Early Career Development Program for Patient-Centered Outcomes Research

描述（由申请人提供）：达特茅斯的独特优势体现在达特茅斯卫生政策和临床实践研究所（TDI）和达特茅斯卫生保健提供科学中心（TDC）的研究人员在以患者为中心的结局研究（PCOR）方面取得的进展。我们建议通过建立以患者为中心的结果研究的早期职业发展计划，为PCOR的下一代领导者做出贡献，具体目标有以下三个：目标1：为4名AHRQ和2名达特茅斯支持的PCOR K12学者提供指导研究机会，以建立PCOR研究技能，开发初步试点数据，并在其中一个领域撰写第一作者的手稿。 以下三个领域的具体优势：a）使用患者报告的结果进行比较有效性研究，以评估综合医疗之家和负责任的护理组织的新兴模式; B）比较有效性研究，评估护理结果，以告知与常见，高成本，复杂的健康状况相关的决策;或c）以患者为导向、以社区为基础的随机试验和实施研究，重点是减少弱势群体的健康差距。目标二：通过个人定制的指导，正式的课程和早期职业生涯的调查员“正在进行中”的TDI，TDC和附属研究计划提供的研讨会相结合，以提高早期职业生涯的调查能力。学者将通过一个量身定制的辅导方案、变革和组织振兴方案研讨会、早期职业发展研讨会和一个辅导学院获得研究技能，该学院将提高变革和组织振兴方案研究职业发展的高级教师辅导技能。目标3：为开发和提交第一个外部资助的K，R 01或其他独立研究提案提供有效的高级指导和咨询支持。学者们将接受为期一周的研究生涯和赠款技能发展“靴子营”的指导;为期九个月的赠款写作辅导，完成赠款申请;以及赠款申请的内部同行评审程序。该方案旨在通过利用包括地方、区域和国家卫生服务研究“实验室”在内的众多创新特点，提高变革和组织振兴方案中非常有前途的早期职业调查人员的技能和研究职业;变革和组织振兴方案创新方法中的辅导;一个新颖的研究职业辅导方案，其结构旨在确保成功获得第一个外部资助的职业发展（K）或R 01研究奖;和大量的机构支持，最大限度地增加学者和方案资源的数量。

DESCRIPTION (provided by applicant): Dartmouth's unique strengths are exemplified by advances in Patient Centered Outcomes Research (PCOR) by researchers at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) and The Dartmouth Center for Health Care Delivery Science (TDC). We propose to contribute to developing the next generation of leaders in PCOR by establishing an Early Career Development Program for Patient Centered Outcomes Research with the following three specific aims: Aim 1: To provide mentored research opportunities for 4 AHRQ and 2 Dartmouth-supported PCOR K12 scholars to establish PCOR research skills, develop preliminary pilot data, and write first-authored manuscripts in one of the following three areas of specific strength: a) Comparative effectiveness research using patient-reported outcomes to evaluate emerging models of integrated medical homes and accountable care organizations; b) Comparative effectiveness research evaluating outcomes of care to inform decision-making related to common, high cost, complex health conditions; or c) Patient-oriented, community-based randomized trials and implementation research focusing on reducing health disparities in vulnerable populations. Aim 2: To enhance early career investigator competencies through a combination of individually-tailored mentoring, formal coursework and early career investigator "works in progress" seminars provided by TDI, TDC, and affiliate research programs. Scholars will acquire research skills through an individually tailored mentoring program, a PCOR seminar, an early career development seminar, and a Mentoring Academy that will enhance senior faculty mentoring skills for PCOR research career development. Aim 3: To provide effective senior mentoring and consultative support for the development and submission of a first externally funded K, R01, or other independent research proposal. Scholars will be guided by a one-week research career and grant skill development "boot camp"; a nine-month grant writing tutorial resulting in a completed grant application; and an internal peer review process for grant applications. This program is designed to advance the skills and research careers of highly promising early career investigators in PCOR by capitalizing on numerous innovative features including local, regional, and national health services research "laboratories"; mentoring in innovative PCOR methods; a novel research career mentoring program structured to ensure success in attaining a first externally funded career development (K) or R01 research award; and substantial institutional support that maximizes the number of scholars and programmatic resources.