Libby Anne M, Hosokawa Patrick W, Fairclough Diane L, Prochazka Allan V, Jones Pamela J, Ginde Adit A
A.M. Libby is professor and vice chair for academic affairs, Department of Emergency Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado. P.W. Hosokawa is senior professional research associate, Adult and Child Consortium for Outcomes Research and Dissemination Sciences (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, Colorado. D.L. Fairclough is professor, Department of Biostatistics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado. A.V. Prochazka is professor, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, and assistant chief, Research, Ambulatory Care, Denver Veterans Affairs, Denver, Colorado. P.J. Jones is clinical instructor, Department of Pediatrics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado. A.A. Ginde is associate professor, Department of Emergency Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Acad Med. 2016 Dec;91(12):1666-1675. doi: 10.1097/ACM.0000000000001263.
Since 2004, the Clinical Faculty Scholars Program (CFSP) at the University of Colorado Anschutz Medical Campus has provided intensive interdisciplinary mentoring and structured training for early-career clinical faculty from multiple disciplines conducting patient-oriented clinical and outcomes research. This study evaluated the two-year program's effects by comparing grant outcomes for CFSP participants and a matched comparison cohort of other junior faculty.
Using 2000-2011 institutional grant and employment data, a cohort of 25 scholars was matched to a cohort of 125 comparison faculty (using time in rank and pre-period grant dollars awarded). A quasi-experimental difference-in-differences design was used to identify the CFSP effect on grant outcomes. Grant outcomes were measured by counts and dollars of grant proposals and awards as principal investigator. Outcomes were compared within cohorts over time (pre- vs. post-period) and across cohorts.
From pre- to post-period, mean annual counts and dollars of grant awards increased significantly for both cohorts, but mean annual dollars increased significantly more for the CFSP than for the comparison cohort (delta $83,427 vs. $27,343, P < .01). Mean annual counts of grant proposals also increased significantly more for the CFSP than for the comparison cohort: 0.42 to 2.34 (delta 1.91) versus 0.77 to 1.07 (delta 0.30), P < .01.
Institutional investment in mentored research training for junior faculty provided significant grant award gains that began after one year of CFSP participation and persisted over time. The CFSP is a financially sustainable program with effects that are predictable, significant, and enduring.
自2004年以来,科罗拉多大学安舒茨医学校区的临床教师学者项目(CFSP)为多学科的早期临床教师提供了强化的跨学科指导和结构化培训,这些教师从事以患者为导向的临床和结果研究。本研究通过比较CFSP参与者和其他初级教师的匹配对照队列的资助结果,评估了这个为期两年项目的效果。
利用2000 - 2011年的机构资助和就业数据,将25名学者组成的队列与125名对照教师组成的队列进行匹配(根据职级时间和前期授予的资助金额)。采用准实验性的差异分析设计来确定CFSP对资助结果的影响。资助结果通过作为主要研究者的资助申请和奖励的数量及金额来衡量。在队列内部随时间(前期与后期)以及队列之间比较结果。
从前期到后期,两个队列的平均年度资助奖励数量和金额均显著增加,但CFSP队列的平均年度金额增长幅度显著高于对照队列(分别为83,427美元和美元与27,343美元,P < 0.01)。CFSP队列的平均年度资助申请数量增长幅度也显著高于对照队列:从0.42增至2.34(差值1.91),而对照队列从0.77增至1.07(差值0.30),P < 0.01。
对初级教师的带教研究培训进行机构投资带来了显著的资助奖励增长,这种增长在参与CFSP一年后开始,并持续存在。CFSP是一个经济上可持续的项目,其效果具有可预测性、显著性和持久性。