Administrative Supplement to NIH-funded TL1 Training Grants

摘要 种族主义，定义为“赋予价值和决定机会的结构、政策、做法和规范 基于人们的长相或肤色，“已经被描述为公共健康危机和 疾病控制和预防中心的种族健康差异的根本原因。这些健康差异- 这种联系是长期存在的系统性种族主义的结果，这种种族主义已经渗透到医疗保健和生物医学的提供中。 美国的医学研究。作为回应，人们对改革这些种族主义者重新产生了兴趣 结构和系统。然而，在与种族和种族主义有关的问题上缺乏集体理解 有限的对话，导致了解决保健领域系统性种族主义的办法，这些做法往往是表演性的 并被孤立在学科范围内。进行跨学科研究，公平地改善印度人的健康-- 为患者和公众提供下一代临床和翻译方面的领导者是至关重要的 利用必要的知识和技能搜索(CTR)，以解决系统性种族主义问题。行为和社交 科学提供了有价值的框架和方法，CTR社区可以通过这些框架和方法培养 在种族平等方面有共同的反种族主义意识。具体地说，系统知情的人类认知促进- 决策和决策是源于结构化认知行为训练的方法，它可以 加强对话，服务于培养种族平等意识，这被定义为性情， 使我们能够思考和促进种族平等的知识、意识和技能。我们认为那个死胡同- 激发种族平等意识是公平加强跨学科合作的重要第一步-- 定量，适用于从实验室到社区的全CTR频谱。我们这次行动的目标是- 调整、整合和评估一项提高种族平等意识的计划，因为它与CTR有关 在TL-1博士后和博士后职业发展课程中。我们的具体目标是：1)将RA- 将社会公平意识培训纳入TL1学员的职业发展课程；2)融入 TL1早期概念化中的种族公平意识与公平设计思维 研究员的研究影响；以及3)评估种族平等意识的有效性和可接受性- Ness培训，因为它与临床和翻译科学有关。本副刊是对……通知的回应 特别兴趣(非OD-22-141)，寻求将行为科学和社会科学相结合，以增强多学科- 主要的合作。我们的目标和宗旨与NCATS的目标一致，即培养下一代 临床和转化科学将实验室、临床和社区中的观察转化为 公平地改善个人和公众健康的发明。

ABSTRACT Racism, defined as the “structures, policies, practices, and norms that assign value and determine opportunity based on the way people look or the color of their skin,” has been characterized as a public health crisis and a root cause of racial health disparities by the Centers for Disease Control and Prevention. These health dispari- ties are the result of long-standing systemic racism that has permeated both the delivery of health care and bio- medical research in the United States. In response, there has been renewed interest in reforming these racist structures and systems. However, a lack of collective understanding on issues related to race and racism have limited dialogue, resulting in approaches to address systemic racism in health care that are often performative and siloed within disciplines. To conduct interdisciplinary research that equitably improves the health of indi- viduals and the public, it is critical to provide the next generation of leaders in clinical and translational re- search (CTR) with the knowledge and skills necessary to address systemic racism. The behavioral and social sciences provide valuable frameworks and approaches through which the CTR community may cultivate a shared antiracist consciousness regarding racial equity. Specifically, systems-informed human cognitive pro- cessing and decision making are approaches derived from structured cognitive behavioral training that may enhance dialogue in service of cultivating racial equity consciousness, which is defined as the dispositions, knowledge, awareness, and skills that empower us to contemplate and foster racial equity. We contend that cul- tivating racial equity consciousness represents a vital first step to equitably enhance interdisciplinary collabo- ration and is applicable to the full CTR spectrum, from the lab to the community. Our objective for this supple- ment is to adapt, integrate, and evaluate a program to improve racial equity consciousness as it relates to CTR in the TL-1 pre and post-doctoral career development curriculum. Our Specific Aims are: 1) To incorporate ra- cial equity consciousness training into the career development curriculum of the TL1 fellows; 2) To integrate the concepts of racial equity consciousness and equity design thinking in the early conceptualization of the TL1 fellows’ research impact; and 3) To evaluate the effectiveness and acceptability of the racial equity conscious- ness training as it relates to clinical and translational science. This supplement is responsive to the notice of special interest (NOT-OD-22-141) that seeks to integrate behavioral and social sciences to enhance multidisci- plinary collaboration. Our objective and Aims are aligned with NCATS's goal to train the next generation of the clinical and translational science to translate observations in the laboratory, clinic, and community into inter- ventions that equitably improve the health of individuals and the public.