Research Education in Chronic Mental Illness

描述(由申请人提供)：这是一份修改后的R-25申请，旨在为PG4和5名精神科住院医生创建一个为期2年的教育计划，重点是发展必要的临床研究专业知识，以研究在急性症状恶化之间的长时间段内的慢性或复发性精神疾病。我们的患者大约95%的生命生活在急性症状的短暂时期之间，正是在这里，累积的疾病负担造成了最大的损失。然而，随着我们建立支持治疗的证据基础，最大的研究注意力集中在症状恶化的发作上。我们的目标是帮助建立一支新的研究人员队伍，他们拥有研究社区患者所需的特殊技能。通过教学和经验教育，研究人员将在以下方面发展技能：1)对文献的批判性分析，2)研究问题的提出，3)研究设计，4)从认知测试到成本评估的研究方法的发展和评估，5)数据管理和统计分析，6)研究结果的解释，7)科学方法和发现的口头和书面交流，以及8)发展和实施战略，以获得研究支持。知识和技能将通过一系列综合的核心研讨会和有指导的研究经验获得，包括研究研究的设计、实施、分析和发表。耶鲁大学医学院提供可选的高级课程。受监督的研究经验将利用广泛的跨学科、正在进行的研究，研究员将被嵌入其中，研究员可以从中制定一个独立的项目。在招募期间，研究员将与CMHC的全国公认的精神病学研究人员进行匹配，这些研究人员指导与慢性或复发性精神疾病治疗和社区精神病学相关的研究项目。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，现有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。 伴随着个性化的教育计划和一批优秀的实习生候选人。

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.