Research Training: Complementary & Integrative Medicine

描述（由申请人提供）：本提案是关于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。这个为期三年的计划准备医生成功的职业生涯作为学术研究教师和教育工作者。该计划是基于在CIMT在哈佛医学院（HMS），一个机构间计划，以促进研究和教育在这一新兴领域的发展研究和教育的部门。培训计划侧重于身心疗法（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），所有领域的教师专业知识。教师导师资助了CIMT研究的研究项目，并成功指导了跟踪记录。学员在哈佛公共卫生学院（HSPH）学习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计划，这是一个为医生开发的流行病学，生物统计学和卫生服务研究的密集夏季课程。在整个奖学金期间，专门为研究员创建的每周计划，包括CIMT的教学核心计划，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。学员的大部分时间都用于自己的研究。每个人都使用在课堂上学到的技能，在经验丰富的教师导师的指导下，在CIMT开发，进行和分析至少两个原始调查。研究的重点是风险和利益的CIMT使用结果研究的方法，CIMT的作用机制，流行病学和卫生服务研究。鼓励所有研究员进行二次数据分析、系统综述和试点随机对照试验。研究员还参加关于教学技能和文化能力的务虚会。研究员有机会在HMS作为CIMT的教师参与。研究员在附属的初级保健综合诊所和该司在布里格姆妇女医院新开的综合保健中心发展CIMT的临床技能。HSPH的主要研究导师，临床导师和顾问监督每个研究员的发展。在奖学金的前7年，10名研究员已经完成了该计划，并获得了MPH。10名毕业生中有9名继续从事学术医学; 4名目前获得K系列职业发展奖的支持。所有毕业的研究员都发表了同行评审的研究手稿。 公共卫生相关性：该培训计划与公共卫生有关，因为它培训个人在补充和综合医学疗法中进行基于科学的研究，这是一个被公众广泛使用的临床护理领域，但需要进一步研究来确定风险，益处和作用机制。

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.