PRIMER: Promoting Research In MEdical Residency

摘要 大多数住院医生在培训期间对研究持好感，但很少有人积极参与研究，因为有几个 让内科科学家的职业生涯失去吸引力的障碍。波士顿大学-波士顿医学中心 (BU-BMC)促进住院医师(入门)目标研究的多学科计划 障碍，利用BU在心肺、血液和睡眠(HLBS)研究方面的著名机构优势，以及 大大扩展了我们对内科住院医师的研究培训。我们的中心目标是提供一个 全面~2年(连续22个月，80%受保护的研究时间，即17.6个月，100% 保护研究时间)对住院医师进行HLBS疾病研究的培训，同时确保 他们的临床委员会资格，并过渡到K38奖和临床研究员。 我们的方案目标是：(1)在四年的时间里，每年培训两名住院医师 尖端HLBS研究跟踪，即临床流行病学和转译研究；基因组学， 计算生物学和生物信息学；卫生系统研究和实施科学；再生 医学，迎合那些先前接受过有限或高级研究培训的人；(1a)培训至少2名 四年期间任职人数不足的群体(URG)和3名女居民；(2)过渡到 K38奖是R38后临床团契的一部分。 为了实现这些目标，我们提出了以下具体目标(下划线标有成果/里程碑)： (1)为PGY3和PGY3提供广泛的基于跨学科能力的HLBS研究方法培训 每年一名PGY4住院医生，为那些患有有限和。丰富的以前的研究经验。 我们将使核心能力得以实现，包括沟通技能、拨款撰写、负责任的 进行研究、研究设计、分析和解释，以及领导和团队科学。 (2)在既定的指导下，为每个学员提供个性化和指导性的研究项目 NIH或NSF资助的四个HLBS培训轨道之一的调查员，获得了出色的奖学金。 (3)使用个性化发展计划和持续评估提供可信的职业指导，以 促进过渡到内科、K38奖项和临床HLBS奖学金的董事会资格。 (4)为招募和留住学员提供强有力的发展支持，特别是URG和女住院医生。 (5)通过终结性和形成性活动，评估启动过程并持续监测结果。 Primer将具有互补技能的项目主任整合在一起，这是一种团队指导方法，其中包括“已培训” 研究和职业导师，四条HLBS培训途径的培训机会和奖学金，以及 支持学员研究、职业和职业发展的良好制度环境； 严格的以能力为基础、以学习者为中心的课程，以及雄心勃勃的URG和女性招聘目标。

Abstract Most residents view research during training favorably, yet few engage actively in research due to several barriers that render a physician scientist career unappealing. The Boston University-Boston Medical Center (BU-BMC) Multi-Disciplinary Program for Promoting Research In MEdical Residency (PRIMER) targets barriers, leverages BU's renowned institutional strengths in heart, lung, blood and sleep (HLBS) research, and expands our research training for internal medicine residents substantially. Our central objective is to provide a comprehensive ~2-year (contiguous 22 months of 80% protected research time, i.e., 17.6 months of 100% protected research time) training for medicine residents to pursue research in HLBS diseases, while ensuring their clinical board eligibility, and transition to a K38 award and a clinical fellowship. Our programmatic goals are to: (1) train 2 medicine residents every year over a 4-year period in one of four cutting-edge HLBS research tracks, i.e., clinical epidemiology and translational research; genomics, computational biology and bioinformatics; health systems research and implementation science; regenerative medicine, catering to both those with limited or advanced prior research training; (1a) train at least 2 underrepresented group (URG) and 3 women residents over the four-year period; (2) transition trainees to a K38 award as part of a post-R38 clinical fellowship. To achieve these goals, we offer the following specific aims (outcomes/milestones are underlined): (1) Provide broad transdisciplinary competency-based training in approaches to HLBS research to a PGY3 and a PGY4 resident every year, catering to both those with limited and. substantial previous research experience. We will enable attainment of core competencies including communication skills, grant writing, responsible conduct of research, study design, analysis and interpretation, and leadership and team science. (2) Feature personalized and mentored research projects for each trainee under the direction of an established NIH- or NSF-funded investigator in one of the four HLBS training tracks resulting in excellent scholarship. (3) Provide authentic career mentorship using an individualized development plan and ongoing assessment to facilitate transition to board eligibility in internal medicine, a K38 award, and a clinical HLBS fellowship. (4) Afford strong developmental support to recruit and retain trainees, especially URG and women residents. (5) Evaluate PRIMER processes and monitor outcomes continuously with summative and formative activities. PRIMER integrates program directors with complementary skills, a group mentoring approach with `trained' research and career mentors, opportunities for training and scholarship in four HLBS training pathways, an outstanding institutional environment that supports research, career and professional development of trainees, a rigorous competency-based learner-centered curriculum, and ambitious URG and women recruitment goals.