Sex and Gender Enriched Neurology

摘要/摘要 该R25计划的首要目标是利用我们丰富的制度环境迭代开发 培训第一代神经学家如何系统地发展所需的材料和课程 通过优先考虑性别和性别来进行神经护理和研究。从神经发育到 神经退行性变、性别和性别影响神经疾病的风险和病程。至关重要的是 神经科医生提供的护理是根据患者的生殖目标和经历、荷尔蒙 过渡和治疗，以及他们的性别社会角色。然而，我们发现了一个重要的国家 神经学教育各级在这些关键主题上的培训差距和相关的关键知识差距 阻碍这一领域发展的科学文献。智者(性别和性别丰富的)神经学 加州大学旧金山分校的计划旨在激励和整合新兴的临床、教育和研究努力，以 通过三个关键目标来填补这些重要空白。这些课程和教材最初的目标是 加州大学旧金山分校神经学住院实习生(每年15名，共45人)和加州大学旧金山分校医科学生(165名 每年)，在核心和/或选择性神经学助理期间，以及临床研究员(每年20人)。这个 课程开发的方法将由加州大学旧金山分校教师教育工作者中心指导，使用证据- 基于优化成人混合学习的动机、体验式学习、协作学习和保留的原则 有水平的学习者。我们的第一个目标(目标1)是开发和实施一个核心的最佳临床实践课程。 这加快了将SAGE原则转化为神经学临床实践的速度，使用的是 所有实习生，并为任何感兴趣的实习生选择为期一周的时间。学员的核心临床能力 根据患者的性别和性别提供神经护理的自我效能感将被系统地 已评估。我们的第二个目标(目标2)是开发和实施核心研究课程，以培训下一个 一代临床医生-科学家通过利用SAGE原则来进行和解释神经科学研究， 无论是长凳还是床边。我们将开发和试用一个工具来应用性/性别镜头来分析设计 以及基础研究、翻译研究和临床研究的解释。我们将评估学员使用此工具的能力 工具。我们的第三个目标(目标3)是通过将感兴趣的学员配对来促进积极生成新知识 与一名教师导师一起开发和领导一个季度的跨专业指导性调查研讨会，旨在 确定新的研究领域，建立跨专业的研究团队。然后，球队将从 每届会议都要编写出版物和新颖的课程材料，作为评价成功的基准。 圣人神经病学将通过持续的可持续发展改变临床医生和临床医生-科学家的培训 创新的、与临床相关的课程材料的长期开发、评估和提炼。 然后，课程产品将在加州大学旧金山分校的各个部门广泛传播，国家学术神经病学 项目、国家神经学协会和更广泛的ORWH社区。

SUMMARY/ABSTRACT The overarching goal of this R25 Program is to leverage our rich institutional environment to iteratively develop the materials and curricula necessary to train the first generation of neurologists how to systematically advance both neurological care and research by prioritizing sex and gender considerations. From neurodevelopment to neurodegeneration, sex and gender influence the risk and course of neurological diseases. It is essential that neurologists provide care that is informed by a patient's reproductive goals and experiences, hormonal transitions and treatments, and their gendered societal roles. However, we identified a significant national training gap in these critical topics at all levels of neurology education and related key knowledge gaps in the scientific literature that hinder the growth of this field. The SAGE (Sex- and Gender-Enriched) Neurology Program at UCSF is designed to galvanize and integrate emerging clinical, educational and research efforts to fill these important gaps through three key aims. These curricula and educational materials will initially target UCSF neurology residency trainees (15 annually for a total class of 45) and UCSF medical students (165 annually) during core and/or selective neurology clerkships, as well as clinical fellows (20 annually). The approach to curriculum development will be guided by the UCSF Center for Faculty Educators, using evidence- based principles to optimize motivation, experiential learning, collaborative learning, and retention in adult mixed- level learners. Our first objective (Aim 1) is to develop and implement a core best practices clinical curriculum that accelerates the translation of SAGE principles into neurology clinical practice using both a core didactic for all trainees, and a week-long selective for any interested trainee. Trainee participants' core clinical competency and self-efficacy in providing neurological care informed by a patient's sex and gender will be systematically evaluated. Our second objective (Aim 2) is to develop and implement a core research curriculum to train the next generation of clinician-scientists to conduct and interpret neuroscience research by leveraging SAGE principles, whether bench or bedside. We will develop and pilot a tool to apply a sex/gender lens to analyzing the design and interpretation of basic, translational and clinical studies. We will evaluate learners' competency at using this tool. Our third objective (Aim 3) is to promote active generation of new knowledge by pairing interested trainees with a faculty mentor to develop and lead a quarterly interprofessional mentored inquiry workshops designed to identify new areas of inquiry and create interprofessional research teams. Teams will then distil key points from each session into publications and novel curricular materials that serve as evaluative benchmarks of success. SAGE Neurology will transform the training of clinicians and clinician-scientists through the continued sustainable long-term development, evaluation, and refinement of innovative, clinically-relevant curricular materials. Curricular products will then be disseminated widely across UCSF departments, national academic neurology programs, national neurological associations and the broader ORWH community.