photo: harold shapiro
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The Robert Wood Johnson Foundation Clinical Scholars Change Agents In Medicine For More Than 40 Years. Photo: Harold Shapiro. Mission. Develop physician leaders to improve US health and healthcare with a commitment to service and patients. - PowerPoint PPT PresentationTRANSCRIPT
The Robert Wood Johnson Foundation
Clinical Scholars
Change Agents In Medicine For More Than 40 Years
Photo: Harold Shapiro
Mission
Develop physician leaders to improve US health and healthcare with a commitment to service and patients.
Photo: Harold Shapiro
Alumna Tammy Chang (second from
left, Michigan CSP 11-13) and community
partner Zachary Rowe (left) with
community members
About the Program• Founded in 1969; adopted by RWJF in 1972• Oldest RWJF Human Capital program• Long-standing collaboration with US Department of
Veterans Affairs (VA)– RWJF and VA fund Scholar stipends and health insurance– RWJF supports research related expenses – VA provides in-kind faculty, clinical and research resources
Diversity Commitment
The Program:• Embraces racial, ethnic, gender and disciplinary
diversity• Encourages candidates with diverse
backgrounds to apply• Provides all qualified candidates an equal
opportunity to compete for a Clinical Scholar position
Scholar Training Sites and National Program Office
Training Sites:• University of California, Los Angeles• University of Michigan• University of Pennsylvania• Yale University
National Program Office The University of North Carolina, Chapel Hill
Director
Desmond “Des” Runyan, M.D., Dr.P.H.
(former Clinical Scholar, UNC ‘79-’81)
Deputy Director
Kristin Siebenaler, MPA
Program Administrator
Kathy Donnald
National Program Office (NPO)• Advise training sites on curriculum development• Provide technical assistance to training sites• Plan and host the annual Clinical Scholars research meeting• Direct nationwide applicant recruitment and program
marketing• Pursue an applicant pool from diverse medical specialty and
racial backgrounds• Oversee the scholar selection process• Engage the Clinical Scholars alumni network• Maximize expertise of the Clinical Scholars national advisory
committee
National Advisory Committee (NAC)
Selected national leaders in health and healthcare willing to
commit to the goals of this program and its scholars
NAC members involved in a wide range of activities: • Curriculum design• Scholar selection• Scholar mentorship• Training site selection • Training site oversight
Scholar Experience and Curriculum
Scholar Experience
• Unmatched post-residency opportunity for 20 physicians to:– Conduct innovative research in health policy, health
services, and community-based participatory research
– Work in a leadership role with communities, organizations, practitioners, and policy-makers
– Pursue two years of master’s degree study (degrees awarded)
Scholar Experience, continued
• Funding provided for stipends, tuition, travel to scientific meetings, and research
• Protected time for research (20%) and scholarship (80%) • Attend annual research meeting to present research and
foster networking• Develop skills to serve as an innovative and
accomplished leader in healthcare
• Tap into program alumni network of over 1,200 individuals who serve as resources
Yale Clinical Scholars
Prepare Scholars for External Drivers in Health Care System
• Disparities in access, quality, and outcomes
• Spiraling health care costs
• Aging of America
• Translating research into practice
Core Competencies
• Critically evaluate qualitative, quantitative, clinical, and health services research
• Recognize different levels (e.g., molecular, familial, community) of health problems and develop strategies to address them at more than one level
• Design and conduct scientifically sound and important research
• Identify strategies for data analysis and execute those analyses
• Interpret and communicate results with public health, practice, and policy implications
• Translate research findings into creative interventions to improve health care quality and outcomes
Core Competencies, continued
Examples of Scholar Publications• Gordon Sun (Michigan CSP 11-13, VA Scholar) and Matthew M. Davis. “The
Patient Protection and Affordable Care Act of 2010: Impact on Otolaryngology Practice and Research.” Otolaryngology – Head and Neck Surgery, 26 January 2012
• Timothy J. Daskivich (UCLA CSP 12-14, VA Scholar), Kang-Hsien, F, Koyama T, Albertsen PC, Goodman M, Hamilton AS, Hoffman RM, Stanford JL, Stroup AM, Litwin MS, Penson DF. Impact of Age, Tumor Risk, and Comorbidity on Competing Risks for Survival in a U.S. Population-Based Cohort of Men with Prostate Cancer. Ann Intern Med. 2013 May 21; 158(10): 709-17
• Kelly Doran (Yale CSP 11-13, VA Scholar), Raven MC, and Rosenheck RA. “What Drives Frequent Emergency Department Use in an Integrated Health System? National Data From the Veterans Health Administration.” Annuals of Emergency Medicine, April 2013.
