Fostering diversity in the next generation of HIV researchers to improve the HIV continuum of care

项目总结。意义重大。在实现联合国艾滋病规划署95-95-95目标方面取得了重大进展 在世界范围内，艾滋病毒预防的新方法正在开始缩小流行病的规模。 然而，在艾滋病毒连续护理方面仍有许多工作要做。艾滋病毒之间的种族和民族多样性 研究人员将在开发新的方法来填补目前最好的艾滋病毒病毒所未发现的空白方面发挥关键作用 到目前为止进行的科学研究。然而，医药/公共卫生(URIM)中代表性不足的人的资金率 研究人员远远低于白人研究人员(约15%对25%)，仅占K职业生涯的6% 发展奖的申请者是乌里姆的实习生。接近。在目标1中，促进艾滋病毒的多样性 研究项目使用社会认知职业理论和跨越不同框架的指导 对导师进行关键技能培训，以成功支持URIM学员。研讨会每年举行一次，并增加 每季度举行一次会议。在目标2中，该计划专门为乌里姆提供结构化研究指导 受训人员解决艾滋病毒连续护理问题。受训人员主要通过实习和离职后确定- 马萨诸塞州总医院的博士奖学金计划以及 哈佛大学公共卫生学院；然而，来自其他机构的个人也有资格。 受训者接受关于艾滋病毒护理和职业发展连续统一体的正式教学，重点是问题 尤其与URIM受训人员有关(例如，研究中的隐性偏见、弹性)。导师支持乌里姆 受训人员获得有关行为艾滋病毒研究的知识，并提供实践技术和 发展成功的研究事业所需的专业技能。所有活动都是为满足 乌里姆受训人员和每个人的培训阶段。研究涉及艾滋病毒的以下领域 国内和全球的持续护理：准备工作和坚持；艾滋病毒检测和外展； 联系、保留护理和坚持抗逆转录病毒疗法；接受艾滋病毒治疗的慢性护理和并发症；以及孕产妇 健康和围产期传播。补充剂活动将支持为期6周的临床强化计划 对那些完成住院医师或过渡到临床研究职业生涯的人的有效性 除了上述计划活动之外，还有补充领域。该计划的主要成果是 具有必要的指导能力以成功支持URIM学员的艾滋病毒研究导师，如 以及对实现核心研究的URIM学员的高质量、令人满意和有影响力的指导 能力。其他成果包括实习生奖学金(即，手稿和补助金)、 学员通过学术研究流水线，并忠实于项目实施。创新。这 该计划在1)有针对性地培训导师以有效支持URIM学员方面具有创新性，2)专注于 许多受训人员离开学术研究的过渡期，3)创建一个基础广泛的社区 在URIM学员中进行实践，以及4)跨学科关注，促进交叉协作和团队科学。

PROJECT SUMMARY. Significance. Great progress has been made toward the UNAIDS 95-95-95 goals worldwide, and novel methods for HIV prevention are beginning to decrease the size of the epidemic. However, much work on the HIV continuum of care remains. Racial and ethnic diversity among HIV researchers will be critical in developing new approaches to address the gaps that currently elude the best HIV science conducted to date. Yet, funding rates for underrepresented in medicine/public health (URiM) researchers are well below those of white researchers (~15% versus 25% overall) and only 6% of K career development award applicants have been URiM trainees. Approach. In Aim 1, the Fostering Diversity in HIV Research Program uses Social Cognitive Career Theory and the Mentoring Across Difference framework to train mentors in key skills to successfully support URiM trainees. Workshops are held annually with additional quarterly sessions. In Aim 2, the program provides structured research mentorship exclusively to URiM trainees to address the HIV continuum of care. Trainees are identified primarily through residency and post- doctoral fellowship programs at Massachusetts General Hospital and master’s degree and PhD programs at the Harvard T. H. Chan School of Public Health; however, individuals from other institutions are eligible. Trainees receive formal didactics on the HIV continuum of care and career development, focusing on issues particularly relevant for URiM trainees (e.g., implicit bias, resiliency in research). Mentors support URiM trainees in gaining knowledge about behavioral HIV research, as well as provide the hands-on technical and professional skills needed to develop successful research careers. All activities are tailored to the needs of URiM trainees and each individual’s stage of training. Research addresses the following areas of the HIV continuum of care both domestically and globally: PrEP delivery and adherence; HIV testing and outreach; linkage, retention in care, and ART adherence; chronic care and complications of treated HIV; and maternal health and perinatal transmission. Supplement activities will support an intensive 6-week Program in Clinical Effectiveness to “kickstart” clinical research careers for those completing residency or transitioning from complementary fields, in addition to the above-noted program activities. Primary outcomes of the program are HIV research mentors with the necessary mentoring competencies to successfully support URiM trainees, as well as high quality, satisfying, and impactful mentorship of URiM trainees who achieve core research competencies. Other outcomes include trainee scholarship (i.e., manuscripts and grants), progression of trainees through the academic research pipeline, and fidelity of program implementation. Innovation. This program is innovative in its 1) targeted training of mentors to effective support URiM trainees, 2) focus on the transition periods when many trainees leave academic research, 3) creation of a broad-based Community of Practice among URiM trainees, and 4) interdisciplinary focus, fostering cross-collaboration and team science.