Mentoring Researchers on Clinical Communication With Diverse Aging Populations

摘要：这项建议的目的是(1)进一步发展候选人在衰老研究方面的专业知识 以及她作为导师的技能和能力，以提高她指导临床医生研究人员的能力 研究不同人群中的老龄化问题，以及(2)以候选人研究计划的优势为基础 重点关注初级保健中老年患者的临床沟通、语言障碍和健康结局 检查家庭照顾者到访的影响，以及家庭照顾者的体验和偏好 患者和护理者在初级保健中的护理者参与度。应聘者是一名普通内科医生 卫生服务研究员致力于卫生公平和以患者为导向的研究事业，并 指导下一代临床研究人员。这位候选人开展了一项独立的研究 计划包括与老龄化研究相关的多个相关主题领域：语言障碍和获取 专业口译员、乳腺癌诊断和沟通以及循证治疗 初级保健中的慢性肾脏疾病。这些领域通过侧重于生成和实施来统一 为促进不同老年人的医疗保健质量、公平性和沟通提供证据。她是 国际公认的语言障碍和口译员准入专家。候选人有 之前获得了国家老龄研究所的R01资金，学习汉语和西班牙语 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 调查妇女和初级保健医生对系统和沟通障碍的看法 对异常乳房X线片的随访。她目前是以患者为中心的结果研究基金的PI 评估改善语言获取对老年患者沟通和临床结果的影响 初级保健环境和NIDDK R18上的联合PI专注于初级CKD治疗指南的一致性 关心。这位候选人在她的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 她作为不同社区老龄中心(CADC)主任的新角色证明了这一点，她 于2017年上任。CADC是NIA资助的少数民族老龄化研究资源中心(RCMAR)，专注于 阐明健康差距研究的机制，开发和评估消除健康差距的干预措施 这些差距。作为一个中心，它最重要的使命是培养和指导独立的少年 在健康差距和老龄化问题上代表不足的调查人员。随着人口老龄化成为一种 整个和遭受健康差距的少数族裔社区，重要的是将健康集中在一起 差异和老龄化研究；候选人是连接这两项研究的理想临床研究员 世界。这项建议将使候选人能够获得额外的培训，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，同时也允许她扩展自己的技能 与加州大学旧金山分校年迈的研究人员合作，超越CADC的指导。

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.