Stimulating Access to Research in the University of Cincinnati Internal Medicine Residency Program

促进辛辛那提大学内科住院医师项目的研究机会

• 批准号: 10615587
• 负责人: Jennifer Otoole
• 金额: $ 32.32万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10615587
• 关键词: Academic Medical Centers; Accreditation; Address; Adult; American; Appointment; Basic Science; Cardiovascular system; Career Choice; Child; Childhood; Clinical Research; Competence; Complement; Complex; Coupling; Critical Care; Dedications; Development Plans; Discipline; Education; Educational Curriculum; Educational Status; Educational workshop; Ensure; Evaluation; Faculty; Fellowship; Funding; Future; Goals; Grant; Individual; Infrastructure; Internal Medicine; Intervention; Investments; Junior Physician; Learning; Link; Lung; Manuscripts; Medical Research; Medical center; Medicine; Mentors; Modeling; National Heart, Lung, and Blood Institute; Outcome; Pathway interactions; Pediatric Hospitals; Physicians; Positioning Attribute; Process; Production; Program Description; Publishing; Qualifying; Research; Research Personnel; Research Project Grants; Residencies; Scientist; Secure; System; Time; Training; Translational Research; United States National Institutes of Health; Universities; Work; career; college; education research; experience; falls; flexibility; graduate medical education; implementation science; innovation; interest; online course; physician-scientist training program; programs; recruit; success; successful intervention; systematic review; tool; working group

The number of physician scientists, in both adult and pediatric medicine, is declining despite an overall increase the total number of physicians. Without a substantial increase the pool of early stage physicians interested in embarking on a research career, the shortfall of successful physician scientists will worsen. Although the reasons are complex and are in part because of the increasing challenge of sustaining a successful research career, an identified and possibly remediable cause is the high attrition rate of potential research capable physicians at the residency stage of training. We now propose a University of Cincinnati (UC)-StARR program focused on identifying internal medicine residents with an interest in a research career. Once identified, we will mentor them through a flexible combined didactic and research experience that places them in a competitive position to pursue a successful physician-scientist career. The overall goal is to increase the pipeline of internal residents earmarked for research-oriented academic careers. We will complement programs that we already have in place at that are primarily focused on fellowship level training. We propose the following: 1) establish a cadre of well-funded NHLBI investigators from the University of Cincinnati College of Medicine and Cincinnati Children’s Hospital Medical Center experienced in training physician scientists in standard disciplines and peds-to-adult transition medicine, 2) recruit high quality resident- investigators from of a pool of qualified and diverse candidates within our internal medicine residency program, 3) implement a unique curriculum that caters to the residents’ different prior experience to complement our existing programs; this will include online courses and a three month elective/workshop during the first half of PGY2 year followed by formal course work during PGY3 year that concludes with a dedicated Research Block during the PGY3 year, and 4) implement an individualized resident-investigator development plan and then evaluate and ensure success by engaging in a validated, state-of-the-art, and real time learning based online evaluation system. In summary, UC-StARR will build upon existing programmatic infrastructure to that brings together 18 experienced, well-funded mentors within the fields of cardiovascular, pulmonary and critical care medicine. The proposal is innovative because we are coupling this not only with our validated and nationally recognized system that enhances resident learning and tracks outcomes but also with our existing largely fellow-focused research investments. The combination of catering to the special needs of residents and training them in a logical sequence on the principles of research is likely to have a significant impact on increasing the number of Internal Medicine physician-scientists being trained at UC. We would expect that this model, if further validated, could serve as readily implemented template for other Internal Medicine residency programs.

在成人和儿科医学领域，内科科学家的数量正在减少，尽管总体上 增加内科医生总数。如果没有实质性的增加，早期医生的池 由于对从事研究事业感兴趣，成功的内科科学家的短缺将进一步恶化。 尽管原因很复杂，部分原因是维持一个成功的 研究生涯，一个已确定并可能补救的原因是潜在研究的高流失率 处于住院医师培训阶段的有能力的医生。我们现在提议辛辛那提大学(加州大学)-斯塔尔 该计划的重点是确定对研究职业感兴趣的内科住院医生。一旦被确认， 我们将通过灵活的教学和研究相结合的体验来指导他们，将他们置于 追求成功的内科医生-科学家职业生涯的竞争地位。总体目标是增加管道 被指定为研究型学术生涯的内部住院医生。我们将补充我们的计划 已经建立了专门培训中心，主要侧重于研究金一级的培训。 我们建议如下：1)建立一支资金充足的加州大学NHLBI调查员队伍 辛辛那提医学院和辛辛那提儿童医院医学中心培训经验 标准学科和儿科到成人过渡医学的内科科学家，2)招聘高素质的住院医师- 从我们内科住院医师计划中一批合格和多样化的候选人中挑选调查人员， 3)实施独特的课程，以迎合住院医生不同的先前经验，以补充我们的 现有课程；这将包括在线课程和#年上半年为期三个月的选修课/研讨会 PGY2年之后是PGY3年的正式课程学习，最后是一个专门的研究单元 在PGY3年中，以及4)实施个性化的驻地调查员发展计划，然后 通过参与基于在线的经过验证的、最先进的实时学习，评估并确保成功 评价体系。 总而言之，UC-STARR将建立在现有编程基础设施的基础上，从而将18 经验丰富、资金雄厚的心血管、肺部和重症监护医学领域的导师。这个 提案是创新的，因为我们不仅将其与我们经过验证和国家认可的系统相结合 这增强了常驻人员的学习和跟踪结果，但也与我们现有的主要以同行为重点的研究 投资。照顾住院医生的特殊需求与培训他们的逻辑相结合 关于研究原则的顺序可能会对增加内部的数量产生重大影响 医学内科医生-在加州大学接受培训的科学家。我们预计，如果进一步验证，这个模型可以 可作为其他内科住院医师项目的模板。