J. NRSA Training Core (TL1)

实现学术学习健康系统(ALHS)承诺的一个关键障碍是不足 有能力跨越研究-实践鸿沟并创建卫生系统的研究人员数量 新知识被编织到临床实践的织锦中。ALHS的实现需要一种新的 翻译劳动力表型--aLHS翻译科学家--在几个方面迅速扎根 不断发展但不经常整合的知识领域，包括：1)生物医学信息学；2)改进 3)系统科学与组织变革管理；4)利益相关者 参与、领导和研究管理；5)卫生系统研究的伦理；6)健康 系统研究方法。这一新的TL1应用程序提出了一个创新的学术学习健康系统 学者计划(ALHSSP)为下一代翻译科学家提供方法学和 在卫生系统的复杂环境中进行严格研究的专业技能 将这类研究的成果传播并付诸实践。ALHSSP将以杰出人士为目标 已完成医学等卫生专业博士级临床培训的应聘者 学科，以及博士培养了希望从事LHS研究的翻译科学家。该计划 提供为期一年和两年的课程，这些课程将导致学习卫生系统科学证书或 学习卫生系统科学中的科学。所有受训人员都将参加旨在建立 具备上述知识领域的能力，并将接受团队科学培训，以更好地为他们做好准备 在aLHS中进行研究并领导研究团队。学员将进行一项有指导的研究项目 解决一个紧迫的卫生系统问题，该问题将由经验丰富和敬业的教师团队指导 他们是主题专家，并对有效指导的原则有很好的基础。顾问将包括 维克森林卫生系统的最高领导人。导师库将通过CTSI学院扩大 导师学院，一个10节、20小时的课程，涉及6项核心指导能力和注册人数 每年12名职业生涯中期和早期的高级教员。ALHSSP将成为一个综合教育项目的一部分 维克森林的基础设施还包括我们成功的KL2和翻译劳动力发展 程序。我们的结构将确保ALHSSP学员将准备好撰写有竞争力的KL2或外部 职业发展建议或晋升到职业早期的职位，专注于LHS研究。此外， 我们将通过CTSA网络传播我们的课程和新颖的在线学习平台； 的中心已经表达了对这些元素的兴趣。ALHSSP将提供独特的博士后 在维克森林的培训经验。它代表了我们支持我们的最终目标的必要元素 演变为一种典范的学术学习健康系统。

A critical barrier to realizing the promise of the Academic Learning Health System (aLHS) is the insufficient number of investigators with the skills to cross the research-practice chasm and create health systems in which new knowledge is woven into the tapestry of clinical practice. The realization of the aLHS requires a new translational workforce phenotype – the aLHS Translational Scientist – who is grounded in several rapidly evolving, but infrequently integrated knowledge domains, including: 1) biomedical informatics; 2) improvement and implementation science; 3) system science and organizational change management; 4) stakeholder engagement, leadership, and research management; 5) ethics of health systems research; and 6) health systems research methods. This new TL1 application proposes an innovative Academic Learning Health System Scholars Program (aLHSSP) to provide the next generation of translational scientists with the methodologic and professional skills to conduct rigorous research in the complex environments of health systems and to disseminate and implement findings from such research into practice. The aLHSSP will target outstanding candidates who have completed doctoral-level clinical training in medicine and other health professions disciplines, as well as PhD prepared translational scientists who wish to conduct aLHS research. The program offers 1- and 2-year tracks that will lead to either a Certificate in Learning Health System Science or Master of Science in Learning Health System Science. All trainees will participate in a curriculum designed to build competence in the knowledge domains listed above and will receive team science training to better prepare them to conduct research in an aLHS and to lead research teams. Trainees will conduct a mentored research project to address a pressing health system issue that will be guided by teams of experienced and committed faculty who are subject-matter experts and well-grounded in the principles of effective mentoring. Advisors will include top leaders in the Wake Forest Health System. The pool of mentors will be expanded through CTSI Faculty Mentor Academy, a 10-session, 20-hour curriculum that addresses 6 core mentoring competencies and enrolls 12 mid-career and early senior faculty per year. The aLHSSP will be part of an integrated educational infrastructure at Wake Forest that also includes our successful KL2 and Translational Workforce Development Programs. Our structure will ensure that aLHSSP trainees will be prepared to write competitive KL2 or external Career Development proposals or progress to early-career positions focused on aLHS research. Furthermore, we will disseminate our curriculum and novel online learning platform throughout the CTSA network; a number of Hubs have already expressed interest in these elements. The aLHSSP will provide a unique postdoctoral training experience at Wake Forest. It represents a needed element in our ultimate goal of supporting our evolution as a model academic learning health system.