Training program addressing the multilevel factors that affect pregnancy-related and pregnancy-associated morbidity and mortality disparities

培训部分将培养科学家，包括早期研究人员和其他初级科学家， 来自代表性不足背景的学者，学生和博士后，进行研究，这将有助于我们联合国- 了解并解决造成PRAMM差异的多层面因素。随着我们的项目解决PRAMM差异 在患者、社区、供应商和系统层面，我们的培训计划也将如此。的总体目标 中心的培训部分是参与和准备初级调查员，重点是早期投资， 来自健康科学领域目前代表性不足的背景或身份的研究人员， 这解决了生物，行为，环境和结构的决定因素PRAMM和差距。 培训部分将利用中心调查人员和社区的专业知识和网络 合作伙伴，他们带来了广泛的专业知识，在社区参与的研究方法，开发和测试 多层次干预、传播和实施科学、人口一级数据分析、随机- 化试验设计、析因设计、准实验研究和索赔数据分析。中心研究者 还带来了利用移动的医疗服务减少差距的专门知识以及实质性知识和经验 测试PRAMM差异的未充分研究原因的干预措施，包括伴侣暴力，自杀， 立场使用，和其他共同发生的条件。密歇根州立大学人类医学院 为这项培训计划提供了一个理想的环境，因为它强调社区参与， 健康差距，其在密歇根州多个地点（弗林特，大急流城，兰辛/东兰辛， 和北方密歇根州）及其与密歇根州东南部的亨利福特卫生系统的伙伴关系。我们会- 实现以下具体目标。 1.通过一对一的指导，动手体验式学习， 和结构化培训，重点是早期阶段和代表性不足的调查员。 2.为其他早期和初级研究人员、学生和博士后提供学习机会 参与PRAMM差异研究，将其纳入中心项目。 3.提供一套教学机会，重点是理解和解决多层次的发展， PRAMM的终止者到整个研究社区，即，调查人员、工作人员、社区合作伙伴， 合作学者和其他学生，博士后，新的研究人员和感兴趣的利益相关者 4.利用现有的广泛培训机会网络，包括课程、研讨会和 来自密歇根州州立大学学院的培训，这些学院位于东兰辛和密歇根州弗林特，以及其他一些州。 社区伙伴组织和其他适当来源

The Training Component will prepare scientists, including early-stage investigators and other junior scien- tists, students, and postdocs from under-represented backgrounds, to conduct research to that will help us un- derstand and address multilevel factors causing PRAMM disparities. As our projects address PRAMM disparities at the patient, community, provider, and systems levels, so too will our training program. The overall goal of the Center’s Training Component is to engage and prepare junior investigators, with a focus on early-stage investi- gators from backgrounds or identities currently underrepresented in the health sciences, to conduct research that addresses the biological, behavioral, environmental, and structural determinants of PRAMM and disparities. The Training Component will leverage the expertise and networks of Center investigators and community partners, who bring a broad range of expertise in community-engaged research methods, developing and testing multilevel interventions, dissemination and implementation science, analysis of population-level data, random- ized trial designs, factorial designs, quasi-experimental studies, and analysis of claims data. Center investigators also bring expertise on using mobile health to reduce disparities and substantive knowledge and experience testing interventions for understudied causes of PRAMM disparities, including partner violence, suicide, sub- stance use, and other co-occurring conditions. The College of Human Medicine at Michigan State University offers an ideal environment for this training program because of its emphasis on community-engagement and health disparities, its reach across multiple locations in Michigan (Flint, Grand Rapids, Lansing/East Lansing, and Northern Michigan) and its partnership with Henry Ford Health System in Southeast Michigan. We will pur- sue the following Specific Aims. 1. Engage and train Collaborating Scholars through one-on-one mentoring, hands-on experiential learning, and structured training, with a focus on early-stage and underrepresented investigators. 2. Provide opportunities for other early-stage and junior investigators, students, and postdocs to learn from participating in PRAMM disparities research by including them in Center projects. 3. Provide a set of didactic opportunities focused on understanding and addressing the multi-level de- terminants of PRAMM to the entire Research Community, i.e., Investigators, staff, Community Partners, Collaborating Scholars and other students, postdocs, new investigators, and interested stakeholders 4. Leverage an extensive network of existing training opportunities that include courses, seminars, and trainings from across the Michigan State University colleges in East Lansing and Flint, Michigan, other Com- munity Partner organizations, and other sources as appropriate