UNC Global Women’s Health Fellowship

摘要 生活在发展中世界的妇女面临着令人无法接受的高残疾和死亡风险， 可预防的原因。需要妇产科医生（Ob-Gyns）来减少这种疾病的负担 世界各地的妇女健康研究机构都在努力，但很少有既定的途径来培养全球妇女健康研究的研究人员。 为了弥补这一差距，我们于2012年启动了全球妇女健康研究金。我们的计划是 以研究为中心，明确的目标是培养下一代独立的NIH研究人员。我们 提供身临其境的培训体验，研究员通常在海外工作两年， 建立国际研究基地。我们的学员由一位经验丰富， 代表不同学科和背景的有成就的教师。研究员参加结构化的 丰富的活动，以指导他们的科学和专业发展，包括研究生一级 课程、会议和研讨会以及专业网络。到目前为止，我们的项目已经支持了13个 博士后学员，包括八名被任命为我们目前的T32奖。全球妇女健康研究员 实施了前沿研究并发表了与政策相关的论文;大多数已经过渡到 毕业后的学术职位。重要的是，所有人都学会了如何设计和实施研究， 发展中国家的背景。 在这份更新申请中，我们要求再为我们的奖学金提供五年的支持。的基础上继续努力 我们目前的计划的基础上，我们提出了几个关键的改进。这些变化已经被告知 通过对研究金的系统评估，包括导师、学员的结构化反馈， 顾问。首先，我们将重新组织我们的奖学金课程，以便每个新学员从三个课程中选择一个 不同的研究轨道（怀孕结果，生殖健康，妇女癌症）和三个之一 方法集中（临床试验、流行病学、实施科学）。这一框架将 允许更个性化的方法来分配课程，导师配对和研究项目，以便 研究员获得更深的专题和方法的专业知识，因为他们完成了计划。第二，我们将扩大 我们的计划资格，通过引入新的组合奖学金与既定的Ob-Gyn亚专业， 母胎医学、计划生育和妇科肿瘤学。第三，我们将扩大我们的地理范围 覆盖范围超出我们目前在赞比亚（卢萨卡）和马拉维（利隆圭）的站点， 南非（约翰内斯堡）。在奖学金结束时，毕业生将获得必要的技能， 经验，成为独立资助的国家卫生研究院在全球妇女健康领域的调查。

ABSTRACT Women living in the developing world face an unacceptably high risk of disability and death, often from preventable causes. Obstetrician-gynecologists (Ob-Gyns) are needed to reduce this disease burden worldwide, but there are few established pathways to prepare investigators in global women’s health research. To address this gap, we launched the UNC Global Women’s Health Fellowship in 2012. Our program is research-focused, with the explicit goal of training the next generation of independent NIH investigators. We offer an immersive training experience, through which fellows typically spend two years overseas, working at established international research sites. Our trainees are intensively mentored by an experienced and highly accomplished faculty representing diverse disciplines and backgrounds. Fellows take part in structured enrichment activities to guide their scientific and professional development, including graduate-level coursework, conferences and seminars, and professional networking. To date, our program has supported 13 postdoctoral trainees, including eight appointed to our current T32 award. UNC Global Women’s Health fellows have implemented cutting-edge research and published policy-relevant papers; most have transitioned to academic positions after graduation. Importantly, all have learned how to design and implement studies in developing world settings. In this renewal application, we request another five years of support for our fellowship. Building upon the foundation of our current program, we propose several key improvements. These changes have been informed by a systematic evaluation of the fellowship, including structured feedback from mentors, trainees, and advisors. First, we will reorganize our fellowship curriculum so that each new trainee chooses one of three distinct research tracks (pregnancy outcomes, reproductive health, women’s cancers) and one of three methodological concentrations (clinical trials, epidemiology, implementation science). This framework will permit a more individualized approach to assigned coursework, mentor pairing, and research projects, so that fellows gain deeper topical and methodologic expertise as they complete the program. Second, we will expand our program eligibility by introducing novel combined fellowships with the established Ob-Gyn subspecialties of maternal fetal medicine, family planning, and gynecologic oncology. Third, we will extend our geographic coverage beyond our current sites in Zambia (Lusaka) and Malawi (Lilongwe) to offer training placements in South Africa (Johannesburg). By the end of the fellowship, graduates will obtain the necessary skills and experience to become independently-funded NIH investigators in the field of global women’s health.