Integrated Mentored Patient-Oriented Research Training (IMPORT) in Psychiatry

描述（由申请人提供）：从事临床研究职业的医生数量下降，引发了全国对公共医疗保健即将发生的危机的担忧。虽然许多医疗领域受到影响，但精神病学的问题特别严重，预计短缺促使医学研究所最近对这一问题进行了分析。具有讽刺意味的是，当遗传学和神经科学领域的发现对基础行为科学产生前所未有的影响时，追求以患者为导向的研究事业的精神病学家短缺。将这些基础科学见解转化为病人护理领域的发现，对于改善我们对几种精神疾病的理解和治疗至关重要。目前的R25更新旨在通过几个具体目标进一步解决当前心理健康研究教育的危机，这些目标建立在最初五年奖的成功基础上。其中包括1）将综合指导的以患者为导向的研究培训（IMPORT）的机会扩展到临床住院医师培训的最早（PG 1）阶段（除了继续之前的PG 2经验），2）通过一个新的综合（PG 3）临床/研究门诊年，（扩大他们的准备，使学员能够更充分地利用随后的（PG 4）沉浸年，3）向其他培训主任传播有关该计划的信息和经验（通过资助的现场访问）和通过全国R25项目主任全国论坛（与NIMH合作进行）。预计目前的方案将在以下方面发挥重要作用： 解决了在以患者为导向的研究中追求职业的住院医师的预期不足，通过增加识别，招聘和保留年轻的临床精神病学调查员骨干），并间接地作为其他住院医师的模式/工具包 全国各地的培训项目。 公共卫生相关性：越来越少的医生从事临床研究，这是公众未来健康的一个令人担忧的趋势。这种短缺在精神病学中尤为严重。具有讽刺意味的是，这些短缺发生在我们对人类行为的大脑和遗传基础了解更多的时候。目前补助金的主要目的是通过创建一个研究教育计划来帮助扭转这些趋势，该计划将鼓励精神病学居民考虑研究职业，并在培训期间为他们提供受保护的时间，以便他们可以开始研究职业。

DESCRIPTION (provided by applicant): Declines in the numbers of physicians pursuing careers in clinical research have raised national concerns about an impending crisis in public health care. While numerous medical fields are affected, the problem in psychiatry is particularly acute, with projected shortages prompting a recent analysis of the problem by the Institute of Medicine. Ironically, shortages of psychiatrists pursuing patient-oriented research careers occur at a time when discoveries in the fields of genetics and neuroscience are having an unprecedented impact on the basic behavioral sciences. Translating such basic science insights into discoveries in the patient-care realm will be crucial for improving out understanding and treatment of several mental illnesses. The current R25 renewal is intended to further address the current crisis in mental health research education through several specific aims, aims that build upon prior successes of the original five-year award. These include 1) to extend opportunities for Integrated Mentored Patient-Oriented Research Training (IMPORT) into the very earliest (PG1) stages of clinical residency training (in addition to continuing prior PG2 experiences), 2) to significantly broaden these early experiences through a novel integrated (PG3) clinical/research outpatient year (expanding their preparation and enabling trainees to more fully take advantage of the subsequent (PG4) immersion year, and 3) to disseminate information about and experiences with the program to other training directors (through funded onsite visits) and through national forum of R25 program directors nationally (conducted in collaboration with NIMH). It is anticipated that the current program will play an important role in addressing the anticipated shortfalls in residents pursuing careers in patient-oriented research both directly (e.g., through increased identification, recruitment and retention of a cadre of young clinical psychiatric investigators), and indirectly, as a model / toolkit for other residency training programs across the country. PUBLIC HEALTH RELEVANCE: Fewer physicians are pursuing careers in clinical research, a worrisome trend for the public's future health. Such shortages are especially severe in psychiatry. Ironically, these shortages occur at a time when we know more about the brain and genetic basis of human behavior. The primary purpose of the current grant is to help reverse these trends by creating a program of research education that will encourage psychiatry residents to consider a research career and provide them with protected time during their training so that they can start a research career.