Training to Advance Care Through Implementation Science in Cardiac And Lung Illnesses (TACTICAL)

培训，以推进护理通过实施科学在心脏和肺部疾病（战术） 是一个拟议的职业发展计划，以大大加快实施科学的步伐， 研究，从而有效地向患者提供护理，从重点关注危重患者开始。 TACTICAL建议将临床科学家沉浸在严格的培训计划中， 指导实施研究实践与正式课程。这将是在一个指导下完成的。 凝聚力的15人多学科教师和导师组从整个密歇根大学绘制。 核心教师来自医学院（内科，学习健康科学，关键 护理），护理，商业（财务和运营管理），教育，公共政策和公共卫生 以及社会研究所和教务长办公室。 该博士后培训计划将支持5名学者，每人3年。这将包括 在实施科学和卫生服务研究的基础，包括心理学理论， 社会学，经济学和运营管理;研究设计，包括统计分析，定性分析， 方法和随机评估;测量，包括进行调查，移动的技术， 非参与式观察，焦点小组，患者观点的启发，利益相关者的参与， 二级数据、电子医疗记录、行政记录以及详细的成本计算和财务;以及 使用多种设计进行比较有效性研究。这将通过一系列结构化的 个性化的研究实践导致发表论文;正式课程;和指导独立 research.这将导致申请独立资助作为R 01，R21，K 08或K23。 我们的成功愿景是明确的。作为独立研究事业的一部分，专注于提供证据- 基于最佳实践，以改善重症患者的生活，战术学者将成为独立的- 资助的领导者既在自己的机构推动变革，同时也更好地发展和评估 推动国内和国际变革的方法。 为了实现这一愿景，我们将借鉴5个基本原则。一是实施科学要求 深入的跨学科培训。第二，重点关注重症监护室（ICU）的复杂环境和 所需的实施干预措施的复杂性将推动ICU护理和 实施科学本身。第三，我们将把他们的学习集中在指导研究中， 整合教学法，为推进研究服务。第四，我们的培训计划建立在现代学习的基础上 理论，强调当教学法与每一种技能紧密结合时，学习者更快地掌握技能。 学者自己的研究计划。第五，我们将建立一个结构，利用群组和同行效应， 在培养创造力和量身定制的同时，要求和示范生产力。

Training to Advance Care Through Implementation Science in Cardiac And Lung Illnesses (TACTICAL) is a proposed career development program to dramatically accelerate the pace of implementation science research—and thereby effective delivery of care to patients, beginning with a focus on critically ill patients. TACTICAL proposes to immerse clinician-scientists in a rigorous training program that carefully integrates mentored implementation research practica with a formal curriculum. This will be done under the guidance of a cohesive 15-person multidisciplinary faculty and mentor group drawn from across the University of Michigan. Core faculty are drawn from the Schools of Medicine (Internal Medicine, Learning Health Sciences, Critical Care), Nursing, Business (Finance and Operations Management), Education, Public Policy, and Public Health as well as the Institute for Social Research and the Provost's Office. This postdoctoral training program will support 5 scholars for 3 years each. This will include a foundation in implementation science and health services research, including theory from psychology, sociology, economics, and operations management; research designs, including statistical analysis, qualitative methods, and randomized evaluations; measurement, including the conduct of surveys, mobile technologies, non-participant observation, focus groups, elicitation of patient perspectives, stakeholder engagement, secondary data, electronic medical records, administrative records, and detailed costing and finance; and comparative effectiveness research using multiple designs. This will be delivered through a structured series of individualized research practica resulting in published papers; formal coursework; and mentored independent research. This will culminate in an application for independent funding as an R01, R21, K08, or K23. Our vision of success is clear. As part of independent research careers focused on bringing evidence- based best practices to improve critically ill patients' lives, TACTICAL scholars will become independently- funded leaders who both drive change at their own institutions while also developing and evaluating better approaches for driving change nationally and internationally. In order to achieve this vision, we will draw on 5 basic tenets. First, implementation science demands deep interdisciplinary training. Second, a focus on the complex setting of the intensive care unit (ICU) and the complexity of implementation interventions required there will drive innovation in both ICU care and implementation science itself. Third, we will center their learning in mentored research with full and careful integration of didactics in service of advancing research. Fourth, our training plan builds on modern learning theory, emphasizing that learners master skills more quickly when didactics are tightly coupled to each scholar's own program of research. Fifth, we will build a structure, harnessing cohort and peer effects, that mandates and models productivity while nurturing creativity and tailoring.