While surgeons and surgical specialists have made strong contributions to the fields of both health services and clinical research, these disciplines continue to suffer from shortages of faculty with well-developed research skills, and the lack of research in this area is in part related to a limited pool of well-trained investigators. To address this issue, we believe young surgeons need formalized, rigorous training programs to prepare them for academic careers in surgery and interventional fields. Given that the vast scope of clinical issues most commonly managed by general surgeons involve digestive disease (appendicitis, biliary disease, bowel obstruction, diverticulitis, Crohn's disease, pancreatitis, etc.) and obesity and its related disease, we believe there is ample opportunity for a research training program designed to prepare trainees for academic careers devoted to clinical and HSERV research in these areas of clinical care. This revised application focuses on the development of well-trained clinical and health services (HSERV) researchers by exposing them to rigorous didactic and practical research training through a dynamic set of appropriate activities. Our program will recruit one trainee each year for a 2-year training program, thus supporting two trainees per year after year one. The program will result in trainee completion of a Masters in Public Health (MPH) degree and an independent clinical or HSERV research project. We expect all trainees to be exposed to faculty in 5 core areas: administrative dataset analysis, patient-centered outcomes and patient preference assessment, health economics, healthcare policy, and clinical research development. Trainees will work closely with a research mentor of their choosing and will be formally exposed to other core research areas through faculty lectures, representation of cores on trainee thesis committees, formalized core curricula, and educational opportunities offered by affiliated training programs at our institution. An Advisory Committee will oversee all aspects of the training program.

Public Health Relevance

Young surgeons need access to formalized, rigorous training programs to prepare them for academic careers in a discipline not characterized by long-standing, high-level clinical research productivity. This training program will take steps to ensure that the next generation of surgeons has the ability to raise the quality and amount of surgical research being done.

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 #
5T32DK070555-04
Application #
8516498
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Densmore, Christine L
Project Start
2010-07-01
Project End
2015-06-30
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
4
Fiscal Year
2013
Total Cost
$142,947
Indirect Cost
$8,929
Name
University of Washington
Department
Surgery
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
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Kotagal, Meera; Symons, Rebecca G; Hirsch, Irl B et al. (2015) Perioperative hyperglycemia and risk of adverse events among patients with and without diabetes. Ann Surg 261:97-103
Drake, Frederick T; Kotagal, Meera; Simmons, LaVone E et al. (2015) Single institution and statewide performance of ultrasound in diagnosing appendicitis in pregnancy. J Matern Fetal Neonatal Med 28:727-33
Drake, Frederick Thurston; Mottey, Neli E; Farrokhi, Ellen T et al. (2014) Time to appendectomy and risk of perforation in acute appendicitis. JAMA Surg 149:837-44
Drake, Frederick Thurston; Quiroga, Elina; Kariuki, Hazel W et al. (2014) Traumatic near amputation secondary to hippopotamus attack: lessons for surgeons. J Surg Res 188:58-63
Sham, Jonathan G; Simianu, Vlad V; Wright, Andrew S et al. (2014) Evaluating the mechanisms of improved glucose homeostasis after bariatric surgery in Ossabaw miniature swine. J Diabetes Res 2014:526972
Hakkarainen, Timo W; Kopari, Nicole M; Pham, Tam N et al. (2014) Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes. Curr Probl Surg 51:344-62
Hakkarainen, Timo W; Dellinger, E Patchen; Evans, Heather L et al. (2014) Comparative effectiveness of skin antiseptic agents in reducing surgical site infections: a report from the Washington State Surgical Care and Outcomes Assessment Program. J Am Coll Surg 218:336-44
Kotagal, Meera; Carle, Adam C; Kessler, Larry G et al. (2014) Limited impact on health and access to care for 19- to 25-year-olds following the Patient Protection and Affordable Care Act. JAMA Pediatr 168:1023-9

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