5K07GM072884-01/GM/NIGMS NIH HHS/United States5R25RR019321-02/RR/NCRR NIH HHS/United State

Harrigan, Rosanne C.

eVols at University of Hawaii at Manoa

Medical School HotlineGraduate Degrees in Clinical Research atJohn A Burns School of Medicine (JABSOM)Rosanne C Harrigan EdD, MS APRNRx FAANAssociate Dean for Faculty DevelopmentIntroductionFew JABSOM faculty have had the opportunity to obtain the knowledge and skills needed to design community—based participatorystudies that will increase data and improve health outcomes, Themalority of University of Hawaii (U H) fitculty involved in researchhold appointments in institutes outside of the medical school, Untilrecently. JA BSOM faculty have focused primarily on teaching andservice to meet the needs of Hawaii and the Pacific, The lack ofa formal academic clinical research training program at UH hasdepleted the potential pool of multidisciplinary clinical investigators at UH and has led to a gap in the state’s research capacity. Inparticular. few’ community—based physicians have been able toacquire clinical research skills through specialized training, suchas enrollment in specialty fellowships where mtensive researchtraining is required.The MSCR (Masterof Science and Clinical Research) curriculumfor investigators has been developed in clinical research methodsto meet this challenge. Its expansion into a PhDCR will pros’idein—depth interdisciplinary training that would contribute to the poolof talented community—based investigators in the state, JABSOMhas nearly doubled funding for extramural research through the efforts of Dean Cadman, who has worked tirelessly to invigorate theresearch environment and strengthen clinical research programs,particularly those related to health disparities. To keep pace withthis progress. more skilled investigators are needed, especially thoseparticipating in multidisciplinary, translational research, Ethicalsensitivity, cultural competence and the combined expertise of diverse disciplines are required to build successful communit —basedparticipatory research efforts.The Masters and doctorate curricula in Clinical Research willmcrease the number of qualitied clinical researchers in Hawaii, Aspart of the NIH Roadmap theme cal led Nen’PaihwavstoDiscow’rv,it is envisaged that innovative interdisciplinary research, particularly in the fields of genetics and genomics, will promise furtherunderstanding of health disparities in Asian, Native Hawaiian andother Pacific Islander suhpopulations. In addition, consistent withthe Roadmap theme, “Research Thorns n/the .Future the curri.culumwill prepare new interdi.sciphnary researc.h. teams to f/.e’ni partne.r—ships th.at c.ro.is traditional houn.daries. Finail , in keeping with theNIH. Road.map theme. “Re-engineering fur. C/in ice.1 Res arch .Ent:trpr/zr). aite.rnative. mode.is are e.mphas i.zed for integrating researeLffot ts hs cxp indine, thc ncv Is des clopcd \IS( R pi o,r im th itouraees re•se•arc h pa.rtnersip betwe.en organi.! e.d commumties,community-based phvsicia is, and academic rese.arehers, Extendingthis interdisciplinary app.roac.h is.: t.h.e promotion of the integrationof existing clinical research networks, academic departments andc.ommu.mtv—hase.d organizatIons in th.e. State. of Hawaii,Th.e gre.ate.r academic and community are invite.d in cond.ucting.meaningful mul.tidisciplinary re.search that will lead to a reductionofhealth.clisparities among Hawaii’s dive.rse.populations, This efftsrtcoincides with the NIH Roadmap as well as with the objectives of’the national agenda. “Healthy People 2() If),”The goals of the program are:I. Curriculum Development. Development and implementation ofa curriculum to train multidisciplinary translational research teams,The curriculum will include courses in applied biomedical ethics,cultural competence and team building,2 Administrative Development. Solidify an administrative structure in the Dean’s ot’fice at JABSOM, facilitate program activities,identify funded investigators with expertise in bioethics and cultural competence. collaborate with the schools of Business, Arts &Science U iss H ta in in \‘n in md P icific Studies Fngtncu ingSocial Work, and Nursing, to develop an interdisciplinary curriculum: ensure compliance with NIH requirements, UFI policy andprocedures and other applicable regulations: identify extramural andother funding sources to ensure continuation of the PhDCR, oncethe term of this award expires.3. Investigator Development. Increase investigator competenceand foster collaboration between trainee.s, mentors, and instructorsof the PhDCR program, e.nsurir.g contnue.d follow—up surve.ilianc’:ethat will hel.p guide new’ graduates as thc’’ embark on promisingcareers in c littical research,Bs naomphshtn) thcsc goais thc h ire 01 fuilEd ins cSti) to 5committed to innovations in c’ onimunitv-based muitidisc.iplina.ryresearch .‘ill he. hroade.ned, With their in-depth knowledge andresearch e•x pe.rienee, Phi) tra.ine.es will contribute to enhanc.inetheir capacity to improve he.ait.h outcomes in diverse. popuIatons,This t.hrust c.oincides with U.H.’s I.ong-term iial of expanding intoa researc.h-intensiue. institution,The Curriculum‘T’he curriculum will provide high quality training for doctorat andpostclcc.toral c andidates by increasing the. critii’.al ass of ‘.lc.alresearchers, including m1norit nvestitators. at IJH. The MS inbiomedical science will lunction as a supportive mechanism fornewly trained investigators. b facilitating career development andencouraving research collaborations. particularly those related tohealth disparities research.Students s ill acquire skills in epidemiology and hiostatistics andmaster the scientific principles that underlie clinical research methods. In addition. thc’ s ill develop the abilii to identify and resolveethical issues involved in clinical research, ensure the safeguardingof human subjects, and understand Institutional Review Boards andother relevant requirements. Finally, students will increase theircapacit\ to seek and obtain NIH and other extramural funding forconducting clinical research.The competenc based curriculum can be completed in two yearspart-time. The three aspects of the curriculum are: didactic andproblem-based modules, a mentored research project. and a seminarseries. The program targets junior faculty, fellows, residents, anddoctoral candidates l’rom biomedical science, Nursing, Social Work,Psychology and Public Health. Trainees from diversedisciplines intoa small group learning experience will broaden trainees’ perspectivesas well as increase opportunities for innovative, cross-disciplinarycollaborations in clinical research.The PhD oilers intensive interdisciplinary learning experiences inapplied biomedical ethics, cultural competence and team building,with a special emphasis on issues in the areas of genetics. genomicsand end—of-life decision making. Residents and fellows, post-doctoral fellows. PhD candidates, and junior faculty, particularly thoseof minority descent, will be encouraged to apply.ConclusionThe MSCR/PhDCR seeks to accomplish specific goals consistentwith the NIH Roadmap by helping to create a workforce capable ofcrossing disciplinary boundaries and leading culturally competentintegrative approaches to complex biomedical problems. The curriculum will prepare graduates to p rsue careers in multidisciplinaryculturally competent clinical research. It will function as a supportivemechanism l’or newl trained investigators. actively facilitatinginvestigator development and encouraging research collaborations.particularly those related to community—based participatory healthdisparities research. B offering interdisciplinary PhDcuri’icula. therens ill he an increase of basic and clinical investigators committed toconducting culturall competent research that will reduce disparitiesand improve health outcomes among Asian. >itivc Hawaiian andotherPaci tic Islander populations. This innovative interdisciplinarx’approach will serve as a model Ibrotheracademic progranis designedto reduce harriers to conducting culturally competent research indiverse settings across the counlr\These projects are funded by grants from the NIH. NCRR. Clinical ResearchEducation and Career Development in Minonty Institutions 5R25RR019321-02,and NIGMS PhD n Clinical Research 5K07GM072884-O1.References2. t32pwJavvsJ3jahias. heaJnDOHAnnUaiRepcrt,2Q0r.Ddf.3. Hawaii Cow•ition. to Prvver.t Disease.4 DOd__a5. Stankard AJ. Harris JR. Ped xv” NfL. MaCiearn GE. The body mass index of yams who have beenreared apart, N Eon. J Med. r. 997: 3227 4831487.6 AHron DB Kapso .i Ko’keila M Koekenvuo M Neale IC Hayakawa K T e aeritab]hty of Cody mamdex among a” inter” anal sarnpe of monozyghctwn_ ,ea’ed spaN :J Ob c Re—t Metab P so’o1996CC 501 -a067 State of Hawa D”p5rfmert of Hea Behaaorai Risk -ctor Scrae 9a’” tm Report 2n028 Office of Halts Statue Mcn Icrina Hawas St te Department of Heat 0””” Hawa a” A’fai’ Oat”Book 2DOa Haline’ SM co’ona’y5esi’ d sea n oat sn’x at” 0 abates N En” “—o 2°” Ar6 —2 .4‘C 2003 Haw-i St dent Ado’ ci Too”5 and Ole D’jg U S’c, PO” Dmo J aStat of Hawi Deoarr “‘1 o. ‘h Of” of Hawaii5”A”D’°o- -1 imp o ng Nat ta Hasni Sr a”lth ‘“roach “0 ,C na, oaseo po ‘ —o’— ‘— ‘- MSoo K Br”uC ri’”’r an ‘i He it P “T”tio 20’ 3 vmum— — - Has ‘ ‘48‘2 B’au” KL D”k A Hon c-i B Adar e dx “1 “omp to ‘“— ‘“ —6 ‘e pr fe’e sH5wa J Ar’ Ge at Soc 49 ‘Q8 3 2”0B’a_ KL Pie’ J 013 “hett”° d” c_ours: j e d ff4 a ak oTh cO.CA Sane P blicar on 2OO4 New R’ ace 0tobe 24 2333 US Deoa’trrent f fIb ad H m n era] NCRR P eO’f cc Wait rrgtc” Dctot E’DiCAL,.J0LtRt’.]AL,, VOL Clx, MARCF’iWelcome To OurNewest TenantDr. Greigh I. 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graduate degrees in clinical research at John A. Burns School of Medicine (JABSOM).

http://evols.library.manoa.hawaii.edu/bitstream/10524/53476/1/2005-03p75-76.pdf

graduate degrees in clinical research at John A. Burns School of Medicine (JABSOM).

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eVols at University of Hawaii at Manoa