A new and effective approach to training physicians and scientists for future success in executing patient- centered solutions for digestive disease requires an innovative training program within a supportive environment. New opportunities and prevailing health care trends inspired the leadership of the University of Pittsburgh's Digestive Diseases Training Program to create a forward-thinking program to attract and retain top-quality trainees and equip a new generation of physicians and scientists by integrating the tools of Big Data and Personalized Medicine into clinical and translational research and teaching team science, structured on a backbone of successful U01 programs. The new program is designed to: (a) Provide rigorous individualized training that encompasses core competencies in translational research methodologies and interdisciplinary professional skills; (b) Assemble multidisciplinary mentoring to provide expertise in the conduct of translational research projects from conceptualization to completion that include Big Data and Personalized Medicine; and (c) Support fellows' future career goals by career coaching and disseminating scholarly activities. The Program Plan includes an experienced program director and four co-directors who are leaders in clinical- translational research, basic sciences, biomedical informatics, and computational biology. The trainees will receive intense classroom and practical training through the University of Pittsburgh's Institute for Clinical Research Education (ICRE), followed by core classes and electives in basic, translational, or clinical sciences. Each trainee will work with the program directors to develop an Individual Development Plan to ensure that the trainee completes all of the department requirements for a graduate degree (Masters or PhD); cultivates individualized projects of importance to patients with digestive diseases; receives program and career mentoring; and begins their appropriate career development pathway. Systematic and specific milestones are built into the program to safeguard for core competencies, timely and critically reviewed research proposals, and completion of required coursework, scholarly achievements, and career development activities, such as submission of F32s, Ks, or other competitive awards. Each trainee will have a mentoring team of a physician, scientist, and a domain expert in Big Data. Big Data electives are built into the Individual Development Plan, including Foundations of Translational Bioinformatics, Symbolic Methods in Artificial Intelligence, Probabilistic Methods for Computer-Based Decision Support, Machine Learning, Computational Genomics, and Laboratory Methods for Computational Biologists. Additional experience is gained through participation in existing U01s, multicenter clinical/translational studies, and internships. There is no precedent for this program?despite a clear need. However, our ongoing training success demonstrates the feasibility of the program and highlights our outstanding faculty and a nurturing environment that will ensure our unique training program will produce future leaders in translational and patient-centered medicine of digestive diseases in a world of Big Data.

Public Health Relevance

The Digestive Diseases Training Program at the University of Pittsburgh combines traditional training in basic sciences and clinical research with advanced training in biomedical informatics and computational biology. This new emphasis on training experts in ?Big Data??using massive data sets, machine learning, modeling, and high performance computing?will equip them as leaders in new and emerging fields requiring team science and effective collaborations.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Institutional National Research Service Award (T32)
Project #
3T32DK063922-17S1
Application #
9943845
Study Section
Kidney, Urologic and Hematologic Diseases D Subcommittee (DDK)
Program Officer
Densmore, Christine L
Project Start
2003-07-01
Project End
2023-06-30
Budget Start
2019-07-01
Budget End
2020-06-30
Support Year
17
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Pittsburgh
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
004514360
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Click, Benjamin; Pinsky, Paul F; Hickey, Tom et al. (2018) Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence. JAMA 319:2021-2031
Regueiro, Miguel; Click, Benjamin; Anderson, Alyce et al. (2018) Reduced Unplanned Care and Disease Activity and Increased Quality of Life After Patient Enrollment in an Inflammatory Bowel Disease Medical Home. Clin Gastroenterol Hepatol 16:1777-1785
Makadia, Payal A; Najjar, Sarah A; Saloman, Jami L et al. (2018) Optogenetic Activation of Colon Epithelium of the Mouse Produces High-Frequency Bursting in Extrinsic Colon Afferents and Engages Visceromotor Responses. J Neurosci 38:5788-5798
Chao, David T; Shah, Nilesh H; Zeh 3rd, Herbert J et al. (2018) Overweight or Obese Individuals at Eighteen Years of Age Develop Pancreatic Adenocarcinoma at a Significantly Earlier Age. Gastroenterol Res Pract 2018:2380596
Phillips, Anna Evans; Shah, Nilesh; Borhani, Amir A et al. (2018) Prior History of Pancreatitis Accelerates the Development of Pancreatic Adenocarcinoma. Pancreas 47:1262-1266
Zhan, Wei; Shelton, Celeste A; Greer, Phil J et al. (2018) Germline Variants and Risk for Pancreatic Cancer: A Systematic Review and Emerging Concepts. Pancreas 47:924-936
Pradhan-Sundd, Tirthadipa; Zhou, Lili; Vats, Ravi et al. (2018) Dual catenin loss in murine liver causes tight junctional deregulation and progressive intrahepatic cholestasis. Hepatology 67:2320-2337
Click, Benjamin; Anderson, Alyce M; Ramos Rivers, Claudia et al. (2018) Telephone Encounters Predict Future High Financial Expenditures in Inflammatory Bowel Disease Patients: A 3-Year Prospective Observational Study. J Clin Gastroenterol 52:319-325
Phillips, Anna E; Papachristou, Georgios I; Slivka, Adam (2017) Consideration of Clinical Context and Alternative Therapies in Aggressive Resuscitation for Prevention of Post-ERCP Pancreatitis. J Clin Gastroenterol :
Rao, Bhavana B; Click, Benjamin H; Koutroubakis, Ioannis E et al. (2017) The Cost of Crohn's Disease: Varied Health Care Expenditure Patterns Across Distinct Disease Trajectories. Inflamm Bowel Dis 23:107-115

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