• Lisa Rosenbaum (Penn CSP 12-14, VA Scholar), "How Much Would You Give to Save a Dying Bird? Patient Advocacy and Biomedical Research." New England Journal of Medicine. 2012 Nov;367(18):1755-9. doi: 10.1056/NEJMms120711
After Graduation
Program graduates have become:
• Directors of major federal, state and local health agencies and departments
• Hospital presidents and foundation CEOs
• Leaders in the fields of health services research and health economics
• Members of the Institute of Medicine
Alumni Statistics
Clinical Scholar Alumni
• More than 1200 alumni located in 41 states + DC, 12 countries• 45 Members of the Institute of Medicine• Academic Medicine
– 8 Medical and Public Health School Deans– >145 Chairs, Vice-Chairs, division chiefs– >193 professors, 139 associate professors, 184 assistant professors
• Government – Federal/International: DHHS, CDC, CMS, House of Representatives,
AHRQ, VA, NIH, WHO, Office of the Surgeon General– State and Local Health Departments
• Hospital CEOs
Distribution of 365 Scholars By Major Specialty 2000-2013
2924
126
915
71
17
338
33
Emergency MedicineFamily MedicineInternal MedicineNeurologyOBGYNPediatricsPsychiatrySurgeryUrologyOther
51 and over26 - 5011 - 256 - 101 - 5
Scholars in Canadian Provinces:(Alberta 2; British Columbia 4; Manitoba 1; Nova Scotia 2; Ontario 9; Quebec 13)
Scholars Outside of US and Canada:(Argentina 1; Australia 1; China 1; Germany 1; Japan 1; Nigeria 1; South Africa 1; Switzerland 1; United Kingdom 3; Zimbabwe 1)
Scholar Distribution by US State (Updated October 2013)
Alumni Feedback
“For anyone who wants to be a catalyst for change in the health and health care of our country, the Clinical Scholars program is an excellent opportunity to do so.” Risa Lavizzo-Mourey, M.D., M.B.A., president and CEO of the Robert Wood Johnson Foundation (Penn CSP 1983-1986)
“There is no other program like the RWJF Clinical Scholars program for physician leaders who want to change America's health care system." -- Comilla Sasson, M.D., M.S., Director of Program Development, and Innovation, American Heart Association & Adjunct Clinical Faculty, University of Colorado School of Medicine
“Community-based work had a formative effect on my development. It’s something I’ve always been committed to, and it’s actually one of the reasons I chose to apply for the [Clinical Scholars] program.” – Nathan Irvin, M.D., instructor in emergency medicine at Johns Hopkins University School of Medicine
Examples of Alumni Publications• Anita Vashi (Yale CSP 11-13, VA Scholar) Justin Fox (Yale CSP 10-12),
Joseph Ross (Yale CSP 04-06), and Cary Gross (Hopkins CSP 97-99). – “Use of Hospital-based Acute Care among Patients Recently Discharged
from the Hospital. JAMA, 23; 309(4):364-71, 2013• Z Song, D Safran, M Chernew, A Mark Fendrick (Penn CSP 1991-93).
– The Impact of Bundled Payment on Emergency Department Utilization: Alternative Quality Contract Effects After Year One. In press: Academic Emergency Medicine Journal.
• Lenard I. Lesser (UCLA CSP 09-12), Kayekjian, K., Velasquez, P., Tseng, C.-H., Brook, R. H., Cohen, D. A. – “Adolescent Purchasing Behavior at McDonald’s and Subway.” Journal of
Adolescent Health, 2012; 1-5.
Examples of Alumni Awards and Achievements
• Margaret Gourlay (UNC CSP 02-04) won the Top 10 Clinical Research Achievement Award from the Clinical Research Forum for her study on bone density screening for older women.
• Eric Coleman (Washington CSP 95-97, VA Scholar) received a MacArthur “Genius” Award/Foundation fellowship for his leadership in geriatric and chronic disease care.
• Raina Merchant (Penn CSP 07-10), honored for leadership in health care with the first ever RWJF Young Leader’s Award to commemorate the foundation’s 40 year anniversary.
How to Apply
• Physicians who meet the eligibility requirements may may apply online through the website site: http://rwjcsp.unc.edu
• Next application cycle opens November 2013 and closes February 29, 2014 for cohort to start July 1, 2015