Research Training: Complementary & Integrative Medicine

描述（由申请人提供）：本提案是哈佛医学院补充和综合医学治疗（CIMT）研究奖学金计划的五年延续。这个为期三年的课程为医生作为学术研究人员和教育工作者的成功职业做好准备。该计划是在哈佛医学院（HMS）的CIMT研究和教育部门的基础上进行的，这是一个跨机构计划，旨在促进这一新兴领域的研究和教育发展。培训项目侧重于身心疗法（包括瑜伽、太极、冥想和安慰剂现象）、亚洲医学（包括针灸和阿育吠陀）和膳食补充剂（包括植物药），以及教师专业知识的所有领域。教师导师资助了CIMT研究项目，并有成功指导的记录。受训人员在哈佛大学公共卫生学院（HSPH）的前两年获得公共卫生硕士学位。硕士课程包括临床有效性课程，这是一个为医生开发的关于流行病学、生物统计学和卫生服务研究的暑期强化课程。在整个奖学金期间，专门为研究员创建的每周项目，包括CIMT的教学核心项目，提供CIMT的专业临床、研究和学术技能。研究员还参加CIMT的深入课程，以获得从业者技能/认证，为他们的研究提供信息。受训者的大部分时间都花在了自己的研究上。在经验丰富的教师导师的指导下，每个人都使用在课堂上学到的技能，在CIMT中开发，执行和分析至少两个原始调查。研究的重点是使用结果研究方法、CIMT的作用机制、流行病学和卫生服务研究来研究CIMT的风险和收益。鼓励所有研究员进行二次数据分析、系统评价和随机对照试验。研究员还参加教学技巧和文化能力的务虚会。研究员有机会作为教师参与HMS的CIMT。研究员在附属初级保健综合诊所和该部门在布里格姆妇女医院新开设的综合护理中心发展CIMT的临床技能。HSPH的主要研究导师，临床导师和顾问监督每位研究员的发展。在奖学金的前7年里，有10名研究员完成了项目并获得了公共卫生硕士学位。十分之九的毕业生继续从事学术医学工作；4名目前获得K系列职业发展奖支持。所有毕业生都发表过同行评议的研究论文。

DESCRIPTION (provided by applicant): This proposal is for a five-year continuation of the Harvard Medical School research fellowship program in complementary and integrative medical therapies (CIMT). This three year program prepares physicians for successful careers as academic research faculty and educators. The program is based within the Division for Research and Education in CIMT at Harvard Medical School (HMS), an inter-institutional program set up to facilitate the development of research and education in this emerging field. The training program focuses on mind-body therapies (including yoga, tai chi, meditation, and placebo phenomenon), Asian medicine (including acupuncture and Ayurveda) and dietary supplements (including botanicals), all areas of faculty expertise. Faculty mentors have funded research programs in CIMT research and track records of successful mentoring. Trainees earn an MPH degree during the first two years of fellowship at the Harvard School of Public Health (HSPH). The master's program includes the Program in Clinical Effectiveness, an intensive summer curriculum in epidemiology, biostatistics, and health services research, developed for physicians. Throughout the fellowship, weekly programs created specifically for fellows, including a didactic core program in CIMT, provide specialized clinical, research and scholarly skills in CIMT. Fellows also take in-depth courses in CIMT in order to acquire practitioner skills/certification to inform their research. Most of the trainees' time is devoted to their own research. Each uses skills learned in the classroom to develop, conduct and analyze at least two original investigations in CIMT under the direction of experienced faculty mentors. Research focuses on risks and benefits of CIMT using methods of outcomes research, the mechanism of action of CIMT, epidemiology, and health services research. All fellows are encouraged to perform a secondary data analysis, a systematic review, and a pilot randomized controlled trial. Fellows also participate in retreats on teaching skills and cultural competence. Fellows have opportunities to participate as teachers of CIMT at HMS. Fellows develop clinical skills in CIMT in both an affiliated primary care integrative clinic and the Division's newly opened integrated care center at Brigham and Women's Hospital. A principal research mentor, clinical preceptors, and an advisor at HSPH supervise each fellow's development. Over the first 7 years of the fellowship, 10 fellows have completed the program and earned an MPH. Nine of 10 graduates continue in academic medicine; 4 are currently supported by K series career development awards. All graduated fellows have published peer reviewed research manuscripts. PUBLIC HEALTH RELEVANCE: This training program is relevant to public health because it trains individuals to perform scientifically based research in complementary and integrative medical therapies, an area of clinical care that is used widely by the public but requires further research to define risks, benefits, and mechanism of action.