapidly translate those research findings into clinical practice. Career development will be achieved through outstanding mentorship; formal instruction; individual and collaborative research activities; mastery of dissemination and translation strategies; career and leadership development activities; and a supportive, collegial atmosphere. The Program is comprised of didactic and experiential curricula that build on existing institutional resources and add specific instruction and mentoring to address the unique characteristics of emergency medicine research. Each K12 Scholar will have an academic mentor, a primary research mentor and an individualized training plan to assure mastery of the following eighteen competencies: proper formulation of a research question; hypothesis generation; research design; definition and measurement of patient-centered outcomes and systems-level variables; data collection methods; data monitoring and safety issues; data analysis; oral and written presentation of research to scientific and lay audiences; manuscript preparation, submission, and revision; grant preparation, submission, and revision; project management, budgeting, reporting, and research compliance; protection of human subjects and research ethics; clinical and research informatics; dissemination and implementation of evidence-based therapies and practices; effectiveness in multi-disciplinary groups & teamwork skills; cultural competence; career development; and mentoring skills. The proposed program will be fully integrated into the existing, successful, NIH-funded CTSA KL2/K12 and MSCR / PhDCR programs to enhance the depth and breadth of career training in patient-centered clinical, translational and health services emergency medicine research. All K12 scholars will participate in mentored and independent, Scholar- originated research on acute, life-threatening cardiovascular, pulmonary, hematological and traumatic conditions and that draws on the methodological and disease-specific areas of institutional strength, including a remarkable track record of research in health disparities and community-based participatory research. The K12 program will further expand on the robust CTSA programs for training investigators in the protection of human subjects and the ethical conduct of research. The PI/PD has extensive research expertise in the exception from informed consent regulations that allow clinical investigations of resuscitation and other life-threatening conditions and other faculty members will address specific regulatory requirements and unique ethical research issues that arise in the emergency department setting. Both the departmental and institutional environments have an exceptional record of attracting and supporting diversity among faculty, fellows, trainees, and staff, and of working with patient communities that are among the most ethnically diverse in the nation. The proposed K12 Program will both embody and teach this commitment to diversity. The PI/PD and the Steering Committee will select two K12 Scholars per year to start in years 2, 3, and 4. Each K12 scholar will be supported for 2 to 3 years. Because the program seeks to train individuals with a variety of backgrounds, there will be three pathways into the program, which may be further customized for the needs of individual Scholars. Pathway A is for junior faculty physicians, nurses, or other clinicians possessing a doctoral level professional degree who do not have a research Master's degree (MSCR, MSc), who will be required to complete a MSCR degree during the program. Pathway B is for those with doctoral degrees who already have a research Master's degree; they will be required to complete selected advanced courses from the expanded Masters and PhD in Clinical Research programs to deepen and broaden their research skills. Pathway C is for advanced practice nurses, physician assistants and Masters-level social workers who do not have a doctoral degree; they will be required to obtain a PhD in Clinical Research during the program. A formal, detailed evaluation of all aspects of the Program will be developed by the Program Director and Steering Committee, assisted by an Evaluation Consultant and the External Scientific Advisory Committee. Evaluation will include annual 360o evaluations of each Scholar, the Program Director, the Research Program Administrator and the Program Biostatistician; specific learning objectives for each educational component and instruments to obtain quantitative and qualitative feedback from participants; data from the existing robust feedback mechanisms in the MSCR, PhDCR and KL2 Programs; and metrics for evaluation of individual K12 scholars and the program as a whole by the External Scientific Advisory Committee.