Education and training program in patient-centered outcomes research

描述(由申请人提供)：本申请建议在以患者为中心的结果研究(PCOR)中开发一个新的、多方面的教育和培训计划。它以布朗克斯医疗服务不足的社区为背景，代表着阿尔伯特·爱因斯坦医学院(一所研究密集型医学院)和蒙特菲奥里医学中心(一家面向社区的学术医疗中心和专注于初级保健的医疗保健提供系统)之间的合作伙伴关系，前者将开发和提供这一教育项目，后者的临床医生将接受研究人员培训。该计划将包括三个不同但相互关联的部分：一个关于PCOR基本方法的教育计划，最终获得证书；一个高级的“合作学习”计划，在这里，教职员工和学生学习、开发和讨论先进的和新兴的PCOR方法；以及在蒙特菲奥里的护理管理公司CMO提供的体验式短期奖学金，在那里，精选的、积极性很高的PCOR证书毕业生将在密切和专家的监督下获得实践经验。这项计划发挥了爱因斯坦的教学和研究人员的优势，并发挥了蒙特菲奥里在多样化和经济困难的市中心环境中提供高质量、高成本效益的护理服务的领导地位。该计划将保持对(患者、社区、支付者和其他“利益相关者”)的参与以及研究成果的传播和实施的创新关注。社区参与的一个方面将是要求研究员在开发研究项目时获得社区研究审查委员会的咨询。整个计划将在审查过程和结果的独立评估单位的支持下进行仔细评估。这些评价数据将提交给执行委员会(监督方案的日常运作)和咨询委员会(每年提供专家指导的小组)，并将根据这些调查结果，根据需要对方案进行修订。通过这项计划，我们将向来自不同卫生专业的临床医生干部灌输PCOR方面的知识和技能。我们以患者为中心的结果研究证书的毕业生将利用他们所学到的知识来推进循证临床实践，倡导以证据为基础的医疗保健改进，并为多学科的PCOR团队做出有意义的贡献。那些完成我们奖学金的人将继续领导方案和协调厅团队，并加强方案和方案厅的工作队伍。我们的专家教员将不仅作为教育者和培训者，而且将学习和帮助开发新的PCOR方法。整个计划将在一个服务不足的市中心环境中发展，并在一个有管理和负责任的护理组织中发展。因此，该计划不仅将培养一支专业的PCOR劳动力队伍，而且还将导致更精明的临床劳动力队伍、增强的机构PCOR能力、PCOR方法的进步，并最终改善医疗保健。

DESCRIPTION (provided by applicant): This application proposes to develop a new, multifaceted education and training program in patient-centered outcomes research (PCOR). Set in the medically underserved community of the Bronx, it represents a partnership between the Albert Einstein College of Medicine (a research-intensive medical school), which will develop and deliver this educational program, and Montefiore Medical Center (a community-oriented academic medical center and primary-care-focused healthcare delivery system), whose clinicians will be trained as researchers. The program will have 3 distinct but connected components: an educational program in the fundamental methodologies of PCOR, leading to a Certificate; an advanced "learning collaborative," where faculty and students learn, develop, and debate advanced and emerging PCOR methodologies; and an experiential short-term fellowship based at Montefiore's care management company, CMO, where selected, highly motivated PCOR Certificate graduates will get hands-on PCOR experience under close and expert supervision. This program plays to the strengths of Einstein's teaching and research faculty, and to Montefiore's leadership in delivering high-quality, cost-effective care in a diverse and economically disadvantaged inner-city setting. The program will maintain an innovative focus on engagement (of patients, communities, payers, and other 'stakeholders') and on dissemination and implementation of research findings. One aspect of community engagement will be the requirement that fellows obtain consultation from a community research review board as they develop their research projects. The entire program will be evaluated carefully under the aegis of an independent evaluation unit examining both process and outcomes. These evaluation data will be presented to an executive committee (overseeing the program's day-to-day operations) and an advisory committee (a panel providing expert guidance on an annual basis), and the program will be revised as needed, in accordance with these findings. Through this program, we will imbue a cadre of clinicians from different health professions with knowledge and skills in PCOR. Graduates of our Certificate in Patient-Centered Outcomes Research will use what they learn to advance evidence-based clinical practice, to advocate for evidence-based healthcare improvement, and to meaningfully contribute to multidisciplinary PCOR teams. Those who complete our fellowship will go on to lead PCOR teams and enhance the PCOR workforce. Our expert faculty will be engaged not only as educators and trainers, but will both learn and help develop emerging PCOR methodologies. This entire program will be developed within an underserved inner-city setting, and within a managed and accountable care organization. Thus, the program will not only produce an expert PCOR workforce, but also lead to a savvier clinical workforce, enhanced institutional PCOR capacity, advances in PCOR methodology, and ultimately healthcare improvement.