Expanding training in comparative effectiveness for child health researchers

描述（由申请人提供）：哈佛儿童健康服务研究奖学金计划将创建一个新的培训计划，致力于发展比较有效性研究（CER）的能力，以改善儿童的医疗保健。这些受训者将包括未来的研究人员，他们需要将美国的卫生保健系统转变为一个允许临床医生常规和可靠地使用关于替代治疗的好处、危害和经济成本的最佳证据，以便在家庭、社区和文化的背景下为儿童和青少年量身定制护理。该项目将在未来三年内招募和培训5名新的博士后，从事比较有效性研究，并将建立在哈佛儿科HSR项目中完善的成功结构化培训途径的基础上。核心学院在分析电子健康数据、时间序列和其他准实验设计的新颖观察方法以及在现实世界交付环境中干预措施的集群随机试验方面具有特殊的方法学专长。该项目将通过与儿科亚专业培训项目合作，培训CER领域的研究人员，重点关注AHRQ和IOM确定的儿童高优先级内容领域，包括儿童癌症、糖尿病、多动症、肥胖和哮喘，并将长期关注儿童健康和卫生保健方面的差异。

DESCRIPTION (provided by applicant): The Harvard Pediatric Health Services Research Fellowship Program will create a novel training program dedicated to developing capacity in comparative effectiveness research (CER) to improve health care for children. These trainees will comprise the future researchers required to transform the US health care system into one which allows clinicians to routinely and reliably use the best available evidence on benefits, harms, and financial costs of alternative treatments to tailor care to individual children and adolescents within the context of their family, community, and culture. The Program will recruit and train 5 new postdoctoral fellows in comparative effectiveness research over the next three years, and will be built on the successful structured training pathway that has been refined in the Harvard Pediatric HSR program. The Core Faculty has particular methodologic expertise in novel observational methods for analysis of electronic heath data, time series and other quasi-experimental designs, and cluster-randomized trials of interventions in real-world delivery settings. The program will train researchers for careers in CER focused on high-priority content areas for children identified by AHRQ and IOM, including childhood cancer, diabetes, ADHD, obesity, and asthma, by partnering with pediatric subspecialty training programs, and will maintain its longstanding focus on disparities in child health and health care. Training will include: basic coursework leading to a Master's degree at the Harvard School of Public Health; a weekly 3-hour seminar focused on pediatric methods and trainee research; mentorship by an expanded group of cross-disciplinary experts in a wide range of methods necessary to conduct comparative effectiveness research; and yearly required participation with partnership and practicum sites that include AHRQ-funded programs focused on CER (CERT and DEclDE sites) and evidence-based practice centers (EPC's) to provide training in evidence synthesis. PUBLIC HEALTH RELEVANCE: The Harvard Pediatric Health Services Research Fellowship Program will build on its demonstrated success to meet the national priority of developing a workforce of comparative effectiveness researchers. These individuals will provide scientific evidence to inform effective, high value care for children and families, and help to develop a "learning healthcare system" for children.