Multidisciplinary Research Training in Palliative Care

描述（由申请人提供）：项目摘要/摘要虽然临床姑息治疗奖学金计划的数量和质量不断增长，但姑息治疗的研究培训机会仍然很少，医学研究所和美国国立卫生研究院的报告强调了姑息治疗的基础，转化，临床和卫生服务研究的必要性。2 3 4 5，6推进老年晚期疾病护理的最重要方法之一是培养初级研究人员。这种培训对于建立该领域持续循证增长所需的学术基础设施是必要的。认识到这一需求，美国老年医学会（AGS）和美国临终关怀和姑息医学学会（AAHPM）在2012年发表的联合声明中建议增加姑息和老年医学在劳动力，教育，研究和政策方面的合作。7鉴于现有的专业知识、大量经验丰富的研究人员以及姑息治疗和老年医学之间的长期密切合作，科罗拉多具有独特的资格通过T32姑息治疗研究培训补助金来解决这一紧迫需求。这个T32的目标是准备作为姑息治疗研究人员的职业博士后研究员。这是通过招募特殊和承诺的申请人，并将他们暴露在一个环境中，该环境具有专门的，经验丰富的，优秀的计划教师谁将担任高级导师和附属教师谁将担任初级/共同导师。这些教师代表姑息治疗研究必不可少的关键学科和资源：医学，药学和公共卫生学院，护理学院，科罗拉多健康成果计划，生物伦理学和人文中心，心理学系，凯泽健康研究所，国家犹太人健康，以及科罗拉多临床和转化科学研究所（CCTSI）的资源，科罗拉多大学CTSA。从医学院，关键的连接和合作是普通内科，老年医学和卫生保健政策和研究的部门之间。本培训计划的具体目标是：1）招募和保留 优秀的博士后学员; 2）通过经验和教学指导支持他们的研究培训; 3）通过认真监测精心构建的个性化研究职业发展计划，确保最高水平的学术成功;以及4）通过与更有经验的高级导师共同指导，提高初级导师的指导技能，扩大姑息治疗研究的高级导师队伍。这些目标将通过以下方式实现：1）每年为4名博士后学员提供2年的研究培训支持; 2）由经验丰富的高级导师进行专家指导（项目教员）与经验不足的研究人员共同指导（附属学院）; 3）针对个别研究员的需要和事先培训的相关正式课程; 4）定期安排的研究和职业发展研讨会; 5）将学员纳入姑息治疗研究活动和资源的现有计划; 6）经常和仔细审查学员的进展/成功，包括对学员的反馈和来自学员的反馈; 7）持续评估计划目标，优势和弱点;以及8）健全的财务和行政监督。我们的成功将通过我们的能力来证明：1）用优秀的学员填补我们的职位，并培养学员候选人的持续管道; 2）培养学业成功和富有成效的学员; 3）通过聘请更多的初级教师作为共同导师，扩大姑息治疗研究导师的队伍，目标是随着他们获得经验/专业知识，将他们转变为项目教师/高级导师;以及4）通过计划和教师之间的故意和战略互动，扩大姑息治疗研究能力，为姑息治疗研究带来新的技能和专业知识，并吸引新的高级导师。在科罗拉多大学的52个机构培训补助金中，这是唯一一个专门用于姑息治疗研究的。在全国范围内，只有2个机构研究培训奖（T32）专注于姑息治疗，两者都仅限于癌症（NIH报告，访问5/19/13）。

DESCRIPTION (provided by applicant): Project Summary / Abstract Although clinical palliative care fellowship programs have been growing in number and quality, there is a paucity of research training opportunities in palliative care1 with reports from the Institute of Medicine and National Institutes of Health highlighting the need for basic, translational, clinical, and heath services research in palliative care. 2 3 4 5,6 One of the most important ways to advance care for older adults with advanced illness is to develop junior investigators. Such training is necessary to build the academic infrastructure required for continued evidence-based growth of the field. Recognizing this need, a 2012 joint statement from the American Geriatrics Society (AGS) and American Academy of Hospice and Palliative Medicine (AAHPM) recommended increased collaboration between palliative and geriatric medicine in workforce, education, research, and policy. 7 Given existing expertise, a critical mass of experienced investigators, and longstanding close collaborations between palliative care and geriatrics, the University of Colorado is uniquely qualified to address this urgent need through a T32 palliative care research training grant. The goal of this T32 is to prepare postdoctoral fellows for careers as palliative care researchers. This is accomplished by recruiting exceptional and committed applicants and exposing them to an environment which features dedicated, experienced, and outstanding Program Faculty who will serve as senior mentors and affiliated faculty who will serve as junior/co-mentors. These faculty represent key disciplines and resources essential for palliative care research: the Schools of Medicine, Pharmacy and Public Health, the College of Nursing, the Colorado Health Outcomes Program, the Center for Bioethics and Humanities, the Department of Psychology, the Kaiser Institute for Health Research, National Jewish Health, and the resources of the Colorado Clinical and Translational Sciences Institute (CCTSI), the University of Colorado CTSA. From the School of Medicine, key connections and collaborations are between the Divisions of General Internal Medicine, Geriatric Medicine and Health Care Policy and Research. The specific objectives of this training program are to: 1) recruit and retain outstanding post-doctoral trainees; 2) support their research training through experiential and didactic instruction; 3) ensure the highest level of academic success through conscientious monitoring of a thoughtfully constructed personalized research career development plan; and 4) enhance the mentoring skills of junior mentors through co-mentoring with more experienced senior mentors, expanding the cohort of senior mentors in palliative care research. These objectives will be carried out by offering: 1) 2 years of research training support for 4-post-doctoral trainees per year; 2) expert mentoring by experienced senior mentors (Program Faculty) with co-mentoring by less experienced investigators (Affiliated Faculty) ; 3) relevant formal coursework tailored to the needs and prior training of individual fellows; 4) regularly scheduled research and career development seminars; 5) integration of trainees into the existing Program in Palliative Care Research activities and resources; 6) frequent and careful review of trainee progress/success, incorporating feedback to and from trainees; 7) ongoing appraisal of the program goals, strength and weaknesses; and 8) sound financial and administrative oversight. Our success will be evidenced by our ability to: 1) fill our positions wih outstanding trainees and foster an ongoing pipeline of trainee candidates; 2) produce academically successful and productive trainees; 3) expand the cohort of palliative care research mentors by engaging more junior faculty as co-mentors with a goal of transitioning them to Program Faculty / senior mentors as they gain experience/expertise; and 4) expand palliative care research capacity through deliberate and strategic interactions amongst programs and faculty, bringing new skills and expertise to and engaging new senior mentors in palliative care research. Of the 52 institutional training grants at the University of Colorado, ths is the only one specifically dedicated to palliative care research. Nationally, only 2 institutiona research training awards (T32) focus on palliative care, and both are limited to cancer (NIH RePORT, accessed 5/19/13).