Integrating Technology and Context into Research Ethics Education in ACME

描述（由申请人提供）：该计划的目标是培养东南亚的研究伦理领导者，以满足正在快速转型的社会对新兴研究和卫生系统评估的需求。卫生保健研究中的伦理行为是一个世界性的问题。目前，该地区仍然没有能力培养新兴领导人识别问题、分析可能的解决方案，并运用道德原则来应对本国在研究和评估方面的挑战。我们建议在亚洲医学教育合作组织（ACME）中建立研究伦理培训卓越中心（中心），这是一个由顶尖医学院和医疗保健机构组成的联盟。​这些中心将成为亚洲卫生和研究专业人员的培训、研究和创新中心。拟议的研究将利用几项组织和课程创新，包括在提供两年制硕士课程时使用技术，以及关注卫生服务研究中的研究伦理，这可能与发展中国家最为相关，因为许多发展中国家正在进行方案评估，以评估不同卫生服务干预措施的影响。我们将把工作重点放在东南亚的发展中国家，从泰国和越南开始，并在未来的奖励期内扩大到尼泊尔、缅甸和不丹。课程创新包括：(1)使用IDEO设计方法，这是一种以人为本、以设计为基础的方法，揭示“潜在的需求、行为和欲望”，帮助学者开发符合当地文化的课程。(2)受训者将与斯坦福大学和KF- SYSCC/NYMU的核心教员配对，进行研究伦理实践指导，然后将其发展成适合其所在机构的培训课程。(3)美国卫生保健改善研究所（Institute for Healthcare Improvement’s Improvement Collaboratives）的应用，邀请不同国家的学者参与研究伦理改善网络（Research Ethics Improvement Network， REIN）。该模式包括面对面的学习课程（故事板、角色扮演、模拟、教学）、基于网络的支持组件（教学材料、案例讨论、用于解决问题的视频/音频电话会议等），以及课程改进的计划-执行-研究-行动（PDSA）迭代循环的使用。(4)协作模式也有一个传播组件，鼓励学者建立网络，并与政策制定者和社区领袖接触，在他们的学术和当地社区宣传研究伦理的重要性。我们的伙伴关系奖学金提案可能会将美国的研究网络扩展到海外，建立当地的人力资本能力，并为来自美国和该地区的研究人员的倡议争取支持。我们认为，我们倡议制定的基本培训和创新机制将与世界上面临类似需求的其他地区相关。

DESCRIPTION (provided by applicant): The goal of this initiative is to develop research ethics leaders in Southeast Asia to meet the emerging research and health system evaluation demands of societies undergoing rapid transition. Ethical behavior in healthcare-related research is a worldwide issue and concern. Currently, there remains no regional capacity to train emerging leaders to identify problems, analyze possible solutions, and apply ethical principles to meet their countries' challenges in research and evaluation. We propose the creation of Centers of Excellence in Research Ethics Training (Centers) in the Asia Collaborative for Medical Education (ACME), a consortium of leading medical schools and healthcare institutions. These Centers will be based at (1) Stanford University (USA), and regionally at (2) the Koo Foundation Sun Yat-Sen Cancer Center (KF-SYSCC)/National Yang Ming University (NYMU) in Taiwan. The Centers will operate as hubs for training, research, and innovation for Asian health and research professionals. The proposed research will capitalize on several organizational and curricular innovations, including the use of technology in the delivery of a 2-year Masters level curriculum, and a focus on research ethics in health services research, which are likely to be most relevant to developing countries as many are conducting program evaluation to assess the impact of different health delivery interventions. We will focus our efforts in developing countries in Southeast Asia, starting with Thailand and Vietnam, and expanding our efforts to Nepal, Burma and Bhutan in future award periods. The curricular innovations include: (1) The use of the IDEO design method, a human-centered, design-based approach that uncovers "latent needs, behaviors and desires", to help scholars develop culturally appropriate curriculum with regards to local contexts. (2) Trainees will be paired with core faculty members from Stanford and KF- SYSCC/NYMU for mentorship on research ethics practicum, which will then be developed into a training curriculum appropriate for their home institutions. (3) Application of the Institute for Healthcare Improvement's Improvement Collaboratives, where scholars from different countries are invited to participate in a Research Ethics Improvement Network (REIN). The model includes both face-to-face learning sessions (story boards, role plays, simulations, didactics), a web-based support component (didactics materials, cases discussions, video/audio teleconferences for problem solving, etc.), and the use of plan-do-study-act (PDSA) iterative cycles of curricular improvement. (4) The Collaboratives model also has a dissemination component where scholars are encouraged to build networks and to engage policy makers and community leaders to publicize the importance of research ethics in their academic and local communities. Our partnership-fellowship proposal will likely extend the US research network overseas, build local human capital capacity, and garner support for initiatives by researchers from the US and from the region. We believe that the basic training and innovation mechanisms developed by our initiative will be relevant to other parts of the world facing similar demands.