The overarching goal of this NRSA application is to provide a high quality, mentored training experience to develop future thought leaders in cardiovascular clinical research. We will recruit the most promising post- doctoral cardiology fellows into an optimized clinical research training program that includes: 1) rigorous didactic training in the methods of clinical research, 2) closely mentored, real world research experience, and 3) structured training and experience in survival skills required for a successful academic career. Trainees will spend at least 2 years in this program and devote 100% effort to the program while they are supported. We are requesting 6 trainee slots at the post-doctoral level. We have selected mentors for the program from among the thought leaders in cardiovascular clinical research at Duke. Interdisciplinary co-mentoring will be required, with each trainee co-mentored by a Duke methodologist. In addition, trainees will be able to select additional co-mentors from among the excellent faculty participating in this program as well as from among other Duke faculty, depending on each trainee's needs and research interests. Finally, our program will offer extramural career and research mentoring from some of cardiology's most respected and renowned leaders at top academic clinical research programs. For each trainee, several methods will be used to monitor progress, including the creation of a formal Individual Development Plan that will be reviewed regularly by a Scientific Oversight Committee and annually by an External Advisory Board. External mentors from among the Advisory Board will also provide robust assessments of our trainees and our program. Outcomes expected from each fellow accepted into this T32 program will include scientific presentations at research conferences/symposia and at national meetings, peer-reviewed publications, an independent research project, and at least one grant application to support the trainee's post-fellowship research. The Program Directors, faculty, and External Advisory Committee will assist each graduate in obtaining a faculty position in academics and will further guide and support them as they transition to independent investigators. The proposed NRSA program will organize the abundant resources available at Duke for clinical research into a focused and efficient program for training the cardiovascular clinical research thought leaders of the future.

Public Health Relevance

The purpose of this grant is to train the next generation of thought leaders in cardiovascular clinical research. These clinical researchers will bring scientific advancements in the care of patients with cardiovascular disease from bench to bedside through large-scale human testing in clinical trials, comparative effectiveness research, patient-centered health services research, outcomes research, and precision medicine research in addition to optimizing systems of care to promote high quality treatment patterns. Trainees supported by this grant are expected to make major scientific contributions to medicine in their academic research careers and have a significant impact on public health.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Institutional National Research Service Award (T32)
Project #
2T32HL069749-16
Application #
9633063
Study Section
NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Scott, Jane
Project Start
2003-07-01
Project End
2024-01-31
Budget Start
2019-02-01
Budget End
2020-01-31
Support Year
16
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Greene, Stephen J; Mentz, Robert J; Fiuzat, Mona et al. (2018) Reassessing the Role of Surrogate End Points in Drug Development for Heart Failure. Circulation 138:1039-1053
Ambrosy, Andrew P; Mentz, Robert J; Fiuzat, Mona et al. (2018) The role of angiotensin receptor-neprilysin inhibitors in cardiovascular disease-existing evidence, knowledge gaps, and future directions. Eur J Heart Fail 20:963-972
Greene, Stephen J; Felker, G Michael; Butler, Javed (2018) Outpatient versus inpatient worsening heart failure: distinguishing biology and risk from location of care. Eur J Heart Fail :
Greene, Stephen J; Mentz, Robert J (2018) Potential advantages of torsemide in patients with heart failure: more than just a 'water pill'? Eur J Heart Fail 20:471-473
Mandawat, Aditya; Newby, L Kristin (2018) High-Sensitivity Troponin in Noncardiac Surgery: Pandora's Box or Opportunity for Precision Perioperative Care? Circulation 137:1233-1235
Greene, Stephen J; Fonarow, Gregg C; Solomon, Scott D et al. (2018) Relationship between timing of trial randomization, protocol completion, and clinical outcomes among patients hospitalized for heart failure: from the ASTRONAUT trial. Eur J Heart Fail :
Zeitler, Emily P; Sanders, Gillian D; Singh, Kavisha et al. (2018) Single vs. dual chamber implantable cardioverter-defibrillators or programming of implantable cardioverter-defibrillators in patients without a bradycardia pacing indication: systematic review and meta-analysis. Europace 20:1621-1629
Greene, Stephen J; Felker, G Michael (2018) Considering the duration of heart failure: using the past to predict the future. Eur J Heart Fail 20:382-384
Vaduganathan, Muthiah; Patel, Ravi B; Mentz, Robert J et al. (2018) Sudden Death After Hospitalization for Heart Failure With Reduced Ejection Fraction (from the EVEREST Trial). Am J Cardiol 122:255-260
Greene, Stephen J; Vaduganathan, Muthiah; Khan, Muhammad Shahzeb et al. (2018) Prevalent and Incident Heart Failure in Cardiovascular Outcome Trials of Patients With Type 2 Diabetes. J Am Coll Cardiol 71:1379-1390

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