Training in Child Health Services Research and Implementation Science

儿童健康服务研究和实施科学培训

• 批准号: 10747607
• 负责人: Laura Faden Garabedian
• 金额: $ 55.2万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10747607
• 关键词: Training; Child; Health; Services; Research

ABSTRACT The Harvard-wide pediatric HSR Fellowship is a 30 year collaboration of Boston Children’s Hospital, Massachusetts General Hospital for Children, and the Harvard Department of Population Medicine/Harvard Pilgrim Healthcare Institute. This program has an amazing training record- the 154 alumni include 18 graduates from race/ethnicity groups underrepresented in medicine, 61 in leadership positions including 16 CMOs or Senior VPs, and four elected to the National Academy of Medicine. The curriculum is grounded in rigorous child health services research training and in-depth implementation science training, aligned with AHRQ learning health system (LHS) competencies. While our multisite collaborative leadership structure has remained constant for two decades, our list of multidisciplinary, innovative faculty is updated regularly. Pediatric HSR training programs are needed because critical epidemiologic, fiscal, and workforce differences, such as a mental health crisis or a relative dearth of quality measures and interventions, set pediatrics apart from adult medicine. Our overarching aim remains: to provide outstanding, comprehensive training across the spectrum of pediatric health services research methods that both advances understanding of equitable health and healthcare systems, and tests and evaluates implementation of novel approaches that demonstrably improve child health. Toward this aim, the objectives for this fellowship are to: 1) recruit and retain diverse candidates; 2) provide exemplary training in health services research and implementation science within LHS; 3) support our dedicated faculty; 4) continuously improve the training program and update the curriculum; and 5) continue to develop diverse graduates to lead the nation in innovative pediatric health services research, including research that accelerates the development of LHS. To meet this goal, training focus areas include: cutting edge and emerging methods in health systems research; application of implementation science and related methods; LHS competencies including embedded research and health equity research within health systems; and patient and family-centered research. The program will support 7 postdoctoral trainees per year for the 2-year postdoctoral fellowship to create a critical mass of trainees across subspecialties, areas of research, and methodological domains. In addition to conducting closely mentored research, each trainee will complete coursework from the Harvard T.H. Chan School of Public Health for core skills of biostatistics and epidemiology and participate in advanced health services research methods training. Over the past 30 years, our program has evolved in response to feedback from trainees, faculty, and our advisory board. In this cycle, we will expand LHS training consistent with AHRQ’s new health equity and embedded research competencies and add an alumni mentoring program. Renewal of our T32 Program will address a critical deficiency in the pediatric subspecialist and generalist healthcare delivery system scientists that will foster the development and success of learning healthcare systems to improve child health.

摘要 全哈佛的儿科高铁奖学金是波士顿儿童医院30年来的合作项目， 马萨诸塞州儿童总医院和哈佛大学人口医学系 朝圣者保健研究所。该项目有着令人惊叹的培训记录-154名校友中有18名 来自种族/族裔群体的毕业生在医学界任职人数不足，61人担任领导职务，其中16人 首席运营官或高级副总裁，以及四名当选为国家医学科学院成员。该课程的基础是 严格的儿童保健服务研究培训和深入实施科学培训，与 AHRQ学习卫生系统(LHS)能力。而我们的多站点协作领导结构 二十年来，我们的多学科创新教师名单一直保持不变，并定期更新。 儿科高铁培训计划是必要的，因为关键的流行病学、财政和劳动力差异， 例如精神健康危机或相对缺乏质量措施和干预措施，使儿科脱颖而出 来自成人医学。我们的首要目标仍然是：在全球范围内提供卓越的全面培训 儿科健康服务研究方法的范围，既促进对公平健康的理解 和医疗系统，并测试和评估新方法的实施情况 改善儿童健康。为达到这一目标，该奖学金的目标是：1)招募和保持多样化 候选人；2)在LHS内提供保健服务研究和实施科学方面的模范培训； 3)支持我们的敬业教师；4)不断改进培训计划，更新课程设置；以及 5)继续培养多样化的毕业生，在创新的儿科卫生服务研究方面引领全国， 包括加速LHS发展的研究。为实现这一目标，培训重点领域包括： 卫生系统研究的前沿和新兴方法；实施科学和技术的应用 相关方法；LHS能力，包括嵌入研究和健康领域内的健康公平研究 系统；以患者和家庭为中心的研究。该计划每年将支持7名博士后实习生 对于为期两年的博士后奖学金，以培养跨子专业、领域的大量受训人员 研究和方法论领域。除了进行密切指导的研究外，每个受训人员还将 完成哈佛大学公共卫生学院生物统计学和生物统计学核心技能的课程 参加流行病学和高级卫生服务研究方法培训。在过去30年里， 我们的项目是根据学员、教师和我们的顾问委员会的反馈而发展起来的。在这个循环中， 我们将根据AHRQ新的健康公平和嵌入的研究能力来扩展LHS培训 并增加校友辅导计划。我们T32计划的续订将解决以下方面的严重缺陷 儿科专科专家和多面手医疗保健提供系统的科学家将促进发展和 成功学习医疗保健系统以改善儿童健康。

项目成果

Increasing Heart Dose Reduces Overall Survival in Patients Undergoing Postoperative Radiation Therapy for NSCLC.

• DOI: 10.1016/j.jtocrr.2021.100209
• 发表时间: 2021-08
• 期刊: JTO clinical and research reports
• 作者: Shepherd AF;Yu AF;Iocolano M;Leeman JE;Wild AT;Imber BS;Chaft JE;Offin M;Huang J;Isbell JM;Wu AJ;Gelblum DY;Shaverdian N;Simone CB 2nd;Gomez D;Yorke E;Jackson A;Rimner A
• 通讯作者: Rimner A

Costs and consequences of universal sibling screening for vesicoureteral reflux: decision analysis.

• DOI: 10.1542/peds.2010-0744
• 发表时间: 2010-11
• 期刊: Pediatrics
• 影响因子: 8
• 作者: Routh JC;Grant FD;Kokorowski P;Lee RS;Fahey FH;Treves ST;Nelson CP
• 通讯作者: Nelson CP

Sulfation of glycosaminoglycans depends on the catalytic activity of lithium-inhibited phosphatase BPNT2 in vitro.

• DOI: 10.1016/j.jbc.2021.101293
• 发表时间: 2021-11
• 期刊: The Journal of biological chemistry
• 作者: Eisele BS;Luka Z;Wu AJ;Yang F;Hale AT;York JD
• 通讯作者: York JD

Plugging the Leaky Pipeline: The Role of Peer Mentorship for Increasing Diversity.

• DOI: 10.1542/peds.2021-055925
• 发表时间: 2022-10-01
• 期刊: PEDIATRICS
• 影响因子: 8
• 作者: Fraiman, Yarden S.;Montoya-Williams, Diana;Ellis, Joshua;Fadel, Cicely W.;Bonachea, Elizabeth M.;Pena, Michelle-Marie
• 通讯作者: Pena, Michelle-Marie

Increasing Use Of Interferon Gamma Release Assays Among Children ≥2 Years of Age in a Setting With Low Tuberculosis Prevalence.

• DOI: 10.1097/inf.0000000000003685
• 发表时间: 2022-12-01
• 期刊: The Pediatric infectious disease journal