Mentoring Researchers on Clinical Communication With Diverse Aging Populations

摘要：本计划的目的是（1）进一步发展候选人在老龄化研究方面的专业知识 以及她作为导师的技能和能力，以提高她指导临床研究者的能力， 研究不同人群的老龄化问题，（2）建立在候选人研究计划的优势上 专注于初级保健中老年患者的临床沟通，语言障碍和健康结果， 检查家庭照顾者在探视时在场的影响，以及他们的经验和偏好， 患者和护理人员参与初级保健。候选人是一名普通内科医生， 卫生服务研究员致力于健康公平和以患者为导向的研究事业，并 指导下一代临床研究者。候选人已经开发了一个独立的研究 该计划包括与老龄化研究相关的多个相关主题领域：语言障碍和获得 专业口译员，乳腺癌诊断和沟通，以及循证治疗 慢性肾脏病的治疗这些领域通过对生成和实现的关注而统一起来 证据，以提高医疗保健质量，公平性和沟通的不同老年人。她是 他是国际公认的语言障碍和口译服务专家。这位候选人有 我之前接受过国家老龄化研究所的R 01资助，学习中文和西班牙语 住院的老年人以及他们的照顾者，以及来自国家癌症研究所的R21资金， 调查女性和初级保健医生对系统和沟通障碍的看法， 对异常乳房X线照片进行随访。她目前是PI对患者为中心的成果研究补助金， 评估改善语言获取对老年患者沟通和临床结局的影响， 初级保健环境，以及NIDDK R18的共同PI，重点关注初级保健中指南一致的CKD治疗 在乎这位候选人在整个职业生涯中一直是一位积极的导师。她对指导的承诺是 她担任多样化社区老龄化中心（CADC）主任的新角色证明了这一点，她 在2017年接手CADC是NIA资助的少数民族老龄化研究资源中心（RCMAR），专注于 阐明健康差距的机制，研究、制定和评估干预措施， 这些差异。作为一个中心，其最重要的使命是培训和指导独立少年 在健康差距和老龄化问题上代表性不足的调查人员。随着人口老龄化， 因此，必须将健康问题纳入所有人和健康差距较大的少数民族社区， 差异和老龄化研究;候选人是理想的临床研究者，以弥合这两个研究 界这项建议将使候选人获得额外的培训，以加强她的老龄化研究 和指导技能，以确保她作为CADC的PI取得成功，同时也使她能够扩展自己的技能 并与加州大学旧金山分校的老龄化研究人员合作，在CADC之外提供指导。

ABSTRACT: The aims of this proposal are to (1) further develop the candidate’s expertise in aging research and her skills and capacity as a mentor in order to improve her ability to mentor clinician investigators who study aging issues in diverse populations, and (2) build on the strengths of the candidate’s research program focused on clinical communication, language barriers and health outcomes for older patients in primary care to examine the impact of family caregiver presence at visits, as well as the experiences and preferences of patients and caregivers for caregiver engagement in primary care. The candidate is a General Internist and Health Services Researcher committed to a career in health equity and patient-oriented research, and to mentoring the next generation of clinical investigators. The candidate has developed an independent research program to include multiple linked topic areas relevant to aging research: language barriers and access to professional interpreters, breast cancer diagnosis and communication, and evidence-based treatment of chronic kidney disease in primary care. These areas are unified by a focus on generation and implementation of evidence to advance health care quality, equity, and communication for diverse older adults. She is internationally recognized as an expert on language barriers and interpreter access. The candidate has previously received R01 funding from the National Institute on Aging studying Chinese and Spanish speaking hospitalized older adults as well as their caregivers, and R21 funding from the National Cancer Institute to investigate women and primary care physicians’ perspectives on systems and communication barriers to timely follow-up of abnormal mammograms. She currently is PI on a Patient Centered Outcomes Research grant to evaluate the impact of improved language access on older patients’ communication and clinical outcomes in a primary care setting, and co-PI on a NIDDK R18 focused on guideline concordant CKD treatment in primary care. The candidate has been an active mentor throughout her career. Her commitment to mentoring is demonstrated by her new role as Director of the Center for Aging in Diverse Communities (CADC), which she took over in 2017. CADC is an NIA funded Resource Center for Minority Aging Research (RCMAR) focused on elucidating mechanisms in health disparities research and developing and evaluating interventions to eliminate those disparities. As a Center its most important mission is to train and mentor to independence junior underrepresented investigators in health disparities and aging issues. With the aging of the population as a whole, and of minority communities which suffer from health disparities, it is important to bring together health disparities and aging research; the candidate is the ideal clinical investigator to bridge these two research worlds. This proposal would enable the candidate to obtain additional training to enhance her aging research and mentorship skills to ensure her success as PI of the CADC, while also allowing her to expand her skills and mentorship beyond the CADC in collaboration with aging researchers at UCSF.