Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring Program

项目摘要 本建议书的目的是：1）培养候选人的研究能力、领导能力和指导能力 通过临床试验的职业发展，建立和领导国家合作，以及指导，2） 扩大她的导师有前途的初级研究人员在以病人为导向的老龄化研究，和3）追求一个 创新的研究方向，以开发和评估以人为本的干预措施，以优化药物治疗 用于患有多种慢性疾病的老年人，作为一个平台，吸引不断扩大的群体 的学员。候选人是一名在初级保健诊所执业的老年病学家，他建立了一个全国性的- 和国际公认的，高影响力，资金充足的独立临床研究计划， 杰出的出版记录。在完成老年医学奖学金后的14年里，她建立了 她本人作为一个成功的导师，指导了来自各个层次的学员，他们发表了具有高度影响力的研究， 资金和必要的研究技能，并继续进行以病人为导向的研究。这位候选人有 开发了一个强大的研究组合，专注于以患者为中心的老年人护理，特别是那些 多种慢性疾病候选人迄今为止的工作在老龄化和 通过将注意力从针对特定疾病的护理方法转移到认识到大多数老年人 成年人患有多种慢性病。候选人有一个强大的跟踪记录的研究资金， AHRQ、PCORI和NIA改进证据的生成和综合，以更好地为护理提供信息。 患有多种慢性病的人，并制定以患者和家庭为中心的护理方法， 患有多种慢性病的老年人。该提案将为候选人提供受保护的时间， 增加她的专业知识，扩大她的指导计划，并开发新的研究重点是最佳的 药物处方，以改善该人群的以患者为中心的结局。候选人将进一步 制定一个正式的指导计划，以吸引和发展高素质的学员，他们将 作为下一代的领导者，在以病人为导向的研究老龄化人口。她将与 每个学员实施一个有重点的职业发展计划，他们完成研究项目， 发展技能，包括赠款和科学写作，研究设计和必要的演讲技巧， 成功的独立的以病人为导向的研究者。老龄化研究的杰出环境， 约翰霍普金斯的临床研究培训是这项建议的基础。

Project Summary The aims of this proposal are to 1) develop the candidate's capacity for research, leadership, and mentorship through career development in clinical trials, building and leading national collaborations, and mentoring, 2) to expand her mentorship of promising junior investigators in patient-oriented aging research, and 3) to pursue an innovative research direction to develop and evaluate person-centered interventions to optimize medication use in older people with multiple chronic conditions that will serve as a platform to engage an expanding group of mentees. The candidate, a geriatrician who practices in a primary care clinic, has established a nationally- and internationally-recognized, high impact, well-funded independent clinical research program with an outstanding publication record. In the 14 years since completing her geriatrics fellowship, she has established herself as a successful mentor of trainees from all levels who have published high-impact research, obtained funding and necessary research skills, and continue to conduct patient-oriented research. The candidate has developed a robust research portfolio focused on patient-centered care for older adults, particularly those with multiple chronic conditions. The candidate's work to date has been transformative both within aging and in other fields by shifting attention from a disease-specific approach to care to one that recognizes that most older adults live with multiple chronic conditions. The candidate has a strong track record of research funding from AHRQ, PCORI and the NIA to improve the generation and synthesis of evidence to better inform the care of people with multiple chronic conditions, and to develop patient- and family-centered approaches to care of older adults with multiple chronic conditions. This proposal will provide the candidate with protected time to increase her expertise, expand her mentoring program, and develop new research focused on optimal medication prescribing to improve patient-centered outcomes for this population. The candidate will further develop a formal mentoring program for the engagement and development of high-caliber mentees who will serve as the next generation of leaders in patient-oriented research for aging populations. She will work with each mentee to implement a focused career development plan in which they complete research projects and develop skills including grant and scientific writing, study design, and presentation skills necessary to be successful independent patient-oriented investigators. The outstanding environment for aging research and clinical research training at Johns Hopkins is fundamental to this proposal.