Expanding training in comparative effectiveness for child health researchers

描述(由申请者提供)：哈佛儿科医疗服务研究奖学金计划将创建一个新的培训计划，致力于发展比较有效性研究(CER)的能力，以改善儿童的医疗保健。这些受训人员将包括未来需要的研究人员，他们需要将美国的医疗保健系统转变为允许临床医生常规和可靠地使用关于替代治疗的益处、危害和财务成本的最佳可用证据，以在他们的家庭、社区和文化背景下为个别儿童和青少年量身定做护理。该计划将在未来三年招募和培训5名比较有效性研究方面的新博士后研究员，并将建立在哈佛儿科HSR计划中改进的成功的结构化培训途径上。核心学院在分析电子健康数据、时间序列和其他准实验设计以及在现实世界分娩环境中的干预措施的集群随机试验方面拥有独特的方法学专长。该计划将通过与儿科专科培训计划合作，为CER培训人员提供职业培训，重点关注AHRQ和IOM确定的儿童高优先级内容领域，包括儿童癌症、糖尿病、ADHD、肥胖和哮喘，并将继续长期关注儿童健康和医疗保健方面的差异。 培训将包括：在哈佛大学公共卫生学院攻读硕士学位的基本课程；每周3小时的研讨会，重点是儿科方法和学员研究；由更多的跨学科专家在进行比较有效性研究所需的各种方法方面进行指导；以及每年需要参与的伙伴关系和实践网站，包括AHRQ资助的侧重于CER的项目(CERT和DEclDE网站)和循证实践中心(EPC)，以提供证据合成方面的培训。 公共卫生相关性：哈佛儿科卫生服务研究奖学金计划将在其已证明的成功的基础上，满足培养一支比较有效性研究人员队伍的国家优先事项。这些人将提供科学证据，为儿童和家庭提供有效的、高价值的护理，并帮助为儿童开发一个“学习型医疗保健系统”。

DESCRIPTION (provided by applicant): The Harvard Pediatric Health Services Research Fellowship Program will create a novel training program dedicated to developing capacity in comparative effectiveness research (CER) to improve health care for children. These trainees will comprise the future researchers required to transform the US health care system into one which allows clinicians to routinely and reliably use the best available evidence on benefits, harms, and financial costs of alternative treatments to tailor care to individual children and adolescents within the context of their family, community, and culture. The Program will recruit and train 5 new postdoctoral fellows in comparative effectiveness research over the next three years, and will be built on the successful structured training pathway that has been refined in the Harvard Pediatric HSR program. The Core Faculty has particular methodologic expertise in novel observational methods for analysis of electronic heath data, time series and other quasi-experimental designs, and cluster-randomized trials of interventions in real-world delivery settings. The program will train researchers for careers in CER focused on high-priority content areas for children identified by AHRQ and IOM, including childhood cancer, diabetes, ADHD, obesity, and asthma, by partnering with pediatric subspecialty training programs, and will maintain its longstanding focus on disparities in child health and health care. Training will include: basic coursework leading to a Master's degree at the Harvard School of Public Health; a weekly 3-hour seminar focused on pediatric methods and trainee research; mentorship by an expanded group of cross-disciplinary experts in a wide range of methods necessary to conduct comparative effectiveness research; and yearly required participation with partnership and practicum sites that include AHRQ-funded programs focused on CER (CERT and DEclDE sites) and evidence-based practice centers (EPC's) to provide training in evidence synthesis. PUBLIC HEALTH RELEVANCE: The Harvard Pediatric Health Services Research Fellowship Program will build on its demonstrated success to meet the national priority of developing a workforce of comparative effectiveness researchers. These individuals will provide scientific evidence to inform effective, high value care for children and families, and help to develop a "learning healthcare system" for children.