Midcareer award in aging-related subspecialty research

项目摘要摘要 职业目标：我的长期职业目标是进行研究，了解数字健康如何 可以使用工具来改善对老年人的护理，了解这些工具的特定年龄障碍，并 成为初级科学家的杰出导师。我在获奖期内的短期目标， 将帮助我实现这些目标，如下：(1)在数字应用程序开发方面获得进一步的专业知识， 重点衡量与老龄化相关的损伤；(2)实施初级教师培训计划， 重点了解内科和外科专科中老年患者的风险；(3)成为 在老年病学和数字健康的交叉研究方面处于全国领先地位。为了实现我的目标，我将 完成一项有组织的职业发展计划，这将增强我自己的研究技能和我的 指导他人的能力。我已经组建了一支教职员工团队，为我的职业培训提供老年医学方面的专业知识， 计算机科学和老年心脏病学。我将定期与这些专家会面，同时将 进行有组织的课程作业和参加国家科学会议。指导计划：我有 到目前为止，已指导了20多名实习生，并将在颁奖开始时有4名初级教员指导，他们都是 持有(或即将申请)外部资金。我的学员将完成一项培训计划 包括与我的正式授课和定期1：1会议，以监测进展情况。我还会确认 在获奖期间，通过几种方法，包括纽约大学心脏病学奖学金，新的受训人员 项目(我在那里担任核心教师)、纽约大学人口健康部门和国家专业人员 我参与了几个以老年学为重点的委员会。研究计划：建议的 这一奖项的研究与我的职业发展活动相一致，并将为学员提供机会。 我们的研究计划侧重于GeriKit应用程序的使用，这是一个通过 纽约大学的老年心脏病项目，在苹果的iOS和谷歌的Android操作系统上免费提供 系统。我们将首先在150名患有缺血性心脏病的老年人(年龄为≥75)的样本上测试GeriKit，以 评估所测量的损伤负担是否可以预测再入院和死亡率(主要综合指标 以及健康状况(次级结果)(目标1)。然后我们将召集一个专家教职员工小组 将精神错乱、听力障碍和视力障碍的领域添加到GeriKit中，并将测试功能 针对20名老年人(目标2)。最后，我们将与纽约大学医学中心信息技术(MCIT)合作 将GeriKit与电子健康记录(EHR)集成，以便在 病人的病史。这一步骤对于临床医生认识到老年损伤的存在是至关重要的， 这可能会影响临床决策。总结：我对指导有着坚定的承诺，而这一点 获奖将使我成为一名真正杰出的导师，培养下一代临床医生-科学家 重点改善老年人的健康状况。

Project Summary Abstract Career Objectives: My long-term career goals are to conduct research that understands how digital health tools can be used to improve care of older adults, to understand aging-specific barriers to these tools, and to become an exceptional mentor for junior scientists. My short-term objectives during the award period, which will help me to reach these goals, are as follows: (1) To gain further expertise in digital app development, with a focus on measuring aging-related impairments; (2) To implement a junior faculty training program that focuses on understanding risk for older patients in the medical and surgical subspecialties; (3) To become a national leader in research at the intersection of geriatrics and digital health. To achieve my objectives I will complete a structured program of career development that will strengthen my own research skills and my ability to mentor others. I have assembled a team of faculty for my career training with expertise in geriatrics, computer science, and geriatric cardiology. I will meet with these experts on a regular basis and in parallel will pursue structured coursework and attendance at national scientific meetings. Mentoring Plan: I have mentored over 20 trainees to date and will have 4 junior faculty mentees at the start of the award, all of whom hold (or will soon be applying for) extramural funding. My mentees will complete a training program that includes both formal didactics and regular 1:1 meetings with me in order to monitor progress. I will also identify new trainees during the award period through several methods, including the NYU Cardiology Fellowship Program (where I serve as core faculty), the NYU Department of Population Health, and national professional societies where I have been involved in several geriatrics-focused committees. Research Plan: The proposed research for this award aligns with my career development activities and will provide opportunities for mentees. Our research plan focuses on use of the GeriKit app, a geriatric assessment tool that was developed through NYU’s Geriatric Cardiology Program and is available for free on Apple’s iOS and Google’s Android operating systems. We will first test GeriKit on a sample of 150 older adults (age ≥75) with ischemic heart disease to evaluate whether the burden of measured impairments predicts readmission and mortality (primary composite outcome) as well as health status (secondary outcome) (Aim 1). We will then convene a group of expert faculty to add the domains of delirium, hearing impairment, and vision impairment to GeriKit, and will test functionality on 20 older adults (Aim 2). Finally, we will work with NYU Medical Center Information Technology (MCIT) to integrate GeriKit with the electronic health record (EHR) so that geriatric impairments become viewable in patients’ medical histories. This step is critical in clinicians recognizing the presence of geriatric impairments, which may influence clinical decision making. Summary: I have a strong commitment to mentoring, and this award will enable me to become a truly exceptional mentor who trains the next generation of clinician-scientists focused on improving the health of older adults.