Chronic disease clinical epidemiology training in guatemala and peru

危地马拉和秘鲁慢性病临床流行病学培训

• 批准号: 8100465
• 负责人: BRIAN LESLIE STROM
• 金额: $ 22万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8100465
• 关键词: Address; Bioethics; Biometry; Cerebrovascular Disorders; Chronic Disease; Chronic Obstructive Airway Disease; Cities; Clinical; Clinical Research; Clinical Treatment; Collaborations; Commit; Decision Making; Disease; Drug Formulations; Early Diagnosis; Economics; Educational process of instructing; Educational workshop; Environmental Risk Factor; Epidemiologic Studies; Epidemiology; Etiology; Faculty; Federal Government; Funding; Genetic; Guatemala; Guatemalan; Health; Home environment; Individual; Indoor Air Pollution; Institution; Interdisciplinary Study; International; Journals; Life; Literature; Lung diseases; Malignant Neoplasms; Master of Science; Medical; Mentors; Methods; Obesity; Online Systems; Pathway interactions; Patient Care; Pennsylvania; Peru; Physicians; Policies; Prevention; Private Practice; Reading; Recording of previous events; Regulatory Affairs; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Research Training; Resources; Scientist; Series; Stroke; Technology Assessment; Time; Training; Training Programs; Universities; Visit; Wages; career; clinical epidemiology; data management; design; experience; global health; innovation; investigator training; lifestyle factors; medical schools; outcome forecast; patient privacy; programs; public health relevance; symposium

DESCRIPTION (provided by applicant): The Center for Clinical Epidemiology and Biostatistics (CCEB) of the University of Pennsylvania (Penn) School of Medicine, in collaboration with the Universidad de San Carlos of Guatemala City (USAC), Guatemala, and Universidad de Francisco Marroquin (UFM), also of Guatemala City, Guatemala resubmits this application to develop an innovative clinical epidemiologic research training program in chronic diseases for clinicians and researchers from USAC and UFM. There will be two training pathways. The first. Independent Investigator training, is specifically designed to prepare physicians who are or will be junior faculty at USAC and UFM to become rigorous, independent academic investigators able to use the range of approaches available in clinical epidemiology to address important research issues regarding the etiology, prognosis, prevention and early detection, treatment, clinical economics, technology assessment, medical decision making, and quality of patient care of one or more chronic diseases. The second pathway, Associate Investigator training, is designed is to prepare clinicians and research staff at USAC and UFM to serve as collaborators in chronic diseases clinical epidemiologic research and/or policy formulation. Upon completion of training, graduates from both pathways will form chronic diseases clinical epidemiology research teams and join multidisciplinary research organizations in their home institutions, formed to synergize and support their research efforts. Year one of the two-year Independent Investigator training program will be conducted at Penn. Trainees will matriculate in the Master of Science in Clinical Epidemiology degree program and take courses in clinical epidemiology, research methods, biostatistics, and chronic diseases epidemiology; take elective courses; attend journal clubs and clinical research conferences focusing on research issues in one or more chronic diseases; read independently on appropriate topics; attend and participate in research seminars at the CCEB and clinical divisions; and design an independent research project. The second year, to be completed at their home institution, will be devoted to the conduct and completion of the independent research project. Trainees' mentors from Penn will visit during this year. Additional funds have been committed by the Guatemalan national government to provide supplemental salary support for the three years following completion of training to protect graduates' time while they then develop extramurally-funded research programs, on the condition that they do not develop private practices. The Associate Investigator pathway w\\\ consist of a series of short courses, workshops, and programs directed by Penn faculty, taught onsite and in Spanish at USAC and UFM and supplemented electronically via live two-way video conferences and web-based programs. Course topics will include research design/methods, biostatistics, data management, critical appraisal of the literature, regulatory affairs, patient privacy issues, and bioethics. Strengths of the program are the: (1) collaborative partnerships that Penn has already developed in Guatemala with USAC and UFM as part of its global health program; (2) CCEB's history of successful research training programs; (3) CCEB's experience as a founder of the International Clinical Epidemiology Network; (4) comprehensive course offerings that are available to chronic diseases clinical epidemiology trainees at Penn (Independent Investigator pathway); (5) training that will provide collaborators and staff for research teams {Associate Investigator pathway); (6) research organizations to which the trainees will be proposed to join; (7) substantial matching funds provided by Penn to maximize resources for the trainees; and (8) matching funds provided by the Guatemalan national government, protecting graduates' time for research and demonstrating a strong national commitment to their research careers. PUBLIC HEALTH RELEVANCE: There are major shortages of clinician scientists able to conduct rigorous and collaborative clinical epidemiologic research in chronic diseases in Guatemala. Critical diseases/health issues that can be addressed by these individuals include cancer, cerebrovascular disease including stroke, lung disease including chronic obstructive pulmonary disease, obesity as well as genetics, environmental factors including indoor air pollution, and lifestyle factors related to these conditions.

描述(由申请人提供)：宾夕法尼亚大学(Penn)医学院临床流行病学和生物统计中心(CCEB)与危地马拉城圣卡洛斯大学(USAC)和同样位于危地马拉城的弗朗西斯科马罗昆大学(UFM)合作，再次提交此申请，为USAC和UFM的临床医生和研究人员开发慢性疾病的创新临床流行病学研究培训计划。将有两条训练路径。第一个。独立研究员培训是专门为培养现在或即将成为USAC和UFM初级教师的医生而设计的，目的是使他们成为严格的、独立的学术调查人员，能够使用临床流行病学中提供的一系列方法来解决关于一种或多种慢性病的病因、预后、预防和早期发现、治疗、临床经济学、技术评估、医疗决策和患者护理质量的重要研究问题。第二条途径是协理调查员培训，旨在培养USAC和UFM的临床医生和研究人员，使他们成为慢性病临床流行病学研究和/或政策制定的合作者。完成培训后，这两个途径的毕业生将组成慢性病临床流行病学研究团队，并加入本国机构的多学科研究组织，以协同和支持他们的研究工作。为期两年的独立调查员培训计划的第一年将在宾夕法尼亚大学进行。学员将攻读临床流行病学理学硕士学位课程，并参加临床流行病学、研究方法、生物统计学和慢性病流行病学的课程；选修课程；参加期刊俱乐部和临床研究会议，重点关注一种或多种慢性病的研究问题；独立阅读适当的主题；出席和参加CCEB和临床科的研究研讨会；以及设计独立的研究项目。第二年将在其本国机构完成，将专门用于开展和完成独立研究项目。宾夕法尼亚大学的学员导师将在今年访问。危地马拉国家政府承诺提供额外资金，在培训结束后的三年内为毕业生提供补充工资支助，以保护毕业生的时间，同时在他们不发展私人实践的条件下，开发由外部资助的研究方案。副研究员课程由宾夕法尼亚大学教员指导的一系列短期课程、研讨会和项目组成，在USAC和UFM以西班牙语现场授课，并通过现场双向视频会议和基于网络的项目进行电子补充。课程主题将包括研究设计/方法、生物统计学、数据管理、文献的批判性评价、法规事务、患者隐私问题和生物伦理学。该计划的优势是：(1)宾夕法尼亚州立大学已经与USAC和UFM在危地马拉建立了合作伙伴关系，作为其全球卫生计划的一部分；(2)CCEB的成功研究培训计划的历史；(3)CCEB作为国际临床流行病学网络创始人的经验；(4)为Penn(独立调查者路径)的慢性病临床流行病学实习生提供的全面课程；(5)将为研究团队提供合作者和工作人员的培训(助理调查者路径)；(6)学员将被提议加入的研究组织；(7)宾夕法尼亚州立大学为学员提供的大量配套资金；(8)危地马拉国家政府提供的配套资金，保护毕业生的研究时间，并表明国家对其研究事业的坚定承诺。 公共卫生相关性：危地马拉主要缺乏能够对慢性病进行严谨和协作的临床流行病学研究的临床医生科学家。这些人可以解决的关键疾病/健康问题包括癌症、脑血管疾病(包括中风)、肺部疾病(包括慢性阻塞性肺疾病)、肥胖和遗传、环境因素(包括室内空气污染)以及与这些疾病相关的生活方式因素。