TRANSCEND-Overall
Overall Summary
Our objective is a Clinical and Translational Research Development Program (CTR-D) that expands clinical and
translational (C&T) research focused on health problems in North Dakota (ND). The name of our CTR-D, TRANSCEND, is
an acronym for Translational Science Engaging North Dakota. TRANSCEND focuses on diseases prevalent in ND and their
potential environmental exposures. The high prevalence of several health conditions in ND, e.g., colorectal cancer and
neurodegenerative diseases like Alzheimer’s and Parkinson’s Diseases, as well as psychiatric problems such as high youth
suicide rates, makes it ideal for investment in research infrastructure, as advances for problems prevalent in ND can be
applied to those problems occurring elsewhere. Partner institutions in TRANSCEND are The University of North Dakota
(UND,) North Dakota State University (NDSU), and Sanford Health. The Specific Aims of Transcend are to:
Aim 1: Elevate the profile of C&T research throughout North Dakota Universities and clinics.
Aim 2. Streamline the “road” to successful C&T research by removing roadblocks and by offering “roadside” assistance
(practical research training and assistance) to investigators.
Aim 3. Make tangible, positive impacts on the health of North Dakotans.
We have identified significant challenges to the conduct of C&T research, including faculty with limited C&T training,
difficult patient access (UNDSMHS does not own a hospital), and challenges for faculty in forming collaborations. We
have developed several strategies to overcome these challenges, including support for Department Chairs and faculty to
enroll in C&T training courses from Mayo Clinic, Harvard, and Stanford University. We have established collaborations
with Sanford and community clinics, e.g., the Community Health Association of the Dakotas (CHAD), to improve access to
patient and patient data. We have developed several collaboration methods, including the TRANSCEND portal with the
names, research interests, and contact information of basic and clinical scientists interested in C&T research, and a
personal research Navigator who can function as a matchmaker to establish teams of researchers.
TRANSCEND will accomplish its aims with 4 scientific cores: Professional Development; Health Research (pilot studies);
Community Engagement; and Research Design. A central Administrative Core supports the cores. Each of the cores is
directed by experienced, extramurally-funded faculty with expertise in investigator training and mentorship. TRANSCEND
innovates in many ways, including a re-entry pilot in which previously unfunded investigators “re-enter” the grant
process, inclusion of Engineering faculty, and financial incentives for submitting extramural grants. Our Community
Engagement and Outreach Core is highly experienced in working with indigenous/minority communities. Another
innovation is our Community Physician at Large (CoPal) who aligns TRANSCEND with community priorities. With its
epidemiologic/public health orientation, TRANSCEND embraces a “trench to bench” and “bench to trench” approach
that broadens the typical “bench to bedside” model. Our vision is that TRANSCEND will transform the academic culture
in ND, train future C&T leaders, and contribute to our long-term goal of improving health in ND.