Musculoskeletal and orthopaedic disorders are highly prevalent, disabling and costly. However research on these conditions is hampered by the lack of a robust pipeline of rigorously trained clinical and translational researchers. The COMET (Clinical Orthopedic and Musculoskeletal Education and Training) Program was launched with NIAMS T32 support in 2008 to bolster opportunities for clinical research training in orthopedic and musculoskeletal conditions. The COMET program was highly successful in its first cycle, with five of six program graduates remaining in academic positions and three of six obtaining K-level NIH Career Development Awards. This application proposes a renewal of the COMET T32 program. We have added four new faculty and four new research units to provide increased clinical, musculoskeletal research opportunities in women's health and skeletal health. The objectives of the COMET T32 training grant is to provide pre- and postdoctoral candidates with a rigorous program of training in clinical, translational, epidemiological and policy research involving musculoskeletal and orthopaedic disorders. The program focuses on prevention, recognition, burden and impact of these disorders and operative and nonoperative treatment. The research areas include osteoarthritis, osteoporosis, regional disorders (spine, knee, shoulder, upper extremity, foot/ankle) bone, joint and soft tissue problems, nerve entrapments, chronic pain and related conditions. The program supports training in a range of complementary disciplines including epidemiology, biostatistics, pharmacoepidemiology, decision sciences, economic analysis, health disparities and behavioral interventions. This application requests funding for two predoctoral and three postdoctoral training positions per year. The trainees spend at least two years in the program. Those without prior formal didactic training obtain a master's degree in the Clinical Effectiveness Program at Harvard School of Public Health. The faculty includes outstanding mentors from Harvard Medical School, Harvard School of Public Health, Brigham and Women's Hospital and other Harvard medical institutions. The faculty members conduct research on a wide range of clinical areas and methodological disciplines. In its initial funding period, the COMET T32 program has begun to fulfill the need for clinical research training opportunities in musculoskeletal disorders. This renewal application builds upon the program's early successes and furthers the overarching programmatic goal of facilitating research to improve the quality of life of persons with musculoskeletal disorders.

Public Health Relevance

Musculoskeletal and orthopaedic conditions are among the most common, disabling and costly problems in medicine. Despite their enormous public health burden, few federally funded programs support clinical research training for these conditions. This application requests renewal of T32 funding for clinical research training for pre- and postdoctoral trainees embarking on careers in musculoskeletal clinical research.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Institutional National Research Service Award (T32)
Project #
5T32AR055885-07
Application #
8687591
Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Program Officer
Panagis, James S
Project Start
2008-07-01
Project End
2018-06-30
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
7
Fiscal Year
2014
Total Cost
$245,172
Indirect Cost
$17,494
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
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