This is a competitive renewal application for a National Research Service Award (NRSA) Institutional Training grant (T32) for research training in pediatric urology at Boston Children's Hospital. For the past 10 years, this funding mechanism has supported the research component of our pediatric urology fellowship program. The pediatric urology fellowship at Boston Children's Hospital is the oldest and one of the most highly regarded such programs in the world. The Urology Department at BCH is one of the world's leading centers for pediatric urology and genitourinary reconstruction and has one of the largest research programs dedicated to basic urology research in the country. The department is home to the BCH Urological Diseases Research Center, a George O'Brien Urology Research Center funded by a P50 grant from the NIDDK. The overall goals of the program are: (1) to enhance the trainees'understanding of basic mechanisms of cell physiology, the molecular basis of disease, and their translation to clinical urology;(2) to teach state- of-the-art, hypothesis-driven research methodology relevant to both basic science and clinical research;and (3) to provide sufficient time and guidance for a mature postdoctoral experience in basic, translational or clinical studies relevant to the trainees'future clinical careers and academic leadership roles. In the most recent funding cycle, postdoctoral MD trainees who have completed urology residency have conducted research in one of two settings during 2 uninterrupted years of the 3-year fellowship: (i) laboratory-based studies of urogenital tract development, physiology and pathophysiology or (ii) clinical outcomes and health services research in conjunction with faculty at the Harvard School of Public Health. Trainees will also undergo didactic training in critical thinking and grant writing, biostatistics and the responsible conduct of research. Four postdoctoral positions are requested per year for 2 years of research training. Twenty-seven mentors comprising basic science and clinical faculty, from 8 programs will support the training program. The fellowship represents a unique combination of outstanding clinical and basic research training within one of the world's leading centers for academic medicine and biomedical science. It is designed to enable our graduates to establish their own competitive programs of scholarship and research during their careers as academic pediatric urologists. These clinician-scientists can then contribute to understanding the genitourinary system in fundamental terms and to translating basic research findings into clinical applications. The T32 Pediatric Urology Research Training mechanism is the major source of support for the fellows during the 2-year research component of their fellowship.

Public Health Relevance

The overall goal of the training program in pediatric urology is to provide a comprehensive, mentored training experience for clinicians in a rich and stimulating environment, and to train them in state-of-the-art basic science and clinical research methodology. At the end of the fellowship, graduates will emerge with skills that will enable them to establish their own competitive programs of scholarship and research during their careers as academic pediatric urologists. It is anticipated these clinician-scientists can then contribute to understanding the genitourinary system in fundamental terms and to translating basic research findings into clinical applications to improve patient care.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Institutional National Research Service Award (T32)
Project #
2T32DK060442-11
Application #
8666970
Study Section
Digestive Diseases and Nutrition C Subcommittee (DDK)
Program Officer
Rankin, Tracy L
Project Start
2002-03-01
Project End
2019-06-30
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
11
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Children's Hospital Boston
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02115
Doyle, Claire; Cristofaro, Vivian; Sack, Bryan S et al. (2018) The role of the mucosa in modulation of evoked responses in the spinal cord injured rat bladder. Neurourol Urodyn 37:1583-1593
Varda, Briony K; Cho, Patricia; Wagner, Andrew A et al. (2018) Collaborating with our adult colleagues: A case series of robotic surgery for suspicious and cancerous lesions in children and young adults performed in a free-standing children's hospital. J Pediatr Urol 14:182.e1-182.e8
Sack, Bryan S; Elizondo, Rodolfo A; Huang, Gene O et al. (2018) Pediatric medical device development by surgeons via capstone engineering design programs. J Pediatr Surg 53:493-498
Schäfer, Frank-Mattias; Algarrahi, Khalid; Savarino, Alyssa et al. (2017) Mode of Surgical Injury Influences the Source of Urothelial Progenitors during Bladder Defect Repair. Stem Cell Reports 9:2005-2017
Doyle, Claire; Cristofaro, Vivian; Sack, Bryan S et al. (2017) Inosine attenuates spontaneous activity in the rat neurogenic bladder through an A2B pathway. Sci Rep 7:44416
Guo, Chunming; Balsara, Zarine R; Hill, Warren G et al. (2017) Stage- and subunit-specific functions of polycomb repressive complex 2 in bladder urothelial formation and regeneration. Development 144:400-408
Sack, Bryan S; Schäfer, Mattias; Kurtz, Michael P (2017) The Dilemma of Adolescent Varicoceles: Do They Really Have to Be Repaired? Curr Urol Rep 18:38
Balsara, Zarine R; Li, Xue (2017) Sleeping beauty: awakening urothelium from its slumber. Am J Physiol Renal Physiol 312:F732-F743
Cho, P S; Bauer, S B; Pennison, M et al. (2016) Sacral agenesis and neurogenic bladder: Long-term outcomes of bladder and kidney function. J Pediatr Urol 12:158.e1-7
Froehlich, John W; Kostel, Stephen A; Cho, Patricia S et al. (2016) Urinary Proteomics Yield Pathological Insights for Ureteropelvic Junction Obstruction. Mol Cell Proteomics 15:2607-15

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