Training in Mechanisms and Clinical Presentation of Pain

疼痛机制和临床表现培训

• 批准号: 10627083
• 负责人: MICHAEL S GOLD
• 金额: $ 28.75万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10627083
• 关键词: Clinical; Pain; Training

The overarching goal of this training program is to train the next generation of pain researchers. We will continue to train both pre- (two per year) and post-doctoral (two per year) fellows in the fundamental principles of pain, as nociceptive signals arise and are modulated throughout the body and ultimately integrated in the brain to produce the sensory and emotional experience. We will continue to build on the training program developed through the first two funding periods of this grant around a combination of more formal coursework and less formal training experiences designed to provide not only a solid background in pain mechanisms and management, and a greater appreciation of the burden of pain, but in a variety of skills critical for career development including the use of cutting edge and rigorous and statistically sound methodology, literacy in quantitative approaches to pain research, networking, and oral and written communication. We are committed to an integrated approach to the study of pain which is based on our belief that major breakthroughs in this field can only be achieved through multidisciplinary approaches. This is most clearly manifest in practice through interactions between [1] laboratories (horizontal integration) and [2] researchers and clinicians (vertical integration). Accordingly, horizontal and vertical integration are essential components of this training program, which consists of three core elements: 1) Research - Multidisciplinary research projects are not only encouraged, but expected, as is exposure to clinical management of pain/pain-related problems. Horizontal and vertical integration will be achieved both through the choice of project, shaped by a primary mentor with input from the executive committee, and through the formation of multidisciplinary mentoring committees which will include at least one clinical faculty member among a three to four-member committee. 2) Theory - Trainees participate in four required for-credit courses: Mechanisms and Clinical Presentation of Pain, Pain Journal Club, bi-weekly Current Research on Pain presentations, and Pain Models – Rationale, Testing and Interpretation, as well as the monthly Pain Seminar Series, where trainees interact with prominent pain researchers. These courses serve as a primary venue to address issues of scientific rigor, proper use of statistics in experimental design and analysis, quantitative literacy, as well as reinforce issues associated with the responsible conduct of research. 3) Practice - Trainees will be exposed to the assessment, diagnosis and treatment of chronic pain patients through three primary venues: 1) the Mechanisms of Clinical Presentation of Pain course includes a series of lectures directed at assessment diagnosis and treatment of specific subpopulations/aspects of pain patients (visceral, headache, geriatric, etc); 2) One-on-one interactions with a clinician as a member of the training committee, that is often associated with opportunities for trainees to shadow pain physicians as they interview, diagnose and manage pain patients; and 3) Participation in activities organized by the Challenges in Managing and Preventing Pain (CHAMPP) Clinical Pain Research Center that involves exposure to clinical pain research, pain clinicians, and pain patients.

该培训计划的总体目标是培养下一代疼痛研究人员。我们将 继续对博士前（每年两名）和博士后（每年两名）研究员进行基本原则方面的培训 疼痛，因为伤害性信号出现，并在整个身体调制，并最终整合在 大脑产生感官和情感体验。我们将继续加强培训计划 通过这项赠款的前两个资助期，围绕更正式的课程组合开发 和不太正式的培训经验，旨在提供不仅在疼痛机制的坚实背景， 管理，以及更好地理解痛苦的负担，但对职业生涯至关重要的各种技能 发展，包括使用先进、严格和统计上合理的方法， 疼痛研究的定量方法，网络，口头和书面交流。我们致力 这是基于我们的信念，这方面的重大突破， 只有通过多学科方法才能实现这一目标。这一点在实践中表现得最为明显 通过[1]实验室（横向整合）与[2]研究人员和临床医生（纵向整合）之间的互动 整合）。因此，横向和纵向一体化是这一培训方案的重要组成部分， 它包括三个核心要素：1）研究-多学科研究项目不仅是 鼓励，但预期，因为是暴露于疼痛/疼痛相关问题的临床管理。水平 垂直整合将通过项目的选择来实现，由一个主要的导师塑造， 执行委员会的投入，并通过组建多学科指导委员会， 将包括至少一名临床教员在三至四名成员组成的委员会。2)理论-学员 参加四个学分必修课程：疼痛的机制和临床表现，疼痛杂志 俱乐部，每两周一次的疼痛介绍和疼痛模型的最新研究-基本原理，测试和 口译，以及每月的疼痛研讨会系列，学员与突出的疼痛互动 研究人员这些课程是解决科学严谨性、正确使用 实验设计和分析中的统计，定量素养，以及加强与 负责任地进行研究。3)实践-学员将接触到评估，诊断和 通过三个主要途径治疗慢性疼痛患者：1）临床表现的机制 疼痛课程包括一系列针对评估诊断和治疗的具体讲座 疼痛患者的亚群/方面（内脏、头痛、老年等）; 2）与 临床医生作为培训委员会的成员，这往往与学员的机会， 在疼痛医生采访、诊断和管理疼痛患者时，为他们提供阴影;以及3）参与活动 由管理和预防疼痛的挑战（CHAMPP）临床疼痛研究中心组织， 涉及接触临床疼痛研究、疼痛临床医生和疼痛患者。