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训下一代疼痛研究人员。我们将 继续在基本原则中培训前（每年两个）和博士后（每年两个）研究员 疼痛，随着伤害感受信号的出现，并在整个身体中进行调节，并最终整合到 大脑产生感官和情感体验。我们将继续建立培训计划 通过这笔赠款的前两个资金期间开发，围绕更正式的课程的组合 以及较少的正式培训经验，旨在提供疼痛机制的坚实背景和 管理，并更加了解痛苦的灼伤，但在各种技能中都对职业至关重要 开发，包括使用前沿以及严格且统计上合理的方法论，识字 疼痛研究，网络以及口头和书面交流的定量方法。我们承诺 采用综合方法来研究疼痛，这是基于我们的信念，即在此方面有重大突破 只能通过多学科的方法来实现字段。这在实践中最明显地表现出来 通过[1]实验室（水平整合）和[2]研究人员和临床医生之间的相互作用（垂直 一体化）。根据，水平和垂直整合是该培训计划的重要组成部分， 哪个由三个核心要素组成：1）研究 - 多学科研究项目不仅是 鼓励但期望的，这是对疼痛/疼痛有关的问题的临床管理。水平的 垂直整合将通过项目的选择来实现，这是由主要心理塑造的 执行委员会的意见，并通过成立多学科指导委员会 将在三到四名成员的委员会中至少包括一名临床教师。 2）理论 - 学员 参加四个必需的学分课程：疼痛的机制和临床表现，疼痛杂志 俱乐部，每两周一次的疼痛表现研究和疼痛模型 - 基本原理，测试和 解释以及每月疼痛研讨会系列，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问题的主要场所 实验设计和分析，定量素养以及加强与相关问题的统计数据 负责任的研究行为。 3）实践 - 学员将受到评估，诊断和 通过三个主要场所治疗慢性疼痛患者：1） 疼痛课程包括一系列针对评估诊断和特定治疗的讲座 疼痛患者的亚群/方面（内脏，标头，老年等）； 2）与 临床医生是培训委员会的成员，这通常与培训的机会有关 阴影疼痛医生在面试，诊断和管理疼痛患者时； 3）参加活动 由管理和预防疼痛（CHAMPP）临床疼痛研究中心的挑战组织 涉及暴露于临床疼痛研究，疼痛临床医生和疼痛患者。