The Dartmouth Orthopaedics Clinician/Researcher Training Program (DOC/RTP)

描述（由申请人提供）：达特茅斯骨科临床医生/研究员培训计划（DOC/RTP）每年提供两名骨科住院医师（一名在PGY 2之后，另一名在PGY 3之后）一个研究年度，他们在达特茅斯卫生政策和临床实践研究所（TDI）获得硕士学位，该研究所前身为评估性临床科学中心。目标是让这些住院医生成长为未来骨科研究的领导者，拥有良好的研究实践和技术来进行自己的研究并评估他人的研究。由John E. Wennberg博士（被health Affairs评选为过去25年中最具影响力的卫生政策研究者）设计的独特课程，结合了流行病学和生物统计学，使用贝叶斯理论的决策分析，门诊和医院实践环境的质量改进，卫生保健经济学，卫生政策，卫生保健系统社会学，以及大型数据库的使用，所有这些都是由我们国家在这些领域的一些领先专家教授的。7名教员是国家科学院的成员。温斯坦博士最近被任命为TDI主任，也是温伯格博士的继任者，他负责协调支持我们nssa住院医生许多研究机会的基础设施。DOC/RTP的成功是毋庸置疑的，达特茅斯学院和全国各地的其他人都在复制和模仿这个项目。在我们资助的前5年，将向10名骨科住院医生颁发卫生政策和临床实践硕士学位。这些来自耶鲁大学、达特茅斯大学、华盛顿大学和西北大学等医学院的杰出人士来到达特茅斯，不仅是因为这里优秀的骨科项目，还因为NRSA提供的机会，以及学习医疗保健交付和科学的机会。所有从TDI项目毕业的骨科毕业生都可以继续他们的学术生涯，要么是在亚专业奖学金中，要么是通过医疗中心/医学院协会。研究项目和出版物呈指数增长。更重要的是，住院医生的工作质量得到了提高，医学科学的研究已经成为他们临床成功的关键组成部分。

DESCRIPTION (provided by applicant): The Dartmouth Orthopedics Clinician/Researcher Training Program (DOC/RTP) annually provides two orthopedic residents (one after the PGY 2 and one after the PGY 3) a research year during which they earn a Master's degree from The Dartmouth Institute for Health Policy and Clinical Practice (TDI), formerly the Center for the Evaluative Clinical Sciences. The objective is for these residents to grow into the orthopedic research leaders of the future, possessing sound research practices and techniques to perform their own research and to evaluate the research of others. The singular curriculum, designed by Dr. John E. Wennberg (voted the most influential health policy researcher of the past 25 years by Health Affairs), combines epidemiology and biostatistics, decision analysis using Bayesian theory, quality improvement in ambulatory and hospital-based practice settings, economics of health care, health policy, sociology of health care systems, and use of large data bases, all taught by some of our nation's leading experts in these fields, 7 of the faculty being members of the National Academy of Science. The infrastructure to support the many research opportunities for our NRSA residents has been coordinated by Dr. Weinstein, recently appointed as TDI Director and successor to Dr. Wennberg. The success of the DOC/RTP has been so unmistakable that the program is being copied and emulated by others at Dartmouth and around the country. In our first 5 years of funding, Master's degrees in health policy and clinical practice will have been awarded to 10 orthopedic residents. Each of these outstanding individuals, from medical schools such as Yale, Dartmouth, University of Washington and Northwestern, came to Dartmouth not only because of the outstanding Orthopedics program but also because of the opportunity afforded by the NRSA and the chance to learn about the delivery and science of health care. All orthopedic graduates from TDI's program have continued their academic careers either in subspecialty fellowships or through medical center/medical school association. Research projects and publications have increased exponentially. More importantly, the quality of resident work has improved and the study of the science of medicine has been developed as a critical component of their clinical success.