As urged by the IOM [Institute of Medicine], preparing well-trained and innovative new clinical investigators dedicated to reproductive health and contraceptive research must be a priority. Nationally, these areas of women's health remain under-represented in the research agenda of academic programs and few obstetrician-gynecologists have formal training in research. The Training in Epidemiology and Clinical Trials for Obstetrician-Gynecologists (TECT) program is an important step on the path to research careers. We are pleased to submit this proposal to continue our TECT partnership, which unites the Schools of Medicine and Public Health at the University of North Carolina, Duke University School of Medicine and the Duke Clinical Research Institute, and Family Health International [FHI] in a rigorous research training program attentive to all aspects of career development. Since 2001, we have selected 10 highly qualified trainees (8 women; 3 race/ethnic minorities) from among more than 100 inquiries. Five continue in TECT. Of the five who have finished, all received an M.P.H. degree; four are in research-dominant academic careers with > 50% FTE for research; and three have extramural funding to support their research. Our PI is David Grimes, M.D., who holds appointments at FHI and in Obstetrics and Gynecology, Epidemiology, and the Center for Women's Health Research at UNC. The Program Director is Katherine Hartmann, M.D., Ph.D., who has joint appointments in Obstetrics and Gynecology and Epidemiology and directs the Center for Women's Health Research. The Duke leader is Evan Myers, M.D., M.P.H., who is key faculty in both of Duke's components and Epidemiology at UNC. Combined, this leadership team works with Faculty Mentors, Resource Faculty, the Advisory Committee, and a proposed External Review Board to recruit, select and guide participants. All trainees complete an M.P.H. degree with an emphasis on clinical trials methodology. They also participate in a Seminar Series, Work-in-Progress Forum, and Grant Writing Group. Given the exceptional quality of the training and research opportunities, the diversity and interests of the applicant pool, and the proven commitment of the partner institutions, we are confident we can continue to make important contributions to preparing the next generation of reproductive health and contraception researchers. ? ? ?

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Institutional National Research Service Award (T32)
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Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Mackay, H Trent
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University of North Carolina Chapel Hill
Obstetrics & Gynecology
Schools of Medicine
Chapel Hill
United States
Zip Code
Kilfoyle, Kimberly A; Des Marais, Andrea C; Ngo, Mai Anh et al. (2018) Preference for Human Papillomavirus Self-Collection and Papanicolaou: Survey of Underscreened Women in North Carolina. J Low Genit Tract Dis 22:302-310
Kilfoyle, Kimberly A; Vrees, Roxanne; Raker, Christina A et al. (2017) Nonurgent and urgent emergency department use during pregnancy: an observational study. Am J Obstet Gynecol 216:181.e1-181.e7
Barber, Emma L; Clarke-Pearson, Daniel L (2017) Prevention of venous thromboembolism in gynecologic oncology surgery. Gynecol Oncol 144:420-427
Cadish, Lauren A; Shepherd, Jonathan P; Barber, Emma L et al. (2017) Risks and benefits of opportunistic salpingectomy during vaginal hysterectomy: a decision analysis. Am J Obstet Gynecol 217:603.e1-603.e6
Barber, Emma L; Rossi, Emma C; Gehrig, Paola A (2017) Surgical readmission and survival in women with ovarian cancer: Are short-term quality metrics incentivizing decreased long-term survival? Gynecol Oncol 147:607-611
Barber, Emma L; Doll, Kemi M; Gehrig, Paola A (2017) Hospital readmission after ovarian cancer surgery: Are we measuring surgical quality? Gynecol Oncol 146:368-372
Barber, Emma L; Dusetzina, Stacie B; Stitzenberg, Karyn B et al. (2017) Variation in neoadjuvant chemotherapy utilization for epithelial ovarian cancer at high volume hospitals in the United States and associated survival. Gynecol Oncol 145:500-507
Barber, Emma L; Harris, Benjamin; Gehrig, Paola A (2016) Trainee participation and perioperative complications in benign hysterectomy: the effect of route of surgery. Am J Obstet Gynecol 215:215.e1-7
Barber, Emma L; Gehrig, Paola A; Clarke-Pearson, Daniel L (2016) Venous Thromboembolism in Minimally Invasive Compared With Open Hysterectomy for Endometrial Cancer. Obstet Gynecol 128:121-6
Barber, Emma L; Bensen, Jeannette T; Snavely, Anna C et al. (2016) Who presents satisfied? Non-modifiable factors associated with patient satisfaction among gynecologic oncology clinic patients. Gynecol Oncol 142:299-303

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