Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT) program

项目总结/摘要 作为加州大学洛杉矶分校，凯撒永久南加州，弗吉尼亚州大洛杉矶 医疗保健系统和洛杉矶县卫生服务部，拟议的新AHRQ-PCRI K12 项目，利益相关者合作实施研究和创新翻译（SPIRIT）， 旨在培养优秀的博士后学者（包括MD，PhD，MD/PhD，ScD，DrPH， PharmD）的学术研究职业，专注于快速和可持续地吸收新的科学发现 和创新，改善个人慢性病护理的设计、提供和结果， 人口和卫生保健系统水平。在当前全国卫生科学家人数不断减少的时代， 特别是在临床提供者中，以及越来越多的需要在不同的研究和实践之间建立桥梁， 现实世界的卫生服务和系统以及人口统计学上多样化的人群，SPIRIT将 满足了对生成、传播和实施过程中广泛问题的研究的迫切需要 临床证据，并将推进提高创新的速度和数量的目标， 诊断、治疗和预防慢性病，以促进和推进学习型卫生系统。在 应对更好地理解实践和成果中的差异以及T4障碍的挑战 翻译，跨学科课程和新K12的指导实践研究机会 计划交织的科学专业知识和指导经验的24个高质量的多学科 致力于卫生服务领域的协作、团队交叉培训和研究的研究人员 和以病人为中心的结果，临床流行病学，传播和实施。精神将 利用现有的教育、培训和职业发展计划的主题相关资源， 核心课程和受保护时间的四个合作伙伴，最重要的是加州大学洛杉矶分校国家临床医生学者 计划，以实现以下具体目标：（1）扩大证据的多学科知识基础- 基于实践和学习的卫生系统，因为它涉及整个慢性病护理的不同方面， 临床谱;（2）提供教学和动手研究培训/职业发展的知识 在更广泛的研究范围内将证据快速转化为实践的哲学基础 转化医学事业;（3）发展学者的科学写作技能，用于演讲，出版物， （4）提供一个学术环境，使研究技能的发展， 作为跨学科的成员和领导者，成功，独立的科学事业所需的经验 致力于改善患者和人口结果以及卫生系统绩效的团队;以及（5）模型 研究授权的教学和指导技能，以促进学者的发展，包括他们的最终 在卫生系统利益相关者中推广研究教育、培训和职业发展计划- 随着他们的职业发展成为稳定的、科学的独立性，他们合作改善了慢性病护理。

PROJECT SUMMARY/ABSTRACT As a collaboration among UCLA, Kaiser Permanente Southern California, the VA Greater Los Angeles Healthcare System, and the LA County Department of Health Services, the proposed new AHRQ-PCORI K12 program, Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT), is designed to prepare outstanding postdoctoral scholars (including MD, PhD, MD/PhD, ScD, DrPH, and PharmD) for academic research careers focused on rapid and sustainable uptake of new scientific discoveries and innovations that improve the design, delivery, and outcomes of care for chronic diseases at the individual, population, and health care system levels. In the current era of declining numbers of health scientists nationwide, particularly among clinical providers, and of expanding need to bridge research and practice across diverse real-world settings of health services and systems as well as demographically diverse populations, SPIRIT will fill a critical need for research on a broad range of issues in the generation, dissemination, and implementation of clinical evidence and will advance the goals of increasing the pace and volume of innovation in the diagnosis, treatment, and prevention of chronic diseases to facilitate and advance learning health systems. In response to the challenges of better understanding variation in practice and outcomes and the barriers of T4 translation, the interdisciplinary curriculum and mentored hands-on research opportunities of the new K12 program interweave the scientific expertise and mentoring experience of 24 high-quality multidisciplinary investigators who are committed to collaborative, team-based cross-training and research in health services and patient-centered outcomes, clinical epidemiology, and dissemination and implementation. SPIRIT will leverage topically germane resources of education, training, and career development programs extant among the four partners for the core curriculum and protected time, foremost, the UCLA National Clinician Scholars Program, to achieve the following specific aims: (1) expand the multidisciplinary knowledge base of evidence- based practice and learning health systems as it relates to different aspects of chronic disease care across the clinical spectrum; (2) provide didactic and hands-on research training/career development in the intellectual and philosophical foundation of rapid translation of evidence into practice within the broader research enterprise of translational medicine; (3) develop scholars' scientific writing skills for presentations, publications, and grants; (4) provide an academic environment that enables development of the research skills and experience needed for successful, independent scientific careers as members and leaders of interdisciplinary teams dedicated to improving patient and population outcomes and health system performance; and (5) model research-empowering teaching and mentoring skills for scholars' development, including their eventual replication of research education, training, and career development programs in health system stakeholder- partnered improvements of chronic disease care as their careers evolve into stable, scientific independence.