Surgical Multispecialty Access to Research in Residency Training (SMART)

总结 外科医生科学家是一个代表性不足的人口在学术医学，和联邦资助的外科医生- 科学家主导的研究在过去十年中一直在减少。外科手术面临巨大挑战 寻求研究培训的居民。重要的是，外科住院医师培训计划有充足的保护时间， 专门的，密集的体验式研究培训有效地促进了“管道”， 独立资助的外科医生科学家这些研究人员对外科手术产生了有意义的影响， 肿瘤患者护理和科学知识。拟议的外科多专业研究访问 住院医师培训（SMART）计划汇集了广泛的多学科肿瘤学专业知识， 西北大学的范伯格医学院（NUFSM）和罗伯特H。Lurie综合 癌症中心创建一个多学科的，为期两年的研究培训计划，包括（1）健康 服务和成果研究（HSOR）跟踪和（2）基础科学和转化（BTS）研究 轨道SMART将利用NUFSM外科30年的外科培训经验， 住院医师在实验室和转化外科肿瘤学研究和15年的外科肿瘤学HSOR 美国西北比较有效性研究所与 肿瘤学（NICER-Onc），西北大学的HSOR博士后奖学金，以及美国医学院 外科医生（ACS）癌症计划。自2009年以来，我们已经培训了46名外科研究住院医师， 开始了以肿瘤学为中心的学术生涯。在为期两年的强化培训期间（90%的保护 时间），SMART的居民将沉浸在多学科，体验式研究培训中，使用团队 科学的方法，与承诺的导师和重点教学，同时确保他们的资格， 美国外科委员会认证。每位学员都将有一位经验丰富的导师 团队（内容和方法专家），根据他们的培训需求量身定制。SMART核心课程将 包括研究设计和分析方法、最佳实践和研究伦理方面简短课程， 职业发展。学员将参加讲习班、研讨会和研究培训机会 以及相关的外科和肿瘤学专业协会。学员将设计和执行 研究项目最终在主要的国家专业会议和出版物上发表演讲， 高影响力期刊通过以下方式实现持续监控和迭代程序改进： 一个高度成功的外部咨询委员会的参与和西北大学的强有力的评估 塞尔高级学习和教学中心。SMART计划的最终目标是确保 增加外科住院实习生的人数，他们成功地追求并实现了学术生涯， 独立资助的外科肿瘤医生-科学家。西北大学具有独特的优势， SMART计划的成功。SMART将成为发展未来外科肿瘤学的国家领导者 医生科学家领袖和导师。

SUMMARY Surgeon-scientists are an underrepresented population in academic medicine, and federally funded surgeon- scientist-led research has been in decline over the past decade. Substantial challenges are faced by surgical residents seeking research training. Importantly, surgical resident training programs with ample protected time for dedicated, intensive experiential research training have effectively contributed to the “pipeline” of successful, independently funded surgeon scientists. These researchers have meaningfully impacted surgical oncology patient care and scientific knowledge. The proposed Surgical Multispecialty Access to Research in Residency Training (SMART) program brings together the extensive multidisciplinary oncologic expertise at Northwestern University's Feinberg School of Medicine (NUFSM) and the Robert H. Lurie Comprehensive Cancer Center to create a multidisciplinary, two-year research training program consisting of (1) a Health Services and Outcomes Research (HSOR) Track and (2) a Basic Science and Translational (BTS) Research Track. SMART will draw upon the NUFSM Department of Surgery's 30-year experience of training surgical residents in bench and translational surgical oncology research and the 15-year surgical oncology HSOR resident training collaboration between the Northwestern Institute for Comparative Effectiveness Research in Oncology (NICER-Onc), the HSOR Postdoctoral Fellowship at Northwestern, and the American College of Surgeons (ACS) Cancer Programs. Since 2009, we have trained 46 surgical research residents who have gone on to oncology-focused academic careers. During a two-year, intensive training period (90% protected time), residents in SMART will be immersed in multidisciplinary, experiential research training, using a team science approach, with committed mentorship and focused didactic teaching, while assuring their eligibility for certification by the American Board of Surgery. Each trainee will have an experienced and diverse Mentor Team (content and methodological experts), tailored to their training needs. The SMART core curriculum will include brief courses in study design and analytic approaches, best practices and ethics in research, and career development. Trainees will participate in the workshops, seminars, and research training opportunities at Northwestern and at relevant surgical and oncologic professional societies. Trainees will design and execute research projects that culminate in presentations at major national professional meetings and publications in high-impact journals. Continuous monitoring and iterative program improvement will be achieved by engagement of a highly accomplished External Advisory Committee and robust evaluation by Northwestern's Searle Center for Advanced Learning and Teaching. The ultimate goal of the SMART program is to assure an increase in the number of surgical resident trainees who successfully pursue and achieve academic careers as independently funded surgical oncologic physician-scientists. Northwestern is uniquely positioned to assure the success of the SMART program. SMART will be a national leader in developing future surgical oncology physician-scientist leaders and mentors.