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

描述(由申请人提供)：达特茅斯整形外科临床医生/研究人员培训计划(DOC/RTP)每年为两名整形外科住院医师(一名毕业于PGY 2，一名毕业于PGY 3)提供一个研究年度，在此期间他们将获得达特茅斯卫生政策与临床实践研究所(TDI)(前身为评估临床科学中心)的硕士学位。目标是让这些住院医生成长为未来的骨科研究领导者，拥有良好的研究实践和技术来执行自己的研究并评估他人的研究。这门独特的课程由John E.Wennberg博士(被Health Affairs评为过去25年最有影响力的卫生政策研究员)设计，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中的质量改进、卫生保健经济学、卫生政策、卫生保健系统社会学和大型数据库的使用，所有这些课程都由我国这些领域的一些领先专家授课，其中7名教员是美国国家科学院的成员。为NRSA住院医生提供众多研究机会的基础设施一直由最近被任命为TDI主任和温伯格博士继任者的温斯坦博士协调。DOC/RTP的成功是如此明确，以至于达特茅斯和全国各地的其他人都在复制和效仿该程序。在我们资助的前5年，我们将向10名骨科住院医生授予卫生政策和临床实践方面的硕士学位。这些杰出的学生来自耶鲁大学、达特茅斯大学、华盛顿大学和西北大学等医学院，他们来到达特茅斯不仅是因为出色的整形外科计划，也是因为NRSA提供的机会以及了解医疗保健的交付和科学的机会。所有从TDI项目毕业的整形外科毕业生都继续他们的学术生涯，要么是在专科奖学金中，要么是通过医学中心/医学院协会。研究项目和出版物呈指数级增长。更重要的是，驻地工作的质量有所提高，医学研究已被发展为其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.