Cancer Care Quality Research Training Program

描述(由申请人提供)：癌症护理质量培训计划(CCQTP)的这一竞争性续签申请的目标是培训更多的临床医生和非临床医生科学家在多学科研究团队中协同工作，以提高癌症护理质量。显然，需要扩大从事癌症护理质量研究的科学劳动力。以过度使用、使用不足和误用的形式存在的低质量癌症护理存在于所有主要形式的癌症中，并发生在癌症护理的整个过程中。此外，在不同的实践地点、地理区域和患者群体中发现了癌症护理质量的显著差异。鉴于癌症本身的复杂性，以及癌症护理的多学科性质，在单一学科或专业的限制下提高癌症护理质量的努力可能会产生局部解决方案或有限的效果。在过去的五年中，通过多学科研究提高癌症护理质量的机会大幅增加。为了应对这些机遇，我们必须增加从事癌症护理质量研究的科学队伍，并培训这支队伍，使其在多学科研究团队中有效发挥作用。在接下来的五年里，CCQTP将培训10名临床医生和非临床医生科学家，他们不仅有提高癌症护理质量的热情，而且有在多学科研究团队中做到这一点的知识、技能和经验。为了实现这一目标，CCQTP将从不同的学科招募优秀的博士后和博士后候选人，并为他们提供专门的课程和实践研究经验，利用北卡罗来纳大学教堂山分校独有的教师和研究资源。在其运作的头四年里，CCQTP收到的申请远远超过了空缺职位。4名博士后研究员和6名博士后研究员参加了专业课程，并从事了癌症护理质量方面的指导性研究项目。与该计划的多学科重点一致，研究员来自不同的学科和专业，包括社会工作、健康行为、决策科学、健康经济学、护理学、社会学/组织研究和健康服务研究。在四名博士后研究员中，有两名已完成培训，目前受雇于学术机构。在六名博士后研究员中，一人已在第二年完成博士学位培训，另外两人将在第四年晚些时候完成博士学位培训。这两人中的一人将进入博士后研究金，另一人将在行业背景下就业。CCQTP研究员一直是多产的学者。在1-4年级，研究员和他们的导师合作出版了28份出版物，其中14份由项目参与者担任第一作者。在6-10年，CCQTP将在专业课程中增加一个比较有效性研究的多学科研讨会，并将研究员与新开发的数据资源、培训机会和北卡罗来纳大学教堂山分校提供的内部(试点)资助计划联系起来，以支持癌症护理质量研究。

DESCRIPTION (provided by applicant): The objective of this competing renewal application for the Cancer Care Quality Training Program (CCQTP) is to train additional clinician and non-clinician scientists to work collaboratively in multidisciplinary research teams to improve cancer care quality. The need for an expanded scientific workforce engaged in cancer care quality research is evident. Poor quality cancer care in the forms of overuse, underuse, and misuse exists for all major forms of cancer and occurs across the cancer care continuum. Moreover, significant variations in cancer care quality have been found across practice sites, geographic regions, and patient populations. Given the complexity of cancer itself, and the multidisciplinary nature of cancer care, efforts to improve cancer care quality within the constraints of a single discipline or specialty are likely to produce partial solutions or limited effects. In the past fie years, opportunities for improving cancer care quality through multidisciplinary research have substantially increased. To respond to these opportunities, we must increase the scientific workforce engaged in cancer care quality research and train this workforce to function effectively in multidisciplinary research teams. Over the next five years, the CCQTP will train 10 clinician and non-clinician scientists who have not only the passion to improve cancer care quality, but also the knowledge, skills, and experience to do so in multidisciplinary research teams. To accomplish this goal, the CCQTP will recruit outstanding pre-doctoral and post-doctoral candidates from diverse disciplines and provide them with a specialized curriculum and hands-on research experience that leverages the faculty and research resources that are uniquely available at UNC-Chapel Hill. In its first four years of operation, the CCQTP has received far more applications than available positions. Four post-doctoral fellows and six pre-doctoral fellows have participated in the specialized curriculum and engaged in mentored research projects in cancer care quality. Consistent with the program's multidisciplinary focus, fellows have come from a variety of disciplines and specialties, including social work, health behavior, decision science, health economics, nursing, sociology/organization studies, and health services research. Of the four post-doctoral fellows, two have completed their training and are now employed in academic settings. Of the six pre-doctoral fellows, one has completed her training with a doctoral degree in Year 2 and two others will complete their training with doctoral degrees in late Year 4. One of these two will move into a post-doctoral fellowship, while the other will be employed in an industry setting. CCQTP fellows have been productive scholars. In Years 1-4, fellows and their mentors collaborated on 28 publications, 14 of which the program participant served as first author. In Years 6-10, the CCQTP will add a multidisciplinary seminar in comparative effectiveness research to the specialized curriculum and connect fellows with newly developed data resources, training opportunities, and intramural (pilot) funding programs available at UNC-Chapel Hill to support cancer care quality research.