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” 根据人们的长相或肤色，”已被定性为公共卫生危机， 种族健康差异的根本原因由疾病控制和预防中心。这些健康问题- 关系是长期存在的系统性种族主义的结果，这种种族主义渗透到医疗保健和生物技术的提供中。 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，由于对种族和种族主义问题缺乏集体理解， 对话有限，导致处理卫生保健中的系统性种族主义的办法往往是表演性的 并且在学科中被孤立。开展跨学科研究，公平地改善土著人民的健康， 对于医生和公众来说，提供下一代临床和翻译领域的领导者至关重要， 搜索（CTR）的知识和技能，以解决系统性的种族主义。行为和社会 科学提供了有价值的框架和方法，通过这些框架和方法，CTR社区可以培养一个 在种族平等方面有共同的反种族主义意识。具体来说，系统通知人类认知亲， 处理和决策是从结构化的认知行为训练中衍生出来的方法， 加强对话，以培养种族平等意识，这被定义为性格， 知识、意识和技能使我们能够思考和促进种族平等。我们主张， 激发种族平等意识是公平加强跨学科合作的重要第一步， 定量和适用于整个CTR频谱，从实验室到社区。我们的目标是- 目的是适应，整合和评估一个计划，以提高种族平等意识，因为它涉及到CTR TL-1博士前和博士后职业发展课程。我们的具体目标是：（1）纳入ra- 将社会公平意识培训纳入TL 1研究员的职业发展课程; 2）将 TL 1早期概念化过程中的种族平等意识和平等设计思想 3）评估种族平等意识的有效性和可接受性- ness培训，因为它涉及临床和转化科学。本补充文件是回应 特殊兴趣（NOT-OD-22-141），旨在整合行为和社会科学，以提高多学科， plinary合作我们的目标和宗旨是与NCATS的目标，以培养下一代的 临床和转化科学，将实验室，临床和社区的观察转化为跨 公平地改善个人和公众健康的环境。

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.