Training in Mechanisms and Clinical Presentation of Pain

描述(由申请人提供)：这一拟议培训计划的总体目标是整合匹兹堡大学目前丰富的疼痛研究培训环境的跨学科和翻译方面。除了让受训者接触疼痛机制和疼痛表现的基本原理外，我们还将建立新的计划元素(临床经验、多实验室项目、课程)，这些元素通常很难为个别研究人员提供支持。我们致力于疼痛研究的综合方法，因为该领域的重大突破只能通过多学科方法实现，因此将结合和促进[1]个实验室(水平集成)和[2]研究人员和临床医生(垂直集成)之间的互动。因此，横向和纵向整合将是这一培训计划的基本组成部分，它将由三个核心要素组成：1)研究--多学科研究项目不仅将受到鼓励，而且将受到期待，因为它将接触到疼痛/疼痛相关问题的临床管理。这些整合将通过成立多学科指导委员会来实现，该委员会将在一个四人委员会中至少包括一名临床教师。2)理论-受训人员将参加四门必修学分课程：疼痛的机制和临床演示、疼痛杂志俱乐部、每两周一次的关于疼痛演示的当前研究、一门新的课程-疼痛模型-原理、测试和解释，以及每月的疼痛研讨会系列，在那里受训人员与著名的疼痛研究人员进行互动。3)实习-学员将通过第二门新课程-疼痛透视-接触到对慢性疼痛患者的评估、诊断和治疗，该课程将为学员提供机会，在匹兹堡大学医学中心疼痛医学项目中采访、诊断和管理慢性疼痛患者时，跟踪疼痛医生。

DESCRIPTION (provided by applicant): The overarching goal of this proposed training program is to integrate interdisciplinary and translational aspects of the current, rich training environment in pain research at the University of Pittsburgh. In addition to exposure of trainees to fundamental principles of pain mechanisms and pain presentation, we will establish new program elements (clinical experiences, multi-laboratory projects, courses) that are typically very difficult for individual investigators to support. We are committed to an integrated approach to the study of pain because major breakthroughs in this field can only be achieved through multidisciplinary approaches, and thus will incorporate and facilitate interactions between [1] laboratories (horizontal integration) and [2] researchers and clinicians (vertical integration). Accordingly, horizontal and vertical integration will be essential components of this training program, which will consist of three core elements: 1) Research - Multidisciplinary research projects will not only be encouraged, but expected, as will exposure to clinical management of pain/pain-related problems. These integrations will be achieved through formation of multidisciplinary mentoring committees which will include at least one clinical faculty member among a four-member committee. 2) Theory - Trainees will participate in four required for-credit courses: Mechanisms and Clinical Presentation of Pain, Pain Journal Club, bi-weekly Current Research on Pain presentations, a new course Pain Models - Rationale, Testing and Interpretation as well as the monthly Pain Seminar Series, where trainees interact with prominent pain researchers. 3) Practice - Trainees will be exposed to the assessment, diagnosis and treatment of chronic pain patients through a 2nd new course - Pain Perspectives - that will provide trainees the opportunity to shadow pain physicians as they interview, diagnose and manage chronic pain patients within the Pain Medicine Program at the University of Pittsburgh Medical Center.