Training to Advance Care Through Implementation Science in Cardiac And Lung Illnesses (TACTICAL)

通过心肺疾病实施科学提高护理水平的培训(战术性) 是一项拟议的职业发展计划，旨在显著加快实施科学的步伐 研究--从而有效地向患者提供护理，从重点关注危重患者开始。 TATICAL建议让临床医生和科学家沉浸在一个严格的培训计划中，该计划仔细地整合了 通过正规课程指导实施研究实践。这将在一个 来自密歇根大学的具有凝聚力的15人多学科教师和导师小组。 核心教员来自医学院(内科、学习健康科学、危重 护理)、商业(财务和运营管理)、教育、公共政策和公共卫生 以及社会研究所和教务长办公室。 这一博士后培训项目将支持5名学者，每人为期3年。这将包括一个 实施科学和卫生服务研究的基础，包括心理学的理论， 社会学、经济学和运营管理；研究设计，包括统计分析、定性 方法和随机评价；测量，包括进行调查、移动技术、 非参与者观察，焦点小组，启发患者观点，利益相关者参与， 二次数据、电子医疗记录、行政记录以及详细的成本计算和财务；以及 使用多个设计的比较有效性研究。这将通过一系列结构化的 个性化的研究实践，导致发表论文；正式的课程作业；以及独立指导 研究。这将最终作为R01、R21、K08或K23申请独立资金。 我们对成功的愿景是明确的。作为独立研究职业的一部分，专注于提供证据- 基于改善危重病人生活的最佳实践，战术学者将独立- 受资助的领导者，他们既在自己的机构推动变革，又能更好地发展和评估 推动国内和国际变革的方法。 为了实现这一愿景，我们将借鉴5项基本原则。首先，实施科学要求 深入的跨学科培训。第二，关注重症监护病房(ICU)和 实施干预措施的复杂性将推动ICU护理和 实施科学本身。第三，我们将充分和仔细地将他们的学习集中在指导性研究中 整合教学论，为推进研究服务。第四，我们的培训计划建立在现代学习的基础上 理论，强调当教学与教学紧密结合时，学习者更快地掌握技能 学者们自己的研究计划。第五，我们将建立一个结构，利用群体和同行效应， 授权和模范生产力，同时培养创造力和量身定做。

Training to Advance Care Through Implementation Science in Cardiac And Lung Illnesses (TACTICAL) is a proposed career development program to dramatically accelerate the pace of implementation science research—and thereby effective delivery of care to patients, beginning with a focus on critically ill patients. TACTICAL proposes to immerse clinician-scientists in a rigorous training program that carefully integrates mentored implementation research practica with a formal curriculum. This will be done under the guidance of a cohesive 15-person multidisciplinary faculty and mentor group drawn from across the University of Michigan. Core faculty are drawn from the Schools of Medicine (Internal Medicine, Learning Health Sciences, Critical Care), Nursing, Business (Finance and Operations Management), Education, Public Policy, and Public Health as well as the Institute for Social Research and the Provost's Office. This postdoctoral training program will support 5 scholars for 3 years each. This will include a foundation in implementation science and health services research, including theory from psychology, sociology, economics, and operations management; research designs, including statistical analysis, qualitative methods, and randomized evaluations; measurement, including the conduct of surveys, mobile technologies, non-participant observation, focus groups, elicitation of patient perspectives, stakeholder engagement, secondary data, electronic medical records, administrative records, and detailed costing and finance; and comparative effectiveness research using multiple designs. This will be delivered through a structured series of individualized research practica resulting in published papers; formal coursework; and mentored independent research. This will culminate in an application for independent funding as an R01, R21, K08, or K23. Our vision of success is clear. As part of independent research careers focused on bringing evidence- based best practices to improve critically ill patients' lives, TACTICAL scholars will become independently- funded leaders who both drive change at their own institutions while also developing and evaluating better approaches for driving change nationally and internationally. In order to achieve this vision, we will draw on 5 basic tenets. First, implementation science demands deep interdisciplinary training. Second, a focus on the complex setting of the intensive care unit (ICU) and the complexity of implementation interventions required there will drive innovation in both ICU care and implementation science itself. Third, we will center their learning in mentored research with full and careful integration of didactics in service of advancing research. Fourth, our training plan builds on modern learning theory, emphasizing that learners master skills more quickly when didactics are tightly coupled to each scholar's own program of research. Fifth, we will build a structure, harnessing cohort and peer effects, that mandates and models productivity while nurturing creativity and tailoring.