HSR&D Senior Research Career Scientist Award

作为一名高级研究职业科学家，在过去的七年里，我一直在 致力于退伍军人管理局和卫生服务研究。在这段时间里，我领导/联合领导了许多 研究补助金/项目，平均每年出版8本以上的出版物，并提供指导 几名研究员、实习生和初级教员。我的研究集中在两个主要领域， 解决慢性神经系统疾病的继发性疾病(即脊髓损伤和 帕金森氏症)，以及在实施和评估最佳做法和 医疗保健方面的证据有助于改善结果、质量和成本。另外，我是 对以病人为中心的护理服务感兴趣，并在这一领域进行了研究。 目前，我在脊髓损伤(Sci)领域的研究包括开发最佳实践。 用于脊髓损伤后骨质疏松症的预防和治疗，以及对下肢的管理 脊髓损伤中的骨质疏松性骨折。事实上，我们已经与瘫痪的美国退伍军人合作 和整形外科创伤协会分别在这些领域制定指导方针。在……里面 帕金森氏病(PD)领域，我是10年结果的手稿团队的一员 在我们最初的脑刺激合作试验的基础上，帕金森病患者进行了深度脑刺激， 我是帕金森州预防髋部骨折拨款的联合调查员。我将提交一项拨款给 对女性退伍军人的移动设备进行需求评估，并将解决残疾问题 更广泛的需求。在实施领域，我正在领导一项QUERI合作评估 在VISN15和AM联合调查员中推出远程实践，以执行 审核和反馈计划，以改善护理和护理交付的提供者情境。 后者也解决了我对以患者为中心的护理的关注。我致力于帮助年轻人 研究人员发展了成功的研究事业，目前正在指导2个职业 发展奖获得者和2名初级调查人员。这些调查人员中的每一位都在 SCI或PD的区域。最后，我致力于为当地的研究和 全国范围内。我是当地研发委员会的副主席，也是One的主席 高铁与发展科学功绩审查委员会小组的成员。延续职业科学家奖 将帮助我保持对退伍军人管理局健康服务的参与度和承诺 研究。

As a Senior Research Career Scientist for the past seven years I have continued my strong commitment to VA and health services research. During this time, I have led/co-led numerous research grants/projects, publishing an average of over 8 publications/year, and mentoring several fellows, trainees and junior faculty. My research focuses in two primary areas, addressing secondary conditions in chronic neurologic conditions (i.e., spinal cord injury and Parkinson's disease), and in implementing and evaluating the use of best practices and evidence in health care resulting in improved outcomes, quality, and costs. In addition, I am interested in patient-centered care delivery and have conducted research in this area also. Currently my research in the area of spinal cord injury (SCI) involves developing best practices for prevention and management of osteoporosis in SCI, and for management of lower extremity osteoporotic fractures in SCI. In fact, we have partnered with the Paralyzed Veterans of America and the Orthopedic Trauma Association, respectively, to develop guidelines in these areas. In the area of Parkinson's disease (PD), I am part of the manuscript team for the 10-year results following deep brain stimulation in PD based on our initial cooperative trial of brain stimulation, and am a co-investigator on a grant to prevent hip fractures in PD. I will be submitting a grant to conduct a needs assessment of mobility devices for women Veterans and will address disability needs more broadly. In the implementation area, I am leading a QUERI partnered evaluation on the roll- out of telewound practice in VISN15 and am co-investigator on the implementation of an audit-and-feedback program to improve provider contextualization of care and care delivery. The later also addresses my focus on patient-centered care. I am committed to helping young investigators develop successful research careers and am currently mentoring 2 career development awardees and 2 junior investigators. Each of these investigators is working in the areas of either SCI or PD. Finally, I am committed to providing service to research locally and nationally. I am vice-Chair of the local Research and Development committee, and Chair of one of the HSR&D Scientific Merit Review Board panels. Continuation of the Career Scientist Award will help me to maintain my level of involvement and commitment to VA health services research.