The Rockefeller CCTS and CDN community partner co

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H ow W ell D id T he Webcas t Meet Y our

O verall E xpectations ?

Very Well

Well Enough

Not Very Well

Total

T otal P erc entag e

52 60%

32

3

87

37%

3%

100%

T he R oc kefeller Univers ity C enter for C linic al and T rans lational

S c ienc e

C ommunity E ngagement eS eminars S ummary

As of Marc h 31, 2010

Rockefeller University Center for Clinical and Translational Science - Clinical Directors Network

Community Engagement Clinician eSeminars

Using Web-based Distance Learning as a Bridge to Engage Academic Researchers and Community-based Primary Care Clinicians in Collaborative Translational Research

Jonathan N. Tobin, PhD 1,2 ; Rhonda G. Kost, MD 2 ; Peter Holt, MD 2 ; Scott Westervelt, MS 1 ; Omesh Persaud, BA 1 ; Barry Coller, MD 2

1 Clinical Directors Network (CDN), 5 West 37 th Street, 10 th Floor New York NY 10018

www.CDNetwork.org

2 Rockefeller University Center for Clinical and Translational Science, 1230 York Avenue, New York NY 10065

www.Rockefeller.edu/ccts

Funded in Part by NCRR Grant #5UL1RR024143 “TRANSFORMING CLINICAL AND TRANSLATIONAL RESEARCH AND EDUCATION AT ROCKEFELLER” (PI: Barry Coller, MD)

ABSTRACT:

Attendance & Evaluation

Introduction

The Rockefeller University Center for Clinical and Translational Science (CCTS) partnered with

Clinical Directors Network (CDN), a primary care practice-based research network (PBRN) to create community-academic partnerships to conduct clinical and translational research in medically underserved settings including HRSA-funded Federally Qualified Health Centers (FQHCs). CCTS and CDN have implemented a distance learning program to engage community-based practicing primary care clinicians.

Methods

A series of fourteen one-hour CME-accredited webcasts (eSeminars) included virtual lectures or simulcasts of CCTS Clinical Research Seminars presented by CCTS Faculty and Clinical Scholars over a 2.5 year period.

Topics reflected the intersection of CCTS Faculty expertise,