The objective of this proposal is to provide in-depth research training in cutting edge (andemerging) areas of biomedical science related to anesthesiology and perioperative medicine, including critical care. The University of Washington (UW) Department of Anesthesiology has a long history of academic excellence and clinical innovation. This new program application aims to reinstate one of the longest running training programs in anesthesiology (35 year history). After a decade of space constraints, UW is rebuilding academic anesthesiology in significant ways, complete with research space commitments (total 24,000 square feet) and resources required to add 5-6 well funded mid- senior level physician-scientist and research scientist faculty. This proposal is designed to capitalize on these new departmental initiativesand, importantly, the existing outstanding research environment at UW in order to train the next generation of anesthesiology physician scientists. Trainees will be sought from a national pool of candidates. The structure of this program involves 2-3 years of research training closely supervised by NIH-funded UW faculty mentors on projects ranging from laboratory-based science to more translational and clinical projects; 3-4 new fellows will be enrolled each year who have completed anesthesiology residencies and relevant clinical subspecialty training (so fellows will be 5-6 years post-MD). Five major research areas relevant to perioperative medicine are emphasized. These include (alphabetically): 1) cardiovascular-pulmonary biology ®enerative medicine, 2) clinical outcomes research &epidemiology, 3) genome sciences & bioinformatics, 4) neurosciences, and 5) pharmacology. Goals of the program include acquisition of fundamental research skills, mastery of the relevant literature, understanding responsible conduct of research including IRB/IACUC approvals, ability to summarize research findings in manuscript form and grant applications, and presenting findings in public settings such as journal clubs and national scientific meetings. Trainee progress is monitored regularly by an individualized fellow-specific review committee (meeting with mentor and fellow quarterly in year 1, semi-annually thereafter) with summary findings reported to the departmental training grant executive committee responsible for accepting/hiring fellows and following their progress. In addition, a UW-wide external scientific oversight board meets yearly to offer advice to the executive committee on all aspects of the training program. The overall intent of the program is to develop the next generation of perioperative physician scientists and academicians.

Public Health Relevance

(Seeinstructions): During surgery and critical illness, patients reproducibly experience stress to the limits of human physiology;this is a unique period where human tissue samples can be obtained ethically as well. Mechanistic basic science, translational, and clinical studies targeting perioperative physiology provide important insights broadly relevant across medicine, a fact recently appreciated by many medical specialties. With the aging population, developing physician scientists capable of tackling scientific questions in this important arena of medicine should make care of surgery, trauma, and intensive care patients safer.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Institutional National Research Service Award (T32)
Project #
5T32GM086270-04
Application #
8293329
Study Section
Special Emphasis Panel (ZGM1-BRT-5 (PD))
Program Officer
Cole, Alison E
Project Start
2009-07-01
Project End
2014-06-30
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
4
Fiscal Year
2012
Total Cost
$216,097
Indirect Cost
$15,007
Name
University of Washington
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Thilen, Stephan R; Treggiari, Miriam M; Lange, Jane M et al. (2014) Preoperative consultations for medicare patients undergoing cataract surgery. JAMA Intern Med 174:380-8
Krishnamoorthy, Vijay; Prathep, Sumidtra; Sharma, Deepak et al. (2014) Association between electrocardiographic findings and cardiac dysfunction in adult isolated traumatic brain injury. Indian J Crit Care Med 18:570-4
Krishnamoorthy, Vijay (2014) Well-designed trials on TEE monitoring in the ICU: The time has arrived. Indian J Crit Care Med 18:482-3
Khandelwal, Nita; Curtis, J Randall (2014) Economic implications of end-of-life care in the ICU. Curr Opin Crit Care 20:656-61
Groenewald, Cornelius B; Essner, Bonnie S; Wright, Davene et al. (2014) The economic costs of chronic pain among a cohort of treatment-seeking adolescents in the United States. J Pain 15:925-33
Khandelwal, Nita; Hough, Catherine L; Bansal, Aasthaa et al. (2014) Long-term survival in patients with severe acute respiratory distress syndrome and rescue therapies for refractory hypoxemia*. Crit Care Med 42:1610-8
Jimenez, Nathalia; Jackson, Douglass L; Zhou, Chuan et al. (2014) Postoperative pain management in children, parental English proficiency, and access to interpretation. Hosp Pediatr 4:23-30
Lee, Helen H; Milgrom, Peter; Starks, Helene et al. (2013) Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth 23:741-6
Jimenez, Nathalia; Ebel, Beth E; Wang, Jin et al. (2013) Disparities in disability after traumatic brain injury among Hispanic children and adolescents. Pediatrics 131:e1850-6
Jimenez, Nathalia; Dansie, Elizabeth; Buchwald, Dedra et al. (2013) Pain among older Hispanics in the United States: is acculturation associated with pain? Pain Med 14:1134-9

Showing the most recent 10 out of 17 publications