Learning Health System training program: PROgRESS-- Patient/ pRactice Outcomes and Research in Effectiveness and Systems Science

项目总结 学习型医疗保健系统的设计目的是为合作伙伴提供最佳证据 每个患者和提供者的医疗保健选择，推动了发现过程的自然发展 患者护理，并确保医疗保健领域的创新、质量、安全和价值。 范德比尔特致力于继续培养一支训练有素、训练有素的科学家队伍 精通整合科学发现、证据实施和健康评估的最佳方法 学习型医疗系统中的政策。我们在培训研究员和改进方面有很好的记录 病人的结果。我们建议更新Vanderbilt患者，实践结果和研究 有效性和系统科学(进步)计划，以交叉培训博士后研究人员与 重点关注学习型医疗系统的三个核心学科：1)以患者为中心的结果研究-到 确定哪些策略对患者最有效；2)实施科学--实施和 评估这些有效战略的实施情况；以及3)卫生政策/社区卫生--影响政策 造福所有患者，改善人群和社区的健康。 通过交叉培训研究人员，我们将把受训者和导师小组聚集在一起，以模拟团队科学。 我们为初级调查人员和论坛提供榜样，展示智力生产力和 跨学科研究在促进人类健康方面的实际好处。我们支持团队的方法来 填补知识空白并将知识转化为应用，从而提高 人口的健康。一个强大和多样化的有才华的申请者库中有更多的申请者 年比计划中可用的空位更多。我们有一个蓬勃发展的实施科学计划，一个很好的- 定位为卫生政策部门，以及包括Meharry医学院和 范德比尔特大学护理学院。 进步实习生将继续获得持续的联邦资助的教师导师 指导学员的广泛记录。每位学员的奖学金监督委员会(SOC)将抽签 来自三个重点领域的经验丰富的导师池：以患者为中心的结果研究， 实施科学和卫生政策/社区卫生。该计划将继续提供：1) 高级教学，包括学位课程或专注于课堂作业；2)正式的指导，为 K-Level培训的受训者；以及3)通过开展研究项目进行体验式学习。实习生 将得到广泛的培训和发展机构资源的支持，包括： 进展、临床质量和实施研究学术系列和期刊俱乐部，生物统计学 研讨会、临床和翻译研讨会以及同伴指导活动。总而言之，这些资源 为培养下一代学习型卫生系统科学家提供最佳环境。

PROJECT SUMMARY The learning healthcare system is designed to “generate and apply the best evidence for the collaborative healthcare choices of each patient and provider, drive the process of discovery as a natural outgrowth of patient care, and ensure innovation, quality, safety, and value in healthcare.” Vanderbilt is committed to continuing in the development of a cadre of scientists formally trained and well versed in best methods for integrating scientific discovery, evidence implementation, and evaluation of health policies within the learning healthcare system. We have a strong track record of training fellows and improving patient outcomes. We propose to renew the Vanderbilt Patient, pRactice Outcomes and Research in Effectiveness and Systems Science (PROgRESS) Program to cross train post-doctoral investigators with a focus in the learning healthcare system's three core disciplines: 1) Patient Centered Outcomes Research - To determine which strategies are most effective for patients; 2) Implementation Science - To implement and evaluate those effective strategies into practice; and 3) Health Policy/ Community Health - To influence policy to benefit all patients and improve health of the population and community. By cross training researchers, we will draw together groups of trainees and mentors to model team science. We provide role models to junior investigators and forums that demonstrate the intellectual productivity and practical benefits of interdisciplinary research in advancing human health. We endorse team approaches to filling gaps in knowledge and translating knowledge into application that leads to improvement in the populations' health. A robust and diverse pool of talented applicants is available with more applicants each year than spaces available in the program. We have a thriving Implementation Science program, a well- positioned Department of Health Policy, and diverse partners including Meharry Medical College and Vanderbilt University School of Nursing. PROgRESS trainees will continue to access faculty mentors with sustained federal funding who have an extensive track record of mentoring trainees. Each trainee's Scholarship Oversight Committee (SOC) will draw from an experienced pool of mentors in the three areas of focus: Patient Centered Outcomes Research, Implementation Science, and Health Policy/Community Health. The program will continue to provide: 1) advanced didactics, including a degree program or focused classwork; 2) formal mentorship that prepares trainees for K-level training; and 3) experiential learning through the conduct of a research project. Trainees will be supported by a broad array of institutional resources for training and development, including: Work in Progress, Clinical Quality and Implementation Research Scholarly Series and journal clubs, Biostatistics Seminars, clinical and translational seminars, and peer-mentoring activities. Taken together, these resources provide an optimal environment for developing the next generation of learning health system scientists.