Training in Health Services Research for Vulnerable Populations

摘要 自2013年以来，我们的AHRQ T32计划成功地招募了不同的研究员，并为他们的健康做好了准备 服务研究职业。我们培训了24名研究人员，发表了35份报告和26份出版物。 我们的五名实习生仍在参加培训计划，并正在朝着实现我们所有既定目标的方向前进； 在19名毕业生中，有7名(6名博士后和1名博士后完成了博士学位) 另有两人在北京理工大学攻读博士学位。这是竞争激烈的 更新在我们成功的计划的基础上建立在几个重要的方面。我们正在扩大内容的多样性 包括来自外科的实习生和导师。我们还增加了额外的说教和 培训和体验机会以及健康和健康公平的社会决定因素。我们的跨学科 博士后和博士后奖学金的目标是产生家庭医学，普通内科， 儿科、外科和公共卫生研究人员将领导改善医疗保健服务的努力 服务不足的病人。我们计划的四个目标是：(1)招聘和留住高素质、 对研究职业感兴趣的不同候选人专注于提高医疗保健质量、获取机会和 (2)为博士后和博士后研究员提供全面的 研究性培训；(3)培养将进行医疗质量、提供和服务研究的毕业生 低收入人群的健康结果，其研究转化为系统变化；以及(4) 评估我们的计划以进行持续改进。该项目由马克·拉罗谢尔博士领导，他是一名 经验丰富的研究员和导师，由资深科学家组成的跨学科团队共同指导。我们有 建立了培训研究人员所必需的四种教学结构：(1)强化指导；(2) 波士顿大学公共卫生学院(BUSPH)课程最终获得人口健康硕士学位 博士后研究员和博士后研究员博士学位；(3)跨学科学术研讨会；(4) 监督至少两个研究项目的实施。博士前培训包括前3年的授课 博士学位课程。博士后培训为2年。每年培养博士后3名，博士后3名 伙计们。研究员将成为专注于卫生保健质量、提供和结果的卫生服务研究人员 针对低收入人群。我们跟踪毕业生毕业后1年、5年和10年的情况(目标：85%进入研究 专注于改善医疗质量的职业；70%的人在3年后仍从事医疗服务研究；&gt；50% 带头努力实施新的护理模式，并在5年内为研究提供资金)。

ABSTRACT Since 2013, our AHRQ T32 program has successfully recruited diverse fellows and prepared them for health services research careers. We have trained 24 researchers, resulting in 35 presentations and 26 publications. Five of our trainees are still engaged in the training program and are on track to meet all our stated objectives; of the nineteen graduates, seven (six postdoctoral and one predoctoral who completed his PhD) have appointments at academic institutions and two are completing their PhDs at the BUSPH. This competitive renewal builds on our successful program in several important ways. We are expanding the diversity in content by including trainees and mentors from the Department of Surgery. We are also adding additional didactic and training and experiential opportunities and social determinants of health and health equity. Our interdisciplinary predoctoral and postdoctoral fellowship aims to produce Family Medicine, General Internal Medicine, Pediatrics, Surgery and Public Health researchers who will lead efforts to improve health care delivery for underserved patients. The four objectives of our program are to: (1) Recruit and retain high-quality, diverse candidates interested in research careers focused on improving health care quality, access, and delivery for underserved patients; (2) Provide predoctoral and postdoctoral fellows with comprehensive research training; (3) Produce graduates who will conduct research on health care quality, delivery, and health outcomes for low-income populations and whose research translates to systems change; and (4) Evaluate our program for continuous improvement. The program is led by Dr. Marc LaRochelle, an experienced researcher and mentor, and Co-Directed by an interdisciplinary team of senior scientists. We have established four pedagogical structures essential to training research fellows: (1) Intensive mentoring; (2) Boston University School of Public Health (BUSPH) courses culminating in a Master’s in Population Health for postdoctoral fellows and a PhD for predoctoral fellows; (3) Interdisciplinary academic seminars; and (4) Supervised conduct of at least two research projects. Predoctoral training includes the first 3 didactic years of the PhD program. Postdoctoral training is 2 years. Each year, we will train 3 predoctoral and 3 postdoctoral fellows. Fellows will become health service researchers focused on health care quality, delivery, and outcomes for low-income populations. We track graduates 1, 5, and 10 years after graduation (goal: >85% enter research careers focused on improving healthcare quality; >70% remain in health services research after 3 years; >50% lead efforts to implement new care models and have >1 funded research within 5 years).