Institute of Clinical Neurosciences, Ludwig-Maximilian University, Klinikum Grosshadern, Marchioninistr. 15, D-81377 Munich, Germany.
Restor Neurol Neurosci. 2010;28(1):135-43. doi: 10.3233/RNN-2010-0510.
In 2009 the German BMBF (German Ministry of Education and Research) established an Integrated Center for Research and Treatment (IFB(LMU)) of Vertigo, Balance and Ocular Motor Disorders in Munich. After the 10-year period of funding by the BMBF, it is envisioned that the (IFB(LMU)) will continue over the long term with the joint support of the University Hospital, the Medical Faculty, and the Bavarian State. Vertigo is one of the most common complaints in medicine. Despite its high prevalence, patients with vertigo generally receive either inappropriate or inadequate treatment. This deplorable situation is internationally well known and its causes are multiple: insufficient interdisciplinary cooperation, no standardized diagnostics and therapy, the failure to translate findings of basic science into clinical applications, and the scarcity of clinical multicenter studies. The (IFB(LMU)) will constitute a suitable tool with which these structural, clinical, and scientific deficits can be overcome. It will also make possible the establishment of an international interdisciplinary referral center. Munich has become the site of a unique concentration of leading experts on vertigo, balance and ocular motor disorders, both in the clinical and basic sciences. Academic structures have paved the way for the creation of an interdisciplinary horizontal network that also allows structured, vertical academic career paths via the Bachelor's and Master's degree programs in Neuroscience, a Graduate School of Systemic Neurosciences, and the Munich Center for Neurosciences - Brain and Mind. The (IFB(LMU)) has the following objectives as regards structure and content: to create an independent patient-oriented clinical research center under the auspices of the Medical Faculty but with autonomous administration and budget; to overcome existing clinical and academic barriers separating the traditional specializations; to establish a standardized interdisciplinary longitudinal and transversal network at one site for the management of patients. This should professionalize both the management and the international recruitment of patients (integrated care, telemedicine); to organize the study infrastructure for prospective multicenter clinical studies as well as to free clinical scientists from administrative tasks; to promote translational research with a focus on the innovative topics of molecular, functional and structural imaging, experimental and clinical pharmacotherapy, clinical research of vertigo and balance disorders, mathematical modelling, interaction between biological and technical systems (robotics), and research on functionality and the quality of life; to offer new attractive educational paths and career images for medical doctors, students of the natural sciences, and engineers in clinical research in order to overcome traditional hierarchical structures. This should promote the principles of efficiency and self-reliance; to supplement the existing excellence with up to eight groups of young scientists and up to eight professorships (tenure track). This should also be seen as an incentive that will attract the best young scientists; to incorporate (IFB(LMU)) competence into the existing medical and biological graduate schools. The (IFB(LMU)) is a unique center - worldwide.
2009 年,德国联邦教育研究部(BMBF)在慕尼黑成立了一个眩晕、平衡和眼球运动障碍综合研究和治疗中心(IFB(LMU))。在 BMBF 提供 10 年资金后,预计该中心将在大学医院、医学系和巴伐利亚州的共同支持下长期运作。眩晕是医学中最常见的主诉之一。尽管发病率很高,但眩晕患者通常接受的治疗要么不适当,要么不充分。这种可悲的情况在国际上是众所周知的,其原因有很多:跨学科合作不足、缺乏标准化的诊断和治疗、未能将基础科学的发现转化为临床应用,以及缺乏临床多中心研究。IFB(LMU) 将成为克服这些结构、临床和科学缺陷的合适工具。它还将为建立一个国际跨学科转诊中心创造条件。慕尼黑已经成为眩晕、平衡和眼球运动障碍领域领先专家的聚集地,无论是在临床还是基础科学领域。学术结构为创建一个跨学科的水平网络铺平了道路,该网络还允许通过神经科学学士和硕士课程、系统神经科学研究生院以及慕尼黑神经科学中心——大脑和思维,构建结构化的垂直学术职业道路。IFB(LMU) 在结构和内容方面有以下目标:创建一个独立的以患者为中心的临床研究中心,由医学系赞助,但拥有自治管理和预算;克服传统专业之间现有的临床和学术障碍;在一个地点建立一个标准化的跨学科纵向和横向网络,用于管理患者。这应该使患者的管理和国际招聘更加专业化(综合护理、远程医疗);组织前瞻性多中心临床研究的研究基础设施,并使临床科学家摆脱行政任务;促进以分子、功能和结构成像、实验和临床药物治疗、眩晕和平衡障碍的临床研究、数学建模、生物和技术系统之间的相互作用(机器人技术)以及功能和生活质量研究等创新主题为重点的转化研究;为医学生、自然科学学生和工程师提供新的有吸引力的临床研究教育途径和职业形象,以克服传统的等级结构。这应该促进效率和自力更生的原则;用最多 8 个青年科学家小组和最多 8 个教授职位(终身教职)来补充现有的卓越研究。这也应该被视为吸引最优秀青年科学家的激励措施;将 IFB(LMU) 的能力纳入现有的医学和生物研究生学院。IFB(LMU) 是一个独特的中心——在全球范围内。