Duke Mentored CER Scholar Program

描述（由申请人提供）：杜克大学医学中心（DUMC）根据AHRQ ARRA恢复法案2009年有限竞争RFA-HS-10-007提出了一项指导性比较有效性研究学者计划（MCERSP）。30多年来，杜克一直是培养临床研究人员的世界领导者。杜克大学内的研究机构，如杜克临床研究所、初级保健卫生服务研究中心、初级保健研究实践网络和综合癌症研究所，为全国各地的1,000多名教师培养了研究事业。除了我们在教育临床研究人员方面的强大传统外，杜克还拥有广泛的基础设施，用于进行比较有效性研究。AHRQ资助的循证实践（EPC）中心，发展证据告知有效性决策（DEClDE）中心，治疗学教育和研究中心（CERT）和新资助的VA证据综合中心为学者的研究项目提供了极好的机会。 然而，我们认识到，在医疗保健服务的定量方面培训未来领导者的模式正在发生变化。我们不能在纯方法论的真空中培养临床研究人员。他们必须接触到医疗服务系统中的真实的问题，如果他们的发现有希望用于改善医疗服务，他们必须了解如何组建和领导研究人员、临床医生和管理人员的团队。 我们为致力于比较有效性研究事业的独特学者群体提供3年的教育和研究经验。我们的MCERSP有六个主要元素：（1）包括临床领导者的导师团队，（2）量身定制的教学经验，（3）指导研究项目，（4）在卫生系统中的“实习”，（5）职业技能建设计划，以及（6）杜克以外的短期研究经验。我们已经确定了25名有资格指导学者的教师和16名潜在学者。 公共卫生相关性：联邦政府已经确定了比较有效性研究对该国医疗保健未来的至关重要性。学术医疗中心被要求培训更多的研究人员进行比较有效性研究，以解决这一急需的专业领域。

DESCRIPTION (provided by applicant): Duke University Medical Center (DUMC) proposes a Mentored Comparative Effectiveness Research Scholar Program (MCERSP) in response to the AHRQ ARRA Recovery Act 2009 Limited Competition RFA-HS-10-007. For over 30 years, Duke has been a world leader in training clinical researchers. Research organizations within Duke, like the Duke Clinical Research Institute, the Center for Health Services Research in Primary Care, the Primary Care Research Practice Network, and the Comprehensive Cancer Institute, have fostered research careers for over 1,000 faculty who serve in institutions throughout the country. In addition to our strong tradition in educating clinical researchers, Duke has an extensive infrastructure in place for conducting comparative effectiveness research. The AHRQ funded Evidence Based Practice (EPC) Center, the Developing Evidence to Inform Decisions about Effectiveness (DEclDE) Center, the Center for Education and Research on Therapeutics (CERT), and the newly funded VA Evidence Synthesis Center provide excellent opportunities for Scholars' research projects. We recognize, however, that the paradigm for training future leaders in the quantitative aspects of healthcare delivery is changing. We cannot train clinical researchers in a vacuum of pure methodology. They must be exposed to real problems in the healthcare delivery system, and they must understand how to form and lead teams of researchers, clinicians, and managers if there is any hope that what they discover will ever be used to improve care. We propose a 3-year education and research experience for a unique cohort of Scholars committed to careers in comparative effectiveness research. Our MCERSP has six major elements: (1) a mentor team including a clinical leader, (2) a tailored didactic experience, (3) a mentored research project, (4) an "internship" in the health system, (5) a career skills building program, and (6) a short-term research experience outside of Duke. We have identified 25 faculty who would be eligible to mentor the Scholars and 16 potential Scholars. PUBLIC HEALTH RELEVANCE: The federal government has identified the critical importance of comparative effectiveness research to the future of health care in the country. Academic medical centers are being called upon to train additional researchers in the conduct of comparative effectiveness research to address this much-needed area of expertise.