Linking Disease Mechanisms and Outcomes in Rheumatic Diseases

项目总结/摘要 导师制已被确定为临床研究教师发展的关键促进者。K24 申请旨在为申请人提供受保护的时间，以继续指导众多的学员， 面向研究（POR），并在新的方向发展她目前的计划，以进一步扩大机会， 这个竞技场的导师申请人30%的努力将受到该奖项的保护。申请人 在指导学员的各个职业阶段都表现出了显著的能力，并将继续受益于 丰富而强大的机构环境，提供一流的研究基础设施和大量的 患者和学员一起工作。 在资助期间，申请人的进一步发展将包括：1）提高导师技能 2）增强POR的生物统计学; 3）构建POR疼痛的协作生态位 在风湿性疾病中。这些技能将通过研讨会，会议，课程， 并与密歇根大学慢性疼痛和疲劳研究中心和密歇根大学纤维肌痛中心合作 研究翻译（CORT）此外，这些技能组合将通过持续的 在目前资助的POR内指导受训人员，并通过K24扩展到疼痛研究 机制这些研究机会包括：研究狼疮皮肤生物学的工作， 患者表现和疾病表型（项目1）;一项临床试验，检查微生物 狼疮皮肤炎症的定植（项目2）;一个大型的，新的狼疮免疫表型队列， 银屑病/银屑病关节炎患者提供大规模数据集用于分析和临床相关性（项目 3)和;收集了一个新的数据集，以纵向绘制慢性疼痛和感觉敏感性患者， 系统性狼疮（项目4）。成功完成此奖项将导致成功的指导目前和 在POR中的未来学员，并扩大申请人的POR计划，以确保持续的指导 未来的机遇。

PROJECT SUMMARY/ABSTRACT Mentorship has been identified as a critical facilitator for development of clinical research faculty. This K24 application seeks to provide protected time for the applicant to continue to mentor numerous trainees in patient- oriented research (POR) and to grow her current program in new directions to further expand opportunities to mentor in this arena. 30% of the applicant's effort will be protected by this award for these activities. The applicant has demonstrated significant abilities in mentoring trainees at all career stages and will continue to benefit from the rich and robust institutional environment that provides stellar research infrastructure and a large pool of patients and mentees to work with. During the funding period, further development of the applicant will include 1) Improvement in mentorship skills in POR; 2) Enhancement of biostatistics for POR; and 3) Construction of a collaborative niche for POR in pain in rheumatic disease. These skillsets will be achieved through a combination of seminars, meetings, courses, and collaboration with the U of M Chronic Pain and Fatigue Research Center and the U of M Fibromyalgia Center of Research Translation (CORT). In addition, these skillsets will integrate and grow through continued mentorship of trainees within currently funded POR and through expansion into pain research through the K24 mechanism. These research opportunities include: work that examines the biology of lupus skin in the context of patient presentation and disease phenotype (Project 1); A clinical trial examining the impact of microbial colonization on lupus skin inflammation (Project 2); A large, novel immunophenotyped cohort of lupus and psoriasis/psoriatic arthritis patients that provides large scale datasets for analysis and clinical correlation (Project 3) and; A new dataset collected to longitudinally map chronic pain and sensory sensitivity in patients with systemic lupus (Project 4). Successful completion of this award will result in successful mentoring of current and future mentees in POR and also enlarge the POR program of the applicant to ensure continued mentoring opportunities into the future.