Cancer Training in Disparities and Equity (C-TIDE)

项目摘要 这项新的申请提出了一项研究培训计划，在癌症的差距和健康公平性， 迈阿密大学（UM）米勒医学院（MSOM）的癌症控制连续体和 NCI-designated西尔维斯特综合癌症中心（西尔维斯特）。南佛罗里达癌症控制中心 培训的差异和公平（南佛罗里达C-TIDE）是跨学科的计划，目标是培训 多级决定因素（例如，生物学、医学、社会学、心理社会学）的癌症病因学、预防、风险， 疾病进展、调整、健康相关生活质量（HRQOL）以及其他健康和患者报告的 结果（PRO）。主要目标是培养下一代癌症差异研究人员 通过提供特殊的培训，以支持博士后研究员在整个癌症控制连续体 在癌症健康差异和公平方面开展独立，成功，高影响力的研究。两 将提供培训轨道：轨道A：病因学，风险和癌症差异的多水平决定因素， 轨道B：采取创新性干预措施， 癌症连续体。受训者将选择一个重点的主要轨道;虽然，培训将跨越两个 域.该计划的目标是通过指导，教学，并在MSOM体验曝光实现， 西尔维斯特和中心的集水区该计划将得到24名主要导师的支持， 资助PI，每年与癌症相关的资金总额为1640万美元。导师包括15名博士，6名 MD，和4个MD/博士横跨8个部门。此外，13名具有相关专业知识的初级教师将 担任助理导师。总的来说，导师们在癌症表观遗传学方面具有杰出的专业知识， 肿瘤生物学和生物行为机制;社会文化、行为和心理社会 健康的决定因素;基于社区的筛查、生活方式改变和症状管理， 和生存干预。培训（例如，教学法，研讨会，在线模块）与 要获得的能力（例如，癌症差异的社会决定因素，干预科学，赠款写作） 并利用西尔维斯特和MSOM对特定子组的访问（例如，职业、性/性别 身份，种族/民族，老年人）和应用方法的专业知识（例如，基于社区的参与性 研究、社会流行病学、表观遗传学、心理社会肿瘤学、电子保健、社会文化进程）。培训 补充的是在公共卫生硕士（MPH）或临床科学硕士招生， 翻译研究（MSCTI）。C-TIDE每年将支助3名研究员，共计15名。大多数申请人 预计将有一个相关的行为或社会科学博士学位;有些将是医学博士与相关 专业知识和兴趣。将为受训人员制定个人发展计划，以便于监督 由导师。内部、外部和执行委员会、多元化和包容性委员会以及仲裁委员会 将提供持续的评估和反馈，以确保有效实现C-TIDE的目标。

PROJECT SUMMARY This new application proposes a research training program in cancer disparities and health equity across the cancer control continuum at the University of Miami (UM) Miller School of Medicine (MSOM) and the NCI-designated Sylvester Comprehensive Cancer Center (Sylvester). The South Florida Cancer Control Training in Disparities and Equity (South Florida C-TIDE) is interdisciplinary program that targets training in multilevel determinants (e.g., biological, medical, social, psychosocial) of cancer etiology, prevention, risk, progression, adjustment, health-related quality of life (HRQOL), and other health- and patient-reported outcomes (PROs). The primary goal is to develop the next generation of cancer disparities researchers by providing exceptional training to support postdoctoral fellows across the cancer control continuum to develop independent, successful, high-impact research in cancer health disparities and equity. Two training tracks will be offered: Track A: Multilevel determinants of cancer disparities in etiology, risk, and outcomes; and Track B: Innovative interventions to reduce disparities and improve outcomes across the cancer continuum. Trainees will select a primary track of emphasis; although, training will cut across both domains. The program goals are achieved via mentored, didactic, and experiential exposures within MSOM, Sylvester and the center’s catchment area. The program will be supported by 24 primary mentors who are funded PIs with grants totaling $16.4M in annual cancer-relevant funding. Mentors include 15 PhDs, 6 MDs, and 4 MD/PhDs across 8 departments. Additionally, 13 mostly junior faculty with relevant expertise will serve as associate mentors. Collectively, mentors have outstanding expertise in cancer epigenetics, tumor biology, and biobehavioral mechanisms; sociocultural, behavioral, and psychosocial determinants of health; community-based screening, lifestyle modification and symptom management, and survivorship interventions. Training (e.g., didactics, seminars, online modules) aligns with the competencies to be gained (e.g., social determinants of cancer disparities, intervention science, grant writing) and capitalizes on Sylvester and MSOM’s access to specific subgroups (e.g., occupational, sexual/gender identity, race/ethnicity, elderly) and expertise in applied methods (e.g., community-based participatory research, social epidemiology, epigenetics, psychosocial oncology, eHealth, sociocultural processes). Training is complemented by enrollment in the Master of Public Health (MPH) or Master of Science in Clinical and Translational Investigation (MSCTI). C-TIDE will support 3 fellows per year for a total of 15. Most applicants are expected to have a PhD in a relevant behavioral or social science; some will be MDs with relevant expertise and interests. Individual development plans (IDPs) will be created for trainees to facilitate oversight by mentors. Internal, External and Executive Boards, and Diversity and Inclusion, and Arbitration committees will provide ongoing evaluation and feedback to ensure that the goals of C-TIDE are effectively met.