Research Education in Chronic Mental Illness

描述（由申请人提供）：这是一份修订后的R-25申请，旨在为PG4和5精神科住院医生创建一个2年的教育计划，重点是发展临床研究专业知识，以研究急性症状恶化之间的长期慢性或复发性精神疾病。大约95%的患者生活在短暂的急性症状期，在这里，疾病的累积负担造成了最大的损失。然而，当我们发展一个支持治疗的证据基础时，最大的研究注意力集中在症状恶化的发作上。我们的目标是帮助培养一批具有研究社区患者所需的特殊技能的新研究人员。通过教学和体验式教育，研究人员将培养以下技能：1)文献的批判性分析，2)研究问题的制定，3)研究设计，4)从认知测试到成本评估的研究方法的开发和评估，5)数据管理和统计分析，6)研究结果的解释，7)科学方法和研究结果的口头和书面沟通，以及8)制定和实施获得研究支持的策略。知识和技能将通过一系列综合的核心研讨会和指导研究经验，包括设计，实施，分析和研究报告的出版获得。耶鲁大学医学院提供选修的高级课程。受监督的研究经验将借鉴广泛的跨学科、正在进行的研究，研究员将参与其中，并从中开发一个独立的项目。在招募过程中，研究员将与CMHC国家认可的精神病学研究人员进行匹配，这些研究人员将指导与慢性或复发性精神疾病和社区精神病学治疗相关的研究项目。拟议的研究教育计划的特殊优势包括CMHC临床研究的杰出历史，可用研究导师的广度和深度，高效的研究环境，专门为精神科住院医生设计的教学研究课程

DESCRIPTION (provided by applicant): This is a revised R-25 application to create a 2-year education program for PG4 and 5 psychiatric residents focused on developing clinical research expertise necessary to study chronic or recurrent mental illnesses during the long periods between acute symptom exacerbations. Approximately 95% of our patients' lives are lived between the short periods of acute symptomatology and it is here that the cumulative burden of illness takes its greatest toll. Yet as we develop an evidence-base to support treatment, the greatest research attention has focused on the episodes of symptom exacerbation. We aim to help create a cadre of new researchers with the special skills necessary to study patients in their communities. Through didactic and experiential education, the research fellows will develop skills in: 1) critical analysis of the literature, 2) formulation of research questions, 3) study design, 4) development and evaluation of research methods from cognitive tests to cost assessments, 5) data management and statistical analysis, 6) interpretation of findings, 7) verbal and written communication of scientific methods and findings, and 8) development and implementation of strategies to obtain research support. Knowledge and skills will be gained through an integrated series of core seminars and a mentored research experience that includes design, implementation, analysis, and publication of a research study. Optional, advanced courses are available through Yale University's School of Medicine. The supervised research experience will draw on a broad array of interdisciplinary, on-going research in which the fellows will be embedded and from which the fellows can develop an independent project. Fellows will be matched during recruitment with nationally recognized, psychiatric researchers at the CMHC, who direct research programs of relevance to treatment of chronic or recurrent mental illness and community psychiatry. The special strengths of the proposed research education program include a distinguished history of clinical research at the CMHC, the breadth and depth of available research mentors, a highly productive research environment, a didactic research curriculum designed specifically for psychiatric residents accompanied by individualized education plans, and an outstanding pool of trainee candidates.