NRSA Training: Psychiatric-Medical Comorbidity in Aging

描述(由申请人提供)：这是一个博士后研究培训跨学科项目的续期申请，重点是老龄、老年精神病学、精神疾病和医学障碍的共病以及在普通医疗和长期护理环境中提供精神健康护理。它是NIMH支持的高级干预和服务研究中心的一个组成部分。该计划通过宾夕法尼亚大学老年精神病学部管理，其他精神病学专业、医学、家庭实践和流行病学/生物统计学的教职员工参与其中。教职员工包括一个致力于与该计划使命相关的研究的核心小组，一个充实该计划的临床医生调查人员联合小组，以及一个将作为共同导师积极参与的临床神经科学家翻译小组。 该计划的目标是培养医学博士和博士实习生作为独立的调查人员和/或能够在更大规模、多中心研究的背景下发展独立调查路线的调查人员。它将考虑致力于干预研究职业的拥有医学和博士学位的申请者。该奖学金将每年招收2-4名研究员，为期2-3年，重点关注受监督的研究经验，并辅之以正式的课程、研讨会和教程。所有研究员都将参加大学以患者为中心的研究培训核心，以及研究道德行为方面的培训。未经正式研究培训的医学博士将参加临床流行病学硕士项目或同等项目。对于每个研究员，体验将由一个个性化的培训计划指导，该计划由学员和核心教员的一名导师制定，并得到指导委员会的批准。将在方案内部和由外部顾问/顾问监测进展情况。该计划中的培训机会涵盖干预研究的范围，从随机临床试验/疗效研究，到有效性研究，到实践和服务研究，以及转化性研究。该计划由一个积极参与研究老年人精神障碍的教职员工发起，这是一个以精神和医学共病为规则的群体，以及初级和专科医疗环境中的精神健康和精神障碍的研究。通过该计划寻求的支持将为学员提供一系列资源，包括宾夕法尼亚州立大学NIMH支持的高级干预和服务研究中心的资源、其他使能资源以及广泛的研究资助组合。

DESCRIPTION (provided by applicant): This is a renewal application for an interdisciplinary program of postdoctoral research training with foci on aging, geriatric psychiatry, the comorbidity of psychiatric and medical disorders and the delivery of mental health care in general medical and long term care settings. It is a component of an NIMH-supported Advanced Center for Interventions and Services Research. The program is administered through the Section on Geriatric Psychiatry at the University of Pennsylvania with participation of faculty from other programs in Psychiatry, and from Medicine, Family Practice, and Epidemiology/Biostatistics. The faculty consists of a Core group who are working intensively on research related to the mission of the program, an Associated group of clinician investigators who enrich the program, and a translational group of clinical neuroscientists who will be active as co-mentors. The goals of the program are to prepare MD and PhD trainees to function as independent investigators and/or as investigators able to develop an independent line of investigation in the context of larger scale, multicenter studies. It will consider applicants with MD and PhD degrees who are committed to careers in intervention research. The fellowship will admit 2-4 fellows/year for 2-3 years of training with a focus on supervised research experiences complemented by formal coursework, workshops, and tutorials. All fellows will participate in the University's Patient Oriented Research Training core, and training in the ethical conduct of research. MD's without prior formal research training will participate in the MS program in Clinical Epidemiology (MSCE) or an equivalent program. For each fellow, the experience will be guided by an individualized training plan, developed by the trainee and a mentor from the Core faculty and approved by the steering committee. Progress will be monitored both within the program and by external consultants/advisors. The training opportunities within this program span the breadth of intervention research ranging from randomized clinical trials/efficacy studies, through effectiveness studies to practice and services research, as well as translational research. The program arises from a faculty that is actively involved in research on the mental disorders of the elderly, a group in which psychiatric-medical comorbidity is the rule, and on mental health and mental disorders in primary and specialty medical care settings. The support sought through this program will make an array of resources available for trainees including those of Penn's NIMH-supported Advanced Center for Interventions and Services Research other enabling resources, and an extensive portfolio of research grants.