Integrating Technology and Context into Research Ethics Education in ACME

描述（由申请人提供）：该计划的目标是在东南亚发展研究伦理领导者，以满足正在经历快速转型的社会的新兴研究和卫生系统评估需求。医疗相关研究中的伦理行为是一个世界性的问题和关注。目前，仍然没有区域能力来培训新的领导人，以确定问题，分析可能的解决方案，并应用道德原则，以应对其国家在研究和评价方面的挑战。我们建议在亚洲医学教育合作组织（ACME）中创建卓越的研究伦理培训中心（中心），ACME是领先的医学院和医疗保健机构的联盟。这些中心将设在（1）斯坦福大学（美国），以及（2）台湾的辜氏基金会中山癌症中心（KF-SYSCC）/国立阳明大学（NYMU）。这些中心将作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个组织和课程的创新，包括使用技术提供为期2年的硕士课程，并重点关注卫生服务研究中的研究伦理，这可能是最相关的发展中国家，因为许多人正在进行计划评估，以评估不同的健康提供干预措施的影响。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，并在未来的奖项期间将工作扩展到尼泊尔，缅甸和不丹。课程创新包括：（1）IDEO设计方法的使用，以人为本，设计为基础的方法，揭示“潜在的需求，行为和愿望”，以帮助学者开发文化适当的课程，关于当地的情况。(2)学员将与来自斯坦福大学和KF- SYSCC/NYMU的核心教师配对，进行研究伦理实习的导师，然后将开发成适合其家乡机构的培训课程。(3)医疗保健改善研究所的改善合作组织的申请，来自不同国家的学者被邀请参加研究伦理改善网络（REIN）。该模式包括面对面的学习课程（故事板，角色扮演，模拟，教学法），基于网络的支持组件（教学材料，案例讨论，解决问题的视频/音频电话会议等），以及使用计划-实施-学习-行动（PDSA）的课程改进迭代循环。(4)协作模式还有一个传播部分，鼓励学者建立网络，并与决策者和社区领导人接触，在其学术界和地方社区宣传研究道德的重要性。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获得支持。我们认为，我们的倡议所建立的基本培训和创新机制将适用于面临类似需求的世界其他地区。

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.