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)
Type
Institutional National Research Service Award (T32)
Project #
5T32DK070555-05
Application #
8685965
Study Section
Digestive Diseases and Nutrition C Subcommittee (DDK)
Program Officer
Densmore, Christine L
Project Start
Project End
Budget Start
Budget End
Support Year
5
Fiscal Year
2014
Total Cost
Indirect Cost
Name
University of Washington
Department
Surgery
Type
Schools of Medicine
DUNS #
City
Seattle
State
WA
Country
United States
Zip Code
98195
Writing Group for CERTAIN-CHOICES; Simianu, Vlad V; Grounds, Margaret A et al. (2016) Understanding clinical and non-clinical decisions under uncertainty: a scenario-based survey. BMC Med Inform Decis Mak 16:153
Ehlers, Anne P; Flum, David R; Farjah, Farhood (2016) Alvimopan Use, Outcomes, and Costs: In reply to Fujita. J Am Coll Surg 223:423-4
Hakkarainen, Timo W; Arbabi, Saman; Willis, Margaret M et al. (2016) Outcomes of Patients Discharged to Skilled Nursing Facilities After Acute Care Hospitalizations. Ann Surg 263:280-5
Ehlers, Anne P; Talan, David A; Moran, Gregory J et al. (2016) Evidence for an Antibiotics-First Strategy for Uncomplicated Appendicitis in Adults: A Systematic Review and Gap Analysis. J Am Coll Surg 222:309-14
Simianu, Vlad V; Basu, Anirban; Alfonso-Cristancho, Rafael et al. (2016) Assessing surgeon behavior change after anastomotic leak in colorectal surgery. J Surg Res 205:378-83
Simianu, Vlad V; Morris, Arden M; Varghese Jr, Thomas K et al. (2016) Evaluating disparities in inpatient surgical cancer care among American Indian/Alaska Native patients. Am J Surg 212:297-304
Colorectal Writing Group for the SCOAP-CERTAIN Collaborative; Ehlers, Anne P; Simianu, Vlad V et al. (2016) Alvimopan Use, Outcomes, and Costs: A Report from the Surgical Care and Outcomes Assessment Program Comparative Effectiveness Research Translation Network Collaborative. J Am Coll Surg 222:870-7
Ehlers, Anne P; Khor, Sara; Shonnard, Neal et al. (2016) Intra-Wound Antibiotics and Infection in Spine Fusion Surgery: A Report from Washington State's SCOAP-CERTAIN Collaborative. Surg Infect (Larchmt) 17:179-86
Ehlers, Anne P; Davidson, Giana H; Bizzell, Bonnie J et al. (2016) Engaging Stakeholders in Surgical Research: The Design of a Pragmatic Clinical Trial to Study Management of Acute Appendicitis. JAMA Surg 151:580-2
Kotagal, Meera; Hakkarainen, Timo W; Simianu, Vlad V et al. (2016) Ketorolac Use and Postoperative Complications in Gastrointestinal Surgery. Ann Surg 263:71-5

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