Training in Critical Care Health Policy Research

描述(由申请者提供)：本申请申请为期五年的资金，以支持一个新的重症监护卫生政策研究(CCHPR)博士后培训计划。该计划的总体目标是培养经过培训的熟练研究人员，以进行卫生服务研究，并能够作为独立研究人员从事学术生涯，以提高重症监护医学的质量、安全性、效率和公平性。在该奖学金的支持下，所有受训人员都可以报名参加由宾夕法尼亚大学医学院及其沃顿商学院提供的卫生政策研究(MSHP)理学硕士学位课程。学员接受为期两年的密集、结构化的指导、教学研究培训和经验性研究。该计划包括卫生经济学、卫生政策、定性/定量数据收集和统计学的核心教学课程；急性护理流行病学的必修课；高级流行病学或生物统计学、高级卫生保健经济学、卫生保健政策、统计学、调查设计和测量以及社会政策、社会环境和人口学的选修课；该领域专家对重症护理卫生服务研究的强化指导；参加多学科研究研讨会；在负责任的研究和监管事务方面的指导；以及在多学科指导团队的密切监督下开发和完成重症护理医学的临床研究项目。该计划是为具有成人和儿科危重护理临床经验的博士后内科研究员设计的。重症监护的定义包括对患有严重急性医疗问题的成人和儿童的护理、创伤和重症监护病房、冠心病监护病房或急诊科的手术后护理。该计划强调对重症护理结果、融资、交付和管理方面的政策相关问题的研究，通常是在协作和跨学科的背景下进行的。项目参与者将获得必要的技能，将他们的临床专业知识与他们的研究培训结合起来，以便提出和回答有关危重护理是以及应该如何组织、资助、管理和提供的重要问题。相关性(见说明)：危重疾病的发病率、死亡率和费用是巨大的。这一博士后项目结合了临床经验、卫生服务研究培训和针对接受过危重护理医学培训的医生的政策分析。这些受训人员将形成一支医生领导干部队伍，能够在床边、跨人群和与政策制定者一起解决危重护理问题。

DESCRIPTION (provided by applicant): This application requests funding for five years to support a new postdoctoral training program in critical care health policy research (CCHPR). The overall goal of this program is to develop skilled investigators trained to conduct health services research and capable of academic careers as independent researchers improving the quality, safety, efficiency, and equity of critical care medicine. All trainees supported by this fellowship enroll in the Masters of Science in Health Policy Research (MSHP) degree program-offered by Penn's School of Medicine and its Wharton School. Trainees receive an intensive, structured program of mentoring, didactic research training, and experiential research over two years. The program includes core didactic courses in health economics, health policy, qualitative/quantitative data collection, and statistics; a required course in the epidemiology of acute care; elective courses in advanced epidemiology or biostatistics, advanced health care economics, health care policy, statistics, survey design and measurement, and social policy, social environment, and demography; intensive mentoring in critical care health services research by experts in the field; participation in multidisciplinary research seminars; instruction in the responsible conduct of research and regulatory affairs; and the development and completion of a clinical research project in critical care medicine under close supervision of a multidisciplinary mentoring team. The program is designed for postdoctoral physician fellows with clinical experience in adult and pediatric critical care. The definition of critical care encompasses care for adults and children with severe acute medical problems, trauma and post-surgical care in intensive care units, and coronary care units or emergency departments. The program emphasizes research on policy-relevant issues in critical care outcomes, financing, delivery, and management, often in contexts that are collaborative and interdisciplinary. Program participants will gain the skills necessary to combine their clinical expertise with their research training in order to ask and answer important questions about how critical care is and ought to be organized, financed, managed, and delivered. RELEVANCE (See instructions): The morbidity, mortality and costs attributable to critical illness are enormous. This postdoctoral program integrates clinical experience, health services research training, and policy analysis for physicians trained in critical care medicine. These trainees will form a cadre of physician leaders capable of addressing critical care issues at the bedside, across populations, and alongside policymakers.