This application requests renewal of funding for five years to support our postdoctoral training program in critical care health policy research (CCHPR). The overall goal of this program is to develop skilled investigators trained to conduct health services research and capable of academic careers as independent researchers improving the quality and safety of critical care medicine. All trainees enroll in the Masters of Science in Health Policy Research (MSHP) degree program-offered by Penn's School of Medicine and its Wharton School. The program has been highly successful attracting, training, and graduating trainees in its first few cohorts. Trainees receive an intensive, structured program of mentoring, didactic research training, and experiential research over two years. The program includes core courses in health economics, health policy, qualitative/quantitative measurement, and statistics; elective courses in advanced epidemiology or biostatistics, advanced health care economics, health care policy, statistics, survey design and measurement, and social policy and demography; intensive mentoring in critical care health services research by experts in the field; participation in multidisciplinary research and professional development seminars; instruction in the responsible conduct of research and regulatory affairs; and the development and completion of a clinical research project in critical care medicine under close supervision of a multidisciplinary mentoring team. The program is designed for postdoctoral physician fellows with clinical experience in adult and pediatric critica care. The definition of critical care encompasses care for adults and children with severe acute medical problems, trauma and post-surgical care in intensive care units, coronary care units or emergency departments. The program emphasizes research on policy- relevant issues in critical care outcomes, financing, delivery, and management, often in contexts that are collaborative and interdisciplinary. Program participants will gain the skills necessary to combine their clinica expertise with their research training in order to ask and answer important questions about how critical care is and ought to be organized, financed, managed, and delivered.

Public Health Relevance

The morbidity, mortality and costs attributable to critical illness are enormous. This postdoctoral program integrates clinical experience, health services research training, and policy analysis for physicians trained in critical care medicine. These trainees form a cadre of physician leaders capable of addressing critical care issues at the bedside, across populations, and alongside policymakers.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Institutional National Research Service Award (T32)
Project #
5T32HL098054-09
Application #
9475285
Study Section
NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Redmond, Nicole
Project Start
2010-07-01
Project End
2020-04-30
Budget Start
2018-05-01
Budget End
2019-04-30
Support Year
9
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Krutsinger, Dustin C; McMahon, Jacqueline; Stephens-Shields, Alisa J et al. (2018) Randomized evaluation of trial acceptability by INcentive (RETAIN): Study protocol for two embedded randomized controlled trials. Contemp Clin Trials 76:1-8
Weissman, Gary E; Kerlin, Meeta Prasad; Yuan, Yihao et al. (2018) Population Trends in Intensive Care Unit Admissions in the United States Among Medicare Beneficiaries, 2006-2015. Ann Intern Med :
Kohn, Rachel; Harhay, Michael O; Weissman, Gary E et al. (2018) Ward Capacity Strain: A Novel Predictor of Delays in Intensive Care Unit Survivor Throughput. Ann Am Thorac Soc :
Hart, Joanna L; Gabler, Nicole B; Cooney, Elizabeth et al. (2018) Are Demographic Characteristics Associated with Advance Directive Completion? A Secondary Analysis of Two Randomized Trials. J Gen Intern Med 33:145-147
Anesi, George L; Liu, Vincent X; Gabler, Nicole B et al. (2018) Associations of Intensive Care Unit Capacity Strain with Disposition and Outcomes of Patients with Sepsis Presenting to the Emergency Department. Ann Am Thorac Soc 15:1328-1335
Weissman, Gary E; Hubbard, Rebecca A; Ungar, Lyle H et al. (2018) Inclusion of Unstructured Clinical Text Improves Early Prediction of Death or Prolonged ICU Stay. Crit Care Med 46:1125-1132
Krutsinger, Dustin C; Halpern, Scott D; DeMartino, Erin S (2018) Conflicts of interest in intensive care medicine. Intensive Care Med 44:1765-1766
Anesi, George L; Gabler, Nicole B; Allorto, Nikki L et al. (2018) Intensive Care Unit Capacity Strain and Outcomes of Critical Illness in a Resource-Limited Setting: A 2-Hospital Study in South Africa. J Intensive Care Med :885066618815804
Coupet Jr, Edouard; Karp, David; Wiebe, Douglas J et al. (2018) Shift in U.S. payer responsibility for the acute care of violent injuries after the Affordable Care Act: Implications for prevention. Am J Emerg Med 36:2192-2196
Halpern, Scott D (2018) Using Default Options and Other Nudges to Improve Critical Care. Crit Care Med 46:460-464

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