Career Advancement for Research in Health Equity

这个T37应用程序的首要任务是促进健康公平研究(CARE)， 增加致力于开展以患者为导向的研究的科学家队伍和多样性 不仅提高了医疗保健的质量和效率，而且还解决了有据可查的国家和 全球在医疗保健获取、利用和结果方面的不平等。除了有据可查的 在美国，种族/民族在医疗保健方面的差异，在非传染性疾病的流行方面，全球差异越来越大 低收入和中等收入国家的传染病。扩大井的多样性和数量-- 训练有素的医生和科学家跨学科工作对于更好地理解和解决 生物学、社会决定因素和其他障碍对国家和全球卫生公平的影响。然而， 增加致力于生物医学职业的代表不足的少数族裔(URM)受训人员的数量 科学仍然是一个巨大的挑战。拟议的培训方案解决了以下方面面临的严重缺陷： 许多URM学者致力于健康公平和/或全球健康方面的职业。该计划将由5个人组成 相关组成部分：(1)为期两个月的关于医疗保健/科学研究的密集夏季教学会议 基础知识；(2)每周一次的健康公平研讨会系列；(3)为期一年的指导研究经验；(4) 为追求全球健康事业的学员提供在NIH资助的全球健康研究中心接受培训的机会 海地、巴西、坦桑尼亚和加纳的网站；以及(5)一个有竞争力的试点资助计划，以支持学员- 发起旨在解决健康差距和/或全球健康问题的研究项目。我们建议 招募10名实习生(五年内共50名实习生)参加一个为期一年的个性化培训计划，以满足 不同背景的受训者的具体需求。尽管该计划将考虑受训人员在任何 学术保健培训的连续阶段(从医学生到住院医生，再到研究员/岗位) 博士)，只要可行，我们将寻找博士后/医学研究员级别的人员，以实现长期- 增加在我们机构和全国获得教职的URM人数的长期目标 开展研究以改善健康公平和全球健康。该计划的近期目标是：1) 制定和实施成功的战略，以发现和招聘博士后和博士后人才 致力于健康公平或全球健康研究事业的健康科学领域的实习生；2) 为学员提供在健康差距和全球健康方面进行多学科研究的经验 在主要学术机构和全球卫生研究网站拥有经验丰富的导师；以及 3)让URM实习生参加我们的暑期强化研究培训课程，该课程利用正式学位 和非学位机构项目，并建立科学研究的方法技能。总而言之， 成功完成这一项目将导致学术医疗保健多样性的显著增加-a 这一目标与美国国立卫生研究院致力于使国家科学工作者多样化的承诺相一致。

The overarching mission of this T37 application, Career Advancement for Research in Health Equity (CARE), is to increase the pool and diversity of scientists who are committed to conducting patient-oriented research that improves not only the quality and efficiency of healthcare but also addresses the well-documented national and global inequalities in healthcare access, utilization, and outcomes. In addition to the well-documented racial/ethnic disparities in healthcare in the US, there are growing global disparities in the epidemic of non- communicable diseases in low and middle- income countries. Expanding the diversity and number of well- trained physicians and scientists working across disciplines is essential to better understand and address the impact of biology, social determinants, and other barriers to health equity nationally and globally. However, increasing the number of underrepresented minority (URM) trainees committed to careers in biomedical sciences remains a significant challenge. The proposed training program addresses a critical deficiency faced by many URM scholars committed to careers in health equity and/or global health. The program will consist of 5 interrelated components: (1) an intensive 2-month summer didactic session on healthcare/scientific research fundamentals; (2) a weekly health equity seminar series; (3) a year-long, mentored research experience; (4) opportunities for trainees pursuing global health careers to train at our NIH-funded global health research sites in Haiti, Brazil, Tanzania, and Ghana; and (5) a competitive pilot funding program to support trainee- initiated research projects aimed at addressing health disparities and/or global health issues. We propose to recruit 10 trainees (total of 50 trainees over five years) to participate in a 1 year program personalized to meet the specific needs of trainees with diverse backgrounds. Although the program will consider trainees at any stage of the academic healthcare training continuum (from medical student, to resident, to fellowship/post- doc), whenever feasible we will seek out those at the post-doctoral/medical fellow level to achieve the long- term goal of increasing the number of URM who achieve faculty positions at our institution and nationally and pursue research to improve health equity and global health. The immediate objectives of this program are to: 1) Develop and implement successful strategies to identify and recruit talented URM pre- and post-doctoral trainees across the health sciences who are committed to careers in health equity or global health research; 2) Provide trainees experience in the conduct of multidisciplinary research in health disparities and global health with seasoned mentors embedded in major academic institutions and global health research sites; and 3)Engage URM trainees in our intensive summer research training session that leverages both formal degree and non-degree institutional programs and builds methodological skills in scientific research. In summary, successful completion of this program will lead to a significant increase in diversity in academic healthcare– a goal consistent with NIH's commitment to diversify the nation's scientific workforce.