Implementation science is the domain of scholarship that studies methods to facilitate the spread and adoption of evidence-based practices into real-world settings. The field has seen tremendous growth in the last decade. Yet, a critical gap impeding further growth is the lack of rigorous training opportunities for young investigators. Hence the objective of this proposed program is to launch the first T32 program dedicated to implementation science training to improve heart, lung, blood, and sleep (HLBS) health promotion and clinical practice. We seek applications from MDs, PhDs, and predoctoral candidates, from a wide range of clinical and scientific disciplines, and diverse personal backgrounds. The proposed program will take full advantage of the stellar resources of two new centers at Yale: the Yale Center for Implementation Science (YCIS), based at the School of Medicine, and the Center for Methods in Implementation and Prevention Science (CMIPS), based at the School of Public Health. The program?s aims are to:  Develop scientists with the knowledge, skills, and ability to become independent investigators who will continue to expand the field;  build a cadre of investigators/leaders who collaborate with stakeholders, including patients, caregivers, and public health professionals, from inception through dissemination of research results, with the goal of promoting the uptake of findings in practice and policy.  Enhance the diversity of the implementation science workforce. This proposal has 4 distinguishing characteristics: (1) Integration with an NHLBI-supported K12 program that serves as the training core of YCIS; (2) Mentors and resources representing an extraordinary breadth of disciplines from a wide array of schools at Yale, including Medicine, Public Health, Nursing, and Management, with expertise in implementation science, organizational behavior, study design, and (HLBS) health promotion and medical care; (3) Intense engagement with the broader New Haven community, including the Department of Health, federally qualified health centers, and local nonprofit groups, and (4) A novel use of social network modeling to assess the professional development and progress of T32 trainees. Our initial cohort of K12 scholars have secured NIH, foundation, and industry grants, and averaged 4 papers/year each, attesting to the rigor of our training. Didactic components leverage coursework developed by YCIS and CMIPS, and additional Yale programs that have trained generations of scientists in clinical investigation and public health research methods. A research practicum will offer close mentorship from national and international experts in HLBS medicine. Eligible trainees will receive a PhD or Masters in Health Science degree, depending on professional needs. Training duration will be 2-3 years, based on needs. We will have 3-7 slots per year. Successful candidates must show evidence of a strong commitment to implementation science, academic excellence in fields of previous academic training, and a commitment to work with stakeholders as partners. Trainee progress will be monitored and evaluated by the Program Directors, mentors, and an Advisory Committee.
Implementation science is the field that studies how to move evidence-based treatments, therapies, and techniques into clinics and hospitals quickly so that patients can benefit from them. Currently, there are not enough scientists in the field and it takes approximately 17 years for new treatments to be adopted by the medical community. This program will train new scientists in implementation science so we can take better care of people with heart, lung, blood, or sleep disorders.