Integrated Mentored Patient-Oriented Research Training (IMPORT) in Psychiatry

描述（由申请人提供）：从事临床研究职业的医生数量下降，引发了全国对公共医疗保健即将发生的危机的担忧。虽然许多医疗领域受到影响，但精神病学的问题特别严重，预计短缺促使医学研究所最近对这一问题进行了分析。具有讽刺意味的是，当遗传学和神经科学领域的发现对基础行为科学产生前所未有的影响时，追求以患者为导向的研究事业的精神病学家短缺。将这些基础科学见解转化为病人护理领域的发现，对于改善我们对严重精神疾病的理解和治疗至关重要。目前的R25应用程序旨在通过几个具体目标来解决当前心理健康研究教育的危机，包括1）在临床住院医师培训的早期形成阶段为医生提供强化指导的以患者为导向的研究培训（IMPORT）计划（PGY I & II），2）通过在以后的住院医师年中继续进行纵向研究培训，（PGY III & IV），3）促进计划学员与住院医师后（PGY V）研究培训奖学金机会的联系，以及4）完善和优化这些经验，以便为全国各地的精神病学住院医师提供以患者为导向的研究培训的国家模式。来自R25的资金，再加上耶鲁大学的机构资源，将允许每年最多4名精神科住院医生接受这种专门的纵向研究培训经验。如果成功，该计划将直接受益于国家，通过增加识别，招聘和保留年轻临床精神病学调查人员的高技能干部，并间接地作为全国其他住院医师培训计划的模板。

DESCRIPTION (provided by applicant): Declines in the numbers of physicians pursuing careers in clinical research have raised national concerns about an impending crisis in public health care. While numerous medical fields are affected, the problem in psychiatry is particularly acute, with projected shortages prompting a recent analysis of the problem by the Institute of Medicine. Ironically, shortages of psychiatrists pursing patient-oriented research careers occur at a time when discoveries in the fields of genetics and neuroscience are having an unprecedented impact on the basic behavioral sciences. Translating such basic science insights into discoveries in the patient-care realm will be crucial for improving our understanding and treatment of severe mental illness. The current R25 application is intended to address the current crisis in mental health research education through several specific aims, including 1) to provide a program of Intensive Mentored Patient-Oriented Research Training (IMPORT) for physicians at their earliest, formative stages of clinical residency training (PGY I & II), 2) to build upon this early exposure through continued longitudinal research training in later residency years (PGY III & IV), 3) to facilitate connections of program trainees to post-residency (PGY V) research training fellowship opportunities, and 4) to refine and optimize these experiences so as to provide a national model for training psychiatry residents across the country in patient-oriented research. Funding from the R25, in conjunction with institutional resources at Yale, will allow a total of up to 4 psychiatric residents per year to receive such specialized longitudinal research training experiences. If successful, the program will benefit the country directly, through the increased identification, recruitment and retention of a highly skilled cadre of young clinical psychiatric investigators, and indirectly, as a template for other residency training programs across the country.