Education and training program in patient-centered outcomes research

以患者为中心的结果研究的教育和培训计划

• 批准号: 8743698
• 负责人: PAUL R MARANTZ
• 金额: $ 50万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-06-05 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8743698
• 关键词: Education; training; program; patient; centered

DESCRIPTION (provided by applicant): This application proposes to develop a new, multifaceted education and training program in patient-centered outcomes research (PCOR). Set in the medically underserved community of the Bronx, it represents a partnership between the Albert Einstein College of Medicine (a research-intensive medical school), which will develop and deliver this educational program, and Montefiore Medical Center (a community-oriented academic medical center and primary-care-focused healthcare delivery system), whose clinicians will be trained as researchers. The program will have 3 distinct but connected components: an educational program in the fundamental methodologies of PCOR, leading to a Certificate; an advanced "learning collaborative," where faculty and students learn, develop, and debate advanced and emerging PCOR methodologies; and an experiential short-term fellowship based at Montefiore's care management company, CMO, where selected, highly motivated PCOR Certificate graduates will get hands-on PCOR experience under close and expert supervision. This program plays to the strengths of Einstein's teaching and research faculty, and to Montefiore's leadership in delivering high-quality, cost-effective care in a diverse and economically disadvantaged inner-city setting. The program will maintain an innovative focus on engagement (of patients, communities, payers, and other 'stakeholders') and on dissemination and implementation of research findings. One aspect of community engagement will be the requirement that fellows obtain consultation from a community research review board as they develop their research projects. The entire program will be evaluated carefully under the aegis of an independent evaluation unit examining both process and outcomes. These evaluation data will be presented to an executive committee (overseeing the program's day-to-day operations) and an advisory committee (a panel providing expert guidance on an annual basis), and the program will be revised as needed, in accordance with these findings. Through this program, we will imbue a cadre of clinicians from different health professions with knowledge and skills in PCOR. Graduates of our Certificate in Patient-Centered Outcomes Research will use what they learn to advance evidence-based clinical practice, to advocate for evidence-based healthcare improvement, and to meaningfully contribute to multidisciplinary PCOR teams. Those who complete our fellowship will go on to lead PCOR teams and enhance the PCOR workforce. Our expert faculty will be engaged not only as educators and trainers, but will both learn and help develop emerging PCOR methodologies. This entire program will be developed within an underserved inner-city setting, and within a managed and accountable care organization. Thus, the program will not only produce an expert PCOR workforce, but also lead to a savvier clinical workforce, enhanced institutional PCOR capacity, advances in PCOR methodology, and ultimately healthcare improvement.

描述（由申请人提供）：本申请拟在以患者为中心的结果研究（PCOR）方面发展一个新的、多方面的教育和培训计划。它位于布朗克斯区医疗服务不足的社区，代表了阿尔伯特·爱因斯坦医学院（一所研究密集型医学院）和蒙蒂菲奥里医疗中心（一所面向社区的学术医疗中心和以初级保健为重点的医疗服务系统）之间的合作伙伴关系，该中心的临床医生将被培训为研究人员。该计划将有三个不同但相互关联的组成部分：一个关于PCOR基本方法的教育计划，最终获得证书；先进的“学习协作”，教师和学生在这里学习、发展和讨论先进的和新兴的PCOR方法；在Montefiore的护理管理公司（CMO）提供短期的经验奖学金，在那里，被选中的具有高度积极性的PCOR证书毕业生将在密切和专家的监督下获得实际的PCOR经验。该计划发挥了爱因斯坦的教学和研究人员的优势，以及蒙特菲奥里在提供高质量，具有成本效益的护理方面的领导作用，在多样化和经济上处于不利地位的市中心环境中。该规划将继续创新地关注（患者、社区、支付方和其他“利益相关者”的）参与以及研究成果的传播和实施。社区参与的一个方面是要求研究员在发展他们的研究项目时获得社区研究审查委员会的咨询。整个项目将在一个独立的评估单位的支持下进行仔细的评估，评估过程和结果。这些评估数据将提交给执行委员会（监督项目的日常运作）和咨询委员会（每年提供专家指导的小组），并根据这些调查结果根据需要对项目进行修订。通过这个项目，我们将向来自不同卫生专业的临床医生骨干灌输PCOR的知识和技能。我们以患者为中心的结果研究证书的毕业生将利用他们所学到的知识来推进循证临床实践，倡导循证医疗保健改进，并为多学科PCOR团队做出有意义的贡献。那些完成我们奖学金的人将继续领导PCOR团队并增强PCOR的劳动力。我们的专家教师不仅将作为教育者和培训师，而且将学习和帮助发展新兴的PCOR方法。整个项目将在服务不足的市中心环境中发展，并在一个有管理和负责任的护理组织中发展。因此，该计划不仅将培养专业的PCOR工作人员，还将培养更精明的临床工作人员，增强机构PCOR能力，改进PCOR方法，并最终改善医疗保健。