UNC Global Women’s Health Fellowship

摘要 生活在发展中世界的妇女面临着令人无法接受的高残疾和死亡风险，通常来自 可预防的原因。需要妇产科医生(Ob-GYN)来减轻这种疾病的负担 在世界范围内，但几乎没有既定的途径来培养全球妇女健康研究中的研究人员。 为了弥补这一差距，我们于2012年启动了北卡罗来纳大学全球妇女健康联谊会。我们的节目是 专注于研究，明确目标是培训下一代独立的NIH调查人员。我们 提供身临其境的培训体验，研究员通常在海外工作两年 建立了国际研究网站。我们的实习生由一位经验丰富且高度 代表不同学科和背景的优秀教师。研究员参加结构化项目 开展丰富活动，指导他们的科学和专业发展，包括研究生水平 课程、会议和研讨会，以及职业关系网。到目前为止，我们的项目已经支持了13 博士后实习生，包括8名被任命为我们目前的T32奖项的博士后。北卡罗来纳大学全球妇女健康研究员 实施了尖端研究并发表了与政策相关的论文；大多数已过渡到 毕业后担任学术职位。重要的是，所有人都学会了如何设计和实施研究 发展中国家的环境。 在此续签申请中，我们请求为我们的奖学金再提供五年的支持。建立在 在我们当前计划的基础上，我们提出了几项关键的改进措施。这些变化已被告知 通过对奖学金的系统评估，包括来自导师、受训人员和 顾问。首先，我们将重新组织我们的团契课程，以便每位新学员从三个选项中选择一个 不同的研究跟踪(妊娠结局、生殖健康、妇女癌症)和三项之一 方法集中(临床试验、流行病学、实施科学)。这一框架将 允许对指定的课程作业、导师配对和研究项目采取更个性化的方法，以便 研究员在完成项目时获得了更深入的专题和方法论专业知识。二是做大做强 我们的计划资格通过引入新的结合奖学金与已建立的妇产科分专业 母体胎儿医学、计划生育和妇科肿瘤学。第三，我们将扩大我们的地理位置 覆盖范围超出我们目前在赞比亚(卢萨卡)和马拉维(利隆圭)的地点，以提供 南非(约翰内斯堡)。在奖学金结束时，毕业生将获得必要的技能和 在全球妇女健康领域成为美国国立卫生研究院独立资助的研究人员的经验。

ABSTRACT Women living in the developing world face an unacceptably high risk of disability and death, often from preventable causes. Obstetrician-gynecologists (Ob-Gyns) are needed to reduce this disease burden worldwide, but there are few established pathways to prepare investigators in global women’s health research. To address this gap, we launched the UNC Global Women’s Health Fellowship in 2012. Our program is research-focused, with the explicit goal of training the next generation of independent NIH investigators. We offer an immersive training experience, through which fellows typically spend two years overseas, working at established international research sites. Our trainees are intensively mentored by an experienced and highly accomplished faculty representing diverse disciplines and backgrounds. Fellows take part in structured enrichment activities to guide their scientific and professional development, including graduate-level coursework, conferences and seminars, and professional networking. To date, our program has supported 13 postdoctoral trainees, including eight appointed to our current T32 award. UNC Global Women’s Health fellows have implemented cutting-edge research and published policy-relevant papers; most have transitioned to academic positions after graduation. Importantly, all have learned how to design and implement studies in developing world settings. In this renewal application, we request another five years of support for our fellowship. Building upon the foundation of our current program, we propose several key improvements. These changes have been informed by a systematic evaluation of the fellowship, including structured feedback from mentors, trainees, and advisors. First, we will reorganize our fellowship curriculum so that each new trainee chooses one of three distinct research tracks (pregnancy outcomes, reproductive health, women’s cancers) and one of three methodological concentrations (clinical trials, epidemiology, implementation science). This framework will permit a more individualized approach to assigned coursework, mentor pairing, and research projects, so that fellows gain deeper topical and methodologic expertise as they complete the program. Second, we will expand our program eligibility by introducing novel combined fellowships with the established Ob-Gyn subspecialties of maternal fetal medicine, family planning, and gynecologic oncology. Third, we will extend our geographic coverage beyond our current sites in Zambia (Lusaka) and Malawi (Lilongwe) to offer training placements in South Africa (Johannesburg). By the end of the fellowship, graduates will obtain the necessary skills and experience to become independently-funded NIH investigators in the field of global women’s health.