HIV researchers mentoring the next generation of addiction clinician scientists

描述(由申请者提供)：本申请申请资助为成瘾医学医师设立成瘾研究培训奖学金。尽管药物和酒精成瘾造成了巨大的疾病负担，但在实施药物使用障碍的循证预防和治疗方式方面仍然存在重大挑战。特别是，尽管在成瘾领域的基础科学和行为研究方面取得了显著进展，但仍严重缺乏能够对新的治疗方法进行临床研究并实施研究成果的成瘾医学临床研究人员。因此，尽管开发了新的临床策略来诊断和治疗药物和酒精成瘾，但许多循证工具仍然严重未得到充分利用。成瘾护理提供者对成瘾科学的了解水平较低，也为循证公共卫生计划的实施制造了障碍。为了解决这些问题，拟议计划的目标是为成瘾药物医生提供为期一年的密集成瘾研究奖学金，以发展在成瘾研究职业生涯中所需的技能。具体地说，拟议的研究金旨在为成瘾医学医生发展一种实践的跨学科研究经验，这种经验建立在美国成瘾医学委员会认可的现有成瘾医学临床培训研究金以及NIDA资助的研究基础设施和研究生基础科学、定性、流行病学和临床研究的良好学习环境的主要规模经济的基础上。此外，拟议的研究金旨在为成瘾医学医生提供研究方法培训、研究道德方面的教育、同行评议出版物和筹资提案的制定、陈述技能和职业发展培训，这些培训对于设计和开展关于药物使用障碍和相关共病的研究至关重要，包括预防和治疗药物使用者中的艾滋病毒。最后，拟议的研究金旨在前瞻性地评估针对成瘾药物医生的专门研究培训计划如何有助于在物质使用障碍领域工作的下一代临床医生科学家随后进行的研究参与和研究生产力。这项建议直接回应了美国国家药物滥用研究所表示的“支持国际临床研究专业知识发展的强烈兴趣”。因此，这里建议的工作与NIDA国际计划呼吁对成瘾药物医生进行研究教育密切相关。

DESCRIPTION (provided by applicant): This application requests funding for the creation of an addiction research training fellowship for addiction medicine physicians. Despite the enormous burden of disease attributable to drug and alcohol addiction, there remain major challenges in implementing evidence-based prevention and treatment modalities for substance use disorders. In particular, while there have been remarkable advances in basic science and behavioral research in the area of addictions, there remains a serious shortage of addiction medicine clinician researchers with the ability to conduct clinical research on new treatment approaches and to implement research findings. As a result, despite the development of novel clinical strategies to diagnose and treat drug and alcohol addiction, many evidence-based tools remain greatly under-utilized. Low levels of understanding of addiction science among addiction care providers also creates barriers to the implementation of evidence-based public health programs. To address these issues, the goal of the proposed program is to provide addiction medicine physicians with a one-year intensive addiction research fellowship to develop the skills required for a career in addiction research. Specifically, the proposed fellowship seeks to develop a hands-on interdisciplinary research experience for addiction medicine physicians that builds upon major economies of scale attributable to an existing addiction medicine clinical training fellowship that has been accredited by the American Board of Addiction Medicine, as well as a well-established NIDA-funded research infrastructure and graduate student learning environment of basic science, qualitative, epidemiology and clinical research. Furthermore, the proposed fellowship seeks to provide addiction medicine physicians with research methods training, education in the ethical conduct of research, peer-reviewed publication and funding proposal development, presentation skills and career development training critical for designing and conducting studies on substance use disorders and related comorbidities, including the prevention and treatment of HIV among substance users. Finally, the proposed fellowship seeks to prospectively evaluate how a dedicated research training program for addiction medicine physicians contributes to subsequent ongoing research involvement and research productivity among the next generation of clinician scientists working in the area of substance use disorders. This proposal responds directly to the US National Institute on Drug Abuse's expressed "strong interest in supporting the development of clinical research expertise internationally." Accordingly, the work proposed herein is strongly aligned with the NIDA International Program's call for research education for addiction medicine physicians.