Quality Safety Comparative Effectiveness Research Training (QSCERT)

描述（由申请人提供）：比较有效性研究和以患者为中心的结果研究被广泛认为是改善国民身体和经济健康的关键战略。对质量、安全性和相对有效性的研究将提供改善健康结果和降低成本所迫切需要的知识。外科、创伤和紧急/紧急护理质量、安全性和比较有效性研究领域训练有素的研究人员的特别短缺，由于外科和创伤护理的高影响和高成本而变得更加紧迫。现有的ahrq支持的T32项目都没有专门关注这些临床领域。因此，提议的加州大学戴维斯分校质量，安全和比较有效性研究培训（QSCERT） T32项目的总体目标是建立一个多学科的博士后培训项目，在质量，安全和比较有效性研究方面，特别强调培训来自外科，创伤和紧急/紧急护理质量和结果的所有相关学科的研究人员。鉴于加州大学戴维斯分校广泛的研究培训和学术基础设施，QSCERT有能力培养这样的研究骨干。QSCERT每年招收3名博士后（医学博士或博士）参加为期两年的培训计划（特殊情况下可招收一年）。QSCERT课程包括教学培训，职业发展培训和指导研究经验的核心要求，并可选择获得公共卫生硕士（MPH）或高级研究硕士（MAS）学位。在教学培训方面，从已建立的培训项目中选择了一系列有效的课程和职业发展研讨会，形成了QSCERT的核心课程，为学者提供了成功从事质量、安全和比较有效性研究所需的核心能力和深度知识。对于有指导的培训，学者将被匹配到一个主要的教师导师和一个来自机构中心（医疗政策和研究中心、癌症中心、贫困研究中心和人口健康改善研究所）、医学系、外科、急诊医学、公共卫生科学系和贝蒂艾琳护理学院的多学科导师团队。作为国家研究资源中心（NCRR）先锋临床和转化科学中心之一的所在地，加州大学戴维斯分校在开发和维护跨学科研究项目方面有着良好的记录。通过医疗保健政策和研究中心，加州大学戴维斯分校还在质量、安全和CER方面建立了一个突出的多学科研究项目，并在卫生资源和服务管理局（HRSA）的支持下成功地开展了初级保健教师发展项目。我们将利用我们的经验和已建立的基础设施来创建一个跨学科的培训项目，以建立我们国家的研究能力，重点是改善美国人民的医疗保健结果。

DESCRIPTION (provided by applicant): Comparative effectiveness research and patient-centered outcomes research are widely agreed to be a key strategy for improving the physical and economic health of the nation. Research on quality, safety and comparative effectiveness will provide the knowledge urgently needed to improve health outcomes and lower costs. A particular shortage of trained researchers in the areas of surgical, trauma, and urgent/emergency care quality, safety and comparative effectiveness research is made more pressing by the high impacts and costs of surgical and trauma care. None of the existing AHRQ-supported T32 programs specifically focus in these clinical domains. Therefore, the overall goal of the proposed UC Davis Quality, Safety, And Comparative Effectiveness Research Training (QSCERT) T32 program, led by Joy Melnikow, MD, MPH, is to establish a multidisciplinary, postdoctoral training program in quality, safety, and comparative effectiveness research with a particular emphasis on training researchers from all relevant disciplines in surgical, trauma, and urgent/ emergency care quality and outcomes. Given UC Davis' extensive research training and academic infrastructure, QSCERT has the capacity to nurture such a cadre of researchers. QSCERT will admit three postdoctoral fellows (MD or PhD) per year to participate in a two-year training program (in special circumstances, scholars may be recruited for one year). The QSCERT curriculum includes the core requirements of didactic training, career development training, and mentored research experience, with the option to earn a Master in Public Health (MPH) or Master in Advanced Study (MAS) degree. For didactic training, an effective array of courses and career development workshops have been chosen from established training programs to form the core QSCERT curriculum, providing scholars with the core competencies and in depth knowledge required for successful careers in quality, safety and comparative effectiveness research. For mentored training, scholars will be matched to a primary faculty mentor and a multidisciplinary mentorship team drawn from institutional Centers (the Center for Healthcare Policy and Research, Cancer Center, Center for Poverty Research, and the Institute of Population Health Improvement), the Departments of Medicine, Surgery, Emergency Medicine, and Public Health Sciences, and the Betty Irene School of Nursing. As home to one of the National Center for Research Resources' (NCRR) vanguard Clinical and Translational Science Centers, UC Davis has a strong track record in developing and maintaining interdisciplinary research programs. Through the Center for Healthcare Policy and Research, UC Davis has also built a prominent multidisciplinary research program in quality, safety, and CER, with a successful primary care faculty development program supported by the Health Resources and Services Administration (HRSA). We will leverage our experience and established infrastructure to create an interdisciplinary training program that will build our national capacity for research focused on improving health care outcomes for the American people.