Career Development in Patient Centered Outcomes Research

描述(由申请人提供)：这项建议的主要目的是支持初级教师在以患者为中心的结果研究(PCOR)中寻求职业道路的发展。参加PCOR奖学金计划的合格候选人将从几个主要来源中挑选出来，包括1)宾夕法尼亚大学和费城儿童医院现有的临床奖学金培训计划，2)博士后临床研究培训计划，包括卫生政策研究理学硕士、临床流行病学理学硕士、罗伯特·伍德·约翰逊基金会临床学者计划和许多NIH和AHRQ资助的研究生(T32)培训计划，以及3)全校拥有有兴趣攻读PCOR的初级和高级教职员工的系。此外，国家搜索战略将有助于确保为宾夕法尼亚大学校园招聘优秀的候选人。通过该计划资助的候选人将完成有指导的研究项目，重点是以患者为中心的结果和比较有效性研究领域中证据的产生、翻译和传播，并特别关注评估医疗保健提供系统的设计和政策。提出了两条训练路径。对于那些之前没有接受过临床研究方法正式培训的初级调查人员，该计划将支持完成两年制的临床流行病学硕士学位课程(临床流行病学理学硕士)或卫生政策研究(卫生政策研究理学硕士)。对于已完成这类正式培训的PCOR学者，大部分获得资助的时间将用于指导临床研究项目，并在有需要时提供额外教学活动的机会。将为所有变革和组织振兴方案学者分配一名初级导师，并将在必要时受益于二级导师的投入，以及一个由实地领导人组成的咨询委员会。导师代表了一群国家公认的科学家，他们在临床和方法上领导着多样化的研究计划，特别强调卫生服务和卫生政策研究领域。宾夕法尼亚大学拥有大量资源来支持这些学者，包括在几个全国性研究网络中的项目，以及跨医学院、护理学院、沃顿商学院和安纳伯格传播学院的强大的多学科联系。此外，还强调研究、实施和传播方面的技能。已经制定了一项评估计划，以跟踪变革和组织振兴方案奖学金获得者在方案期间及以后取得的成功。 与公共卫生相关：越来越多的人认识到，医疗保健结果既反映了提供医疗保健的系统，也反映了所提供的药物和设备以及开处方的个人。拟议的以患者为中心的结果研究(K12)学者计划将在职业生涯的早期阶段招聘和培训临床科学家 并将它们与导师和多学科课程联系起来，旨在培养研究比较医疗服务系统和政策及其对患者结局影响的领导者。

DESCRIPTION (provided by applicant): The primary aim of this proposal is to support the development of junior faculty pursuing career pathways in patient centered outcomes research (PCOR). Eligible candidates for this PCOR Scholars Program will be identified from several key sources including 1) existing clinical fellowship training programs at the University of Pennsylvania and Children's Hospital of Philadelphia, 2) postdoctoral clinical research training programs including the Masters of Science in Health Policy Research, Masters of Science in Clinical Epidemiology, Robert Wood Johnson Foundation Clinical Scholars Program and numerous NIH and AHRQ funded post graduate (T32) training programs and 3) departments across the University with junior and senior faculty interested in pursuing PCOR. In addition, national search strategies will help assure the recruitment of outstanding candidates to the Penn campus. Candidates supported through this program will complete mentored research projects focusing on the generation, translation, and dissemination of evidence in the areas of patient centered outcomes and comparative effectiveness research, with a specific focus on evaluating health care delivery system designs and policies. Two training pathways are proposed. For those junior investigators without prior formal training in clinical research methods, the program will support the completion of a two year Masters level degree program in Clinical Epidemiology (Masters of Science in Clinical Epidemiology) or Health Policy Research (Masters of Science in Health Policy Research). For those PCOR Scholars having completed such formal training, the majority of the supported time will be devoted towards mentored clinical research projects, with opportunities for additional didactic activities as needed. All PCOR Scholars will be assigned a primary mentor and will benefit from the input of secondary mentors as needed and an advisory committee composed of leaders in the field. The pool of mentors represents a group of nationally recognized scientists leading clinically and methodologically diverse research programs, with special emphasis in the areas of health services and health policy research. The University of Pennsylvania has substantial resources to support these scholars, including programs in several national research networks as well as strong multidisciplinary ties across the School of Medicine, School of Nursing, Wharton School of Business, and Annenberg School of Communication. Skills in research implementation and dissemination are also emphasized. An evaluation plan is in place to track the success of the PCOR Scholars during their time in the program and beyond. PUBLIC HEALTH RELEVANCE: There is a growing recognition that health care outcomes are as much a reflection of the systems that deliver medical care as the drugs and devices that are delivered and the individuals who prescribe them. The proposed Patient Centered Outcomes Research (K12) Scholars program will recruit and train clinical scientists at an early career stage and link them with a mentors and multidisciplinary curriculum designed to produce leaders in the study of comparative health delivery systems and policies and their impact on patient outcomes.