The number of surgeons trained to perform research in humans, including translational research, is inadequate when considering that close to half of all patients hospitalized with acute illness either require an operation or are cared for by surgeons. Many of these patients suffer from infections or have received organ transplants and are managed almost exclusively by surgeons and are of interest to the NIAID. The two objectives of this application are 1) To increase the number of surgeons who perform meaningful translational research in the future by systematically training research residents in the methods of multiple levels of clinical research, particularly in the area of infection complicating acute illness or transplantation, and 2) To increase the number of minority surgeons in academic practice who will be able to improve the health of historically underserved patient populations with increased rates of death. Surgical residents with two or three years of clinical training will be admitted to the program, with a total of four trainees at any given time. Students will usually enter a dedicated, two to three year training period that will include a core clinical project related to infectious diseases affecting acutely ill or transplanted patients, and coursework in the University of Virginia Department of Public Health Sciences that will result in a Masters Degree in Public Health or Clinical Research. Alternatively, a small number of students may elect a core laboratory research experience related to surgical infections or transplantation that will, with the addition of classes and small group seminars in the Department of Public Health Sciences, equip them for an academic career in translational research. Through these techniques, a cohort of young, well-trained surgeons will be developed who will have the tools to perform high quality, ethical human research specifically centered on that interface of clinical and basic science that is translational research.
Only a small number of surgeons perform research specifically aimed at improving the outcomes of these patients by safely introducing new scientific breakthroughs to their care. We propose to train young surgeons, including those from traditionally underrepresented minorities, to be able to perform this research throughout their careers and increase the survival of patients suffering from severe surgical diseases.
| Willis Jr, Rhett N; Charles, Eric J; Guidry, Christopher A et al. (2017) Effect of hypothermia on splenic leukocyte modulation and survival duration in severely septic rats. J Surg Res 215:196-203 |
| Hu, Yinin; Guidry, Christopher A; Kane, Bartholomew J et al. (2016) Comparative effectiveness of catheter salvage strategies for pediatric catheter-related bloodstream infections. J Pediatr Surg 51:296-301 |
| Guidry, Christopher A; Newhook, Timothy E; Turrentine, Florence E et al. (2016) Observations on Surgeons' Case Selection, Morbidity, and Mortality Following Board Certification. Ann Surg 263:487-92 |
| Davies, Stephen W; Efird, Jimmy T; Guidry, Christopher A et al. (2016) Top Guns: The ""Maverick"" and ""Goose"" of Empiric Therapy. Surg Infect (Larchmt) 17:38-47 |
| Rosenberger, Laura H; Guidry, Christopher A; Davis, John P et al. (2016) Reducing Accidental Dislodgement of the Percutaneous Endoscopic Gastrostomy: A Prospective Trial of the ""SafetyBreak"" Device. Surg Innov 23:62-9 |
| Shah, Puja M; Edwards, Brandy L; Dietch, Zachary C et al. (2016) Do Polymicrobial Intra-Abdominal Infections Have Worse Outcomes than Monomicrobial Intra-Abdominal Infections? Surg Infect (Larchmt) 17:27-31 |
| Davies, Stephen W; Leonard, Kenji L; Falls Jr, Randall K et al. (2015) Lung protective ventilation (ARDSNet) versus airway pressure release ventilation: ventilatory management in a combined model of acute lung and brain injury. J Trauma Acute Care Surg 78:240-9; discussion 249-51 |
| Willis, Rhett N; Guidry, Christopher A; Horn, Christopher B et al. (2015) Predictors of Monomicrobial Necrotizing Soft Tissue Infections. Surg Infect (Larchmt) 16:533-7 |
| Dietch, Zachary C; Petroze, Robin T; Thames, Matthew et al. (2015) The ""high-risk"" deep venous thrombosis screening protocol for trauma patients: Is it practical? J Trauma Acute Care Surg 79:970-5; discussion 975 |
| Dietch, Zachary C; Guidry, Christopher A; Davies, Stephen W et al. (2015) Hypoalbuminemia is disproportionately associated with adverse outcomes in obese elective surgical patients. Surg Obes Relat Dis 11:912-8 |
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