Midcareer award in aging-related subspecialty research

项目摘要 职业目标：我的长期职业目标是进行研究，了解数字健康 工具可用于改善老年人的护理，了解这些工具的特定老化障碍， 成为年轻科学家的杰出导师。我在获奖期间的短期目标， 将帮助我达到这些目标，如下：（1）为了获得进一步的专业知识，在数字应用程序开发， （2）实施初级教师培训计划， 重点是了解风险的老年患者在内科和外科专科;（3）成为一个 在老年医学和数字健康的交叉研究的国家领导者。为了实现我的目标， 完成一个结构化的职业发展计划，这将加强我自己的研究技能和我的 指导他人的能力。我已经组建了一个团队的教师为我的职业培训与专业知识在老年医学， 计算机科学和老年心脏病学我将定期与这些专家会晤，同时 追求结构化的课程和出席国家科学会议。指导计划：我有 迄今为止，我已指导了20多名学员，并将在颁奖典礼开始时有4名初级教员指导，他们都是 正在申请（或即将申请）校外资助。我的学员将完成一项培训计划， 包括正式的教学和定期与我1：1的会议，以监测进展。我也会确认 在奖励期间，通过多种方法，包括纽约大学心脏病学奖学金， 计划（在那里我担任核心教师），人口健康的纽约大学系，和国家专业 我参加了几个以老年人为重点的委员会。研究计划：建议 该奖项的研究与我的职业发展活动相一致，并将为学员提供机会。 我们的研究计划侧重于使用GeriKit应用程序，这是一种老年评估工具， 纽约大学的老年心脏病学项目，并可在苹果的iOS和谷歌的Android操作系统上免费使用。 系统.我们将首先在150名患有缺血性心脏病的老年人（年龄≥75岁）样本中测试GeriKit， 评估测量损伤的负担是否可预测再入院和死亡率（主要复合指标 结果）以及健康状况（次要结果）（目标1）。然后我们会召集一个专家小组 将谵妄、听力障碍和视力障碍的领域添加到GeriKit，并将测试功能 20名老年人（目标2）。最后，我们将与纽约大学医学中心信息技术（MCIT）合作， 将GeriKit与电子健康记录（EHR）相结合，以便在 患者的病史。这一步对于临床医生认识到老年损伤的存在至关重要， 这可能会影响临床决策。总结：我对指导有很强的承诺， 这个奖项将使我成为一个真正杰出的导师，培养下一代临床科学家 致力于改善老年人的健康。

Project Summary Abstract Career Objectives: My long-term career goals are to conduct research that understands how digital health tools can be used to improve care of older adults, to understand aging-specific barriers to these tools, and to become an exceptional mentor for junior scientists. My short-term objectives during the award period, which will help me to reach these goals, are as follows: (1) To gain further expertise in digital app development, with a focus on measuring aging-related impairments; (2) To implement a junior faculty training program that focuses on understanding risk for older patients in the medical and surgical subspecialties; (3) To become a national leader in research at the intersection of geriatrics and digital health. To achieve my objectives I will complete a structured program of career development that will strengthen my own research skills and my ability to mentor others. I have assembled a team of faculty for my career training with expertise in geriatrics, computer science, and geriatric cardiology. I will meet with these experts on a regular basis and in parallel will pursue structured coursework and attendance at national scientific meetings. Mentoring Plan: I have mentored over 20 trainees to date and will have 4 junior faculty mentees at the start of the award, all of whom hold (or will soon be applying for) extramural funding. My mentees will complete a training program that includes both formal didactics and regular 1:1 meetings with me in order to monitor progress. I will also identify new trainees during the award period through several methods, including the NYU Cardiology Fellowship Program (where I serve as core faculty), the NYU Department of Population Health, and national professional societies where I have been involved in several geriatrics-focused committees. Research Plan: The proposed research for this award aligns with my career development activities and will provide opportunities for mentees. Our research plan focuses on use of the GeriKit app, a geriatric assessment tool that was developed through NYU’s Geriatric Cardiology Program and is available for free on Apple’s iOS and Google’s Android operating systems. We will first test GeriKit on a sample of 150 older adults (age ≥75) with ischemic heart disease to evaluate whether the burden of measured impairments predicts readmission and mortality (primary composite outcome) as well as health status (secondary outcome) (Aim 1). We will then convene a group of expert faculty to add the domains of delirium, hearing impairment, and vision impairment to GeriKit, and will test functionality on 20 older adults (Aim 2). Finally, we will work with NYU Medical Center Information Technology (MCIT) to integrate GeriKit with the electronic health record (EHR) so that geriatric impairments become viewable in patients’ medical histories. This step is critical in clinicians recognizing the presence of geriatric impairments, which may influence clinical decision making. Summary: I have a strong commitment to mentoring, and this award will enable me to become a truly exceptional mentor who trains the next generation of clinician-scientists focused on improving the health of older adults.