This application proposes to establish a multidisciplinary clinical research program that will prepare clinician scientists for academic leadership and independent research careers in emergency medicine (EM). It draws on well-established collaborations between the Oregon Health &Science University (OHSU) Department of Emergency Medicine (DEM);OHSU's Center for Policy and Research in Emergency Medicine (CPR-EM);the Oregon Clinical and Translational Research Institute (OCTRI, funded by one of the original Clinical and Translational Science Awards in 2006);the Department of Medicine Divisions of Cardiovascular Medicine, Pulmonary &Critical Care Medicine, and Hematology &Medical Oncology;the Department of Surgery Division of Trauma, Critical Care, &Acute Care Surgery;the Department of Pediatrics;the Department of Medical Informatics &Clinical Epidemiology;the Department of Public Health &Preventive Medicine;and the Department of Biomedical Engineering. Furthermore, it initiates or enhances collaborations with the Department of Anesthesiology &Perioperative Medicine;the Department of Physiology &Pharmacology;and the Department of Behavioral Neuroscience within the School of Medicine. It strengthens ties with OHSU's School of Nursing and College of Pharmacy. The primary aim is to produce highly qualified EM researchers, all of whom will have expertise in research fundamentals and the skills required for success as academic physicians and leaders. Each scholar will have developed an area of content expertise for his or her research, along with the specific research skills appropriate to that research topic. By the end of the training period, each scholar will be well-prepared to serve as an independent clinical researcher.
The Specific Aims of the Oregon Multidisciplinary Training Program for Emergency Medicine Clinical Research are 7 To create the next generation of well-trained clinician scientists in the art and science of translational emergency medicine research; 7 To train a diverse group of scholars, with different areas of content expertise reflecting a broad range of cardiovascular, pulmonary, hematological and traumatic emergencies; 7 To produce scholars whose research varies along the spectrum of translational research - from bench- to-bedside to clinical trials - and who have sufficient understanding of comparative effectiveness and health services research to collaborate on multidisciplinary teams that apply scholars'clinical research to broader populations;and 7 To expand the horizon of emergency medicine research by assembling multidisciplinary teams of scientists from a broad range of clinical and basic science disciplines.

Public Health Relevance

ED care is a major component of the US healthcare system and cardiovascular, pulmonary, hematologic and traumatic emergencies are a major component of emergency department utilization - reflecting the heavy burden of these illnesses in the US population. However, treatment of emergency medical and traumatic conditions is often handicapped by lack of evidence-based therapies, and several authorities have identified the limited number of skilled emergency care researchers as a major contributor to this problem. This application proposes to establish a multidisciplinary clinical research program that will prepare clinician- scientists for independent research careers in Emergency Medicine.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Physician Scientist Award (Program) (PSA) (K12)
Project #
5K12HL108974-03
Application #
8502545
Study Section
Special Emphasis Panel (ZHL1-CSR-J (M2))
Program Officer
Scott, Jane
Project Start
2011-07-01
Project End
2016-06-30
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
3
Fiscal Year
2013
Total Cost
$917,769
Indirect Cost
$59,094
Name
Oregon Health and Science University
Department
Emergency Medicine
Type
Schools of Medicine
DUNS #
096997515
City
Portland
State
OR
Country
United States
Zip Code
97239
McConnell, K John; Chang, Anna Marie; Cohen, Deborah J et al. (2014) Oregon's Medicaid Transformation: An Innovative Approach To Holding A Health System Accountable For Spending Growth. Healthc (Amst) 2:163-167
Gao, Billy; Pollock, Jeffrey A; Hinson, Holly E (2014) Paroxysmal sympathetic hyperactivity in hemispheric intraparenchymal hemorrhage. Ann Clin Transl Neurol 1:215-219
Chiang, Wen-Chu; Ko, Patrick Chow-In; Chang, Anna Marie et al. (2014) Bystander-initiated CPR in an Asian metropolitan: does the socioeconomic status matter? Resuscitation 85:53-8
Hsieh, Ming-Ju; Tang, Sung-Chun; Chiang, Wen-Chu et al. (2014) Utilization of emergency medical service increases chance of thrombolytic therapy in patients with acute ischemic stroke. J Formos Med Assoc 113:813-9
Chang, Anna Marie; Rising, Kristin L (2014) Cardiovascular Admissions, Readmissions, and Transitions of Care. Curr Emerg Hosp Med Rep 2:45-51
Stecker, Eric C (2014) Why the Oregon CCO experiment could founder. J Health Polit Policy Law 39:941-6
Stecker, Eric C; Teodorescu, Carmen; Reinier, Kyndaron et al. (2014) Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival. J Am Heart Assoc 3:e001160
Morgan, Sofie Rahman; Chang, Anna Marie; Alqatari, Mahfood et al. (2013) Non-emergency department interventions to reduce ED utilization: a systematic review. Acad Emerg Med 20:969-85
Chang, Anna Marie; Leung, Alison C; Saynisch, Olivia et al. (2013) Using a mobile app and mobile workforce to validate data about emergency public health resources. Emerg Med J :
Huang, Edward Pei-Chuan; Wang, Hui-Chih; Ko, Patrick Chow-In et al. (2013) Obstacles delaying the prompt deployment of piston-type mechanical cardiopulmonary resuscitation devices during emergency department resuscitation: a video-recording and time-motion study. Resuscitation 84:1208-13

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