Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT) program

项目摘要/摘要 作为加州大学洛杉矶分校、Kaiser Permanente Southern California、退伍军人事务部大洛杉矶分校 医疗保健系统和洛杉矶县卫生服务部，拟议的新AHRQ-PCORI K12 项目，利益相关者合作的实施研究和创新翻译(SPIRIT)，是 旨在培养杰出的博士后学者(包括MD、PhD、MD/PhD、ScD、DrPH和 Pharmd)学术研究职业，专注于快速和可持续地吸收新的科学发现 以及改进个人慢性病护理的设计、交付和结果的创新， 人口和医疗保健系统的水平。在目前全国健康科学家人数不断减少的时代， 尤其是在临床提供者中，以及跨越不同领域的研究和实践的不断扩大的需求 卫生服务和系统的现实世界环境以及人口结构多样化的人口，精神将 满足在生成、传播和实施过程中对广泛问题进行研究的迫切需要 临床证据，并将推进提高创新的速度和数量的目标 慢性病的诊断、治疗和预防，以促进和促进学习卫生系统。在……里面 应对更好地理解实践中的差异和结果以及T4的障碍的挑战 翻译、跨学科课程和新K12的指导性实践研究机会 计划将24个高质量多学科的科学专业知识和指导经验交织在一起 致力于合作、基于团队的交叉培训和卫生服务研究的调查人员 以及以患者为中心的结果、临床流行病学以及传播和实施。精神意志 利用现有的教育、培训和职业发展计划方面的相关资源 核心课程和保护时间的四个合作伙伴，最重要的是加州大学洛杉矶分校国家临床医生学者 计划，以实现以下具体目标：(1)扩大证据的多学科知识库- 以实践和学习为基础的卫生系统，因为它与整个国家慢性病护理的不同方面有关 临床光谱；(2)提供教学和实践研究培训/职业发展方面的知识 在更广泛的研究范围内将证据快速转化为实践的哲学基础 转化医学事业；(3)培养学者为演示文稿、出版物、 (4)提供学术环境，以促进研究技能的发展和 作为跨学科的成员和领导者，成功、独立的科学生涯所需的经验 致力于改善患者和人群结果以及卫生系统绩效的团队；以及(5)模型 促进学者发展的研究赋权教学和指导技能，包括他们最终的 在卫生系统利益相关者中复制研究教育、培训和职业发展计划- 随着他们的职业生涯向稳定的、科学的独立发展，他们合作改善了慢性病护理。

PROJECT SUMMARY/ABSTRACT As a collaboration among UCLA, Kaiser Permanente Southern California, the VA Greater Los Angeles Healthcare System, and the LA County Department of Health Services, the proposed new AHRQ-PCORI K12 program, Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT), is designed to prepare outstanding postdoctoral scholars (including MD, PhD, MD/PhD, ScD, DrPH, and PharmD) for academic research careers focused on rapid and sustainable uptake of new scientific discoveries and innovations that improve the design, delivery, and outcomes of care for chronic diseases at the individual, population, and health care system levels. In the current era of declining numbers of health scientists nationwide, particularly among clinical providers, and of expanding need to bridge research and practice across diverse real-world settings of health services and systems as well as demographically diverse populations, SPIRIT will fill a critical need for research on a broad range of issues in the generation, dissemination, and implementation of clinical evidence and will advance the goals of increasing the pace and volume of innovation in the diagnosis, treatment, and prevention of chronic diseases to facilitate and advance learning health systems. In response to the challenges of better understanding variation in practice and outcomes and the barriers of T4 translation, the interdisciplinary curriculum and mentored hands-on research opportunities of the new K12 program interweave the scientific expertise and mentoring experience of 24 high-quality multidisciplinary investigators who are committed to collaborative, team-based cross-training and research in health services and patient-centered outcomes, clinical epidemiology, and dissemination and implementation. SPIRIT will leverage topically germane resources of education, training, and career development programs extant among the four partners for the core curriculum and protected time, foremost, the UCLA National Clinician Scholars Program, to achieve the following specific aims: (1) expand the multidisciplinary knowledge base of evidence- based practice and learning health systems as it relates to different aspects of chronic disease care across the clinical spectrum; (2) provide didactic and hands-on research training/career development in the intellectual and philosophical foundation of rapid translation of evidence into practice within the broader research enterprise of translational medicine; (3) develop scholars' scientific writing skills for presentations, publications, and grants; (4) provide an academic environment that enables development of the research skills and experience needed for successful, independent scientific careers as members and leaders of interdisciplinary teams dedicated to improving patient and population outcomes and health system performance; and (5) model research-empowering teaching and mentoring skills for scholars' development, including their eventual replication of research education, training, and career development programs in health system stakeholder- partnered improvements of chronic disease care as their careers evolve into stable, scientific independence.