Racial Disparity in the Utilization of Joint Replacement for Osteoarthritis

描述（由申请人提供）：候选人，说A。Ibrahim，医学博士，公共卫生硕士，是匹兹堡大学普通内科医学系的医学副教授和卫生保健研究中心的核心教师。他还是宾夕法尼亚州匹兹堡VA国家健康公平研究和促进中心的核心教师。本申请详细介绍了K24中期职业研究者奖在以患者为导向的研究将使候选人能够推进他的创新和进步的研究计划，重点是解决种族/民族差异在膝关节/髋关节骨关节炎（OA）患者的膝关节/髋关节置换术的利用。它还将确保候选人有足够的受保护的时间致力于指导下一代医学生，居民，临床和博士后研究员和初级教员学员，特别是那些代表性不足的少数民族，在面向患者的健康差距研究。候选人的研究和职业目标以及本提案符合美国卫生与公众服务部的国家倡议，即到2010年减少或消除健康和医疗保健方面的种族和民族差异，以及国会授权NIH解决医疗保健差异。 候选人的研究将分两个阶段进行。在I期（第1-3年），他将指导2项研究者发起的研究，以了解和干预膝关节/髋关节OA关节置换术使用的种族差异。在第二阶段（4-5年），他将扩大他的研究，以检查在具有妇女和少数民族充分代表性的全国代表性样本中关节置换差异干预措施的有效性。卫生保健研究学员和初级教师指导的候选人将在他的研究活动的整体参与者在整个奖励期间。在获奖过程中，候选人将指导大约5名医学生和居民，6名临床和/或博士后研究员，以及5名健康差异研究的初级教员。研究培训和教育经验，量身定制的水平，将包括指导健康差距研究项目，参加每周杂志俱乐部，定期研究研讨会，并酌情正式培训。 拟议的研究和指导计划将在匹兹堡大学进行，该大学对候选人的专业发展有着坚定的机构承诺，并有使命支持其许多附属健康科学学院、系和中心的医疗保健研究。这些学校提供大量的临床研究培训计划，包括NIH资助的医学奖学金计划，临床研究培训计划（K30），多学科临床研究学者计划（K12）以及临床和转化科学奖计划。

DESCRIPTION (provided by applicant): The candidate, Said A. Ibrahim, MD, MPH, is Associate Professor of Medicine in the Division of General Internal Medicine and core faculty in the Center for Research on Health Care at the University of Pittsburgh. He is also core faculty in the VA national Center for Health Equity Research and Promotion in Pittsburgh, PA. This application details how the K24 Mid-Career Investigator Award in Patient-Oriented Research will enable the candidate to advance his innovative and progressive research program focused on addressing the racial/ethnic disparities in the utilization of knee/hip joint replacement in patients with knee/hip osteoarthritis (OA). It will also ensure that the candidate has adequate protected time to devote to mentoring the next generation of medical students, residents, clinical and post-doctoral fellows and junior faculty trainees, particularly those from under-represented minorities, in patient-oriented health disparities research. The research and career goals of the candidate and this proposal are consistent with the US Department of Health and Human Services' national initiative to reduce or eliminate racial and ethnic disparities in health and health care by 2010 and the NIH mandate from Congress to address health care disparities. The candidate's research will be conducted in 2 phases. In Phase I (Years 1-3), he will direct 2 investigator initiated studies on understanding and intervening on racial disparity in joint replacement utilization for knee/hip OA. In Phase II (Years 4-5), he will expand his research to examine the efficacy of joint replacement disparity interventions in a nationally representative sample with adequate representation of women and minorities. Health care research trainees and junior faculty mentored by the candidate will be integral participants in his research activities throughout the award period. Over the course of the award, the candidate will mentor approximately 5 medical students and residents, 6 clinical and/or post-doctoral fellows, and 5 junior faculty members in health disparities research. Research training and education experiences, tailored to the level of the mentee, will include mentored health disparities research projects, participation in a weekly journal club, regular research seminars, and formal training as appropriate. The proposed research and mentoring programs will be conducted at the University of Pittsburgh, which has a strong institutional commitment to the professional development of the candidate and a mission to support health care research throughout its many affiliated health sciences schools, departments, and centers. These schools provide a myriad of clinical research training programs, including NIH-funded fellowship programs in Medicine, a Clinical Research Training Program (K30), a Multidisciplinary Clinical Research Scholars Program (K12), and a Clinical and Translational Science Award Program.