Interdisciplinary Cerebrovascular Diseases Training Program in South America

这项拟议的跨学科脑血管训练竞争性更新的首要目标是 计划在南美洲(ICTUS)是继续建设一支秘鲁医生干部，以减少发病率 秘鲁脑血管疾病的死亡率和死亡率：a)确定环境、宿主和生活方式因素 与脑血管疾病风险增加有关，b)实施治疗和预防方案 为了减少这些风险，c)加强对中风患者的中风后康复治疗 护理人员，以及d)与学术机构和医院合作，调整政策，以解决人口问题- 通过该计划确定的水平中风护理需求。为了实现这一目标，我们提出了以下具体建议 目标：#1.加强脑血管疾病和卒中后康复的调查和管理 秘鲁通过讲习班、授课课程和硕士学位级别的研究方法培训 为秘鲁年轻医生提供临床指导；#2.支持秘鲁指导的临床研究项目 为所有中长期医师实习生获取论文工作、出版物和未来拨款的数据 在脑血管和中风后康复领域的应用；和#3：提高中风护理的质量 秘鲁通过实施科学、质量评估和质量促进中风后康复 进步。在第二个五年的培训期间，我们建议强调执行科学和 持续质量改进-这将作为秘鲁讲习班的主题，授课课程 在西雅图的中长期实习生，并作为指导论文项目的主题。此外，通过 正在等待秘鲁第一个中风训练奖学金的认可--由以前的Ictus见习医生带头。 卡洛斯·阿班托，我们期待着为秘鲁新中风患者提供所有我们提议的研究训练活动 研究员-增加研究的重视和整合到中风奖学金中，并增加我们的 在秘鲁和西雅图接受培训的候选人。我们的具体目标将通过以下组合来实现 短期、中期和长期培训，重点是佩鲁阿纳大学的硕士学位培训 Cayetano Heredia(UPCH)和华盛顿大学(UW)和为期三个月的综合培训 威斯康星大学具有中风管理和康复实践经验的流行病学研究方法 医药。我们还建议在执行科学、脑血管和慢性疾病方面举办短期培训讲习班 疾病流行病学、手稿和赠款的准备以及负责任的研究工作；导师培训 课程将与讲习班同时举行。这项拟议的培训计划的最大优点是 秘鲁第一个中风奖学金的发展正在接受认证，并将提供 申请我们拟议的培训活动的人数增加；世界知名的临床研究人员， 西雅图和秘鲁的神经流行病学家和中风专家将担任导师； 在秘鲁的学习地点。

The Overarching Goal of this proposed competing renewal of the Interdisciplinary Cerebrovascular Training program in South America (ICTuS) is to continue building a cadre of Peruvian physicians to reduce the morbidity and mortality of cerebrovascular disease in Peru through: a) identifying environmental, host and lifestyle factors associated with increased risk for cerebrovascular disease, b) implementing treatment and prevention programs to reduce these risks, c) enhancing post-stroke rehabilitation therapies for persons with stroke and their caregivers, and d) collaborating with academic institutions and hospitals to adapt policies to address population- level stroke care needs identified through this program. To achieve this goal, we propose the following specific aims: #1. Enhance investigation and management of cerebrovascular disease and post-stroke rehabilitation in Peru through workshops, didactic courses and Masters degree-level training in research methodology with clinical preceptorships for young Peruvian physicians; #2. Support mentored clinical research projects in Peru for all medium and long-term physician trainees to obtain data for thesis work, publications and future grant applications in the fields of cerebrovascular and post-stroke rehabilitation; and #3: Improve quality of stroke care and post-stroke rehabilitation in Peru through implementation science, quality assessment and quality improvement. Over this second five-year training period, we propose to emphasize implementation science and continuous quality improvement – which will be included as topics of workshops in Peru, didactic classes for medium and long-term trainees in Seattle, and as topics for mentored thesis projects. In addition, through the pending accreditation of the first stroke training fellowship in Peru – spearheaded by prior ICTuS trainee Dr. Carlos Abanto, we anticipate offering all of our proposed research training activities to new Peruvian stroke fellows – increasing the emphasis and integration of research into the stroke fellowship and increasing our candidate pool for training in Peru and Seattle. Our specific aims will be addressed through a combination of short, medium and long-term training, with an emphasis on master's degree training at the Universidad Peruana Cayetano Heredia (UPCH) and the University of Washington (UW) and three-month Comprehensive training in epidemiologic research methods at the UW with practical experience in stroke management and rehabilitation medicine. We also propose short training workshops in implementation science, cerebrovascular and chronic diseases epidemiology, manuscript and grant preparation, and responsible conduct of research; mentor training courses will be held concomitantly with workshops. The greatest strengths of this proposed training program are the development of the first stroke fellowship in Peru that is undergoing accreditation and will provide an increased stream of applicants for our proposed training activities; world-renowned clinical researchers, neuroepidemiologists, and stroke experts in Seattle and Peru who will serve as mentors; and well-developed study sites in Peru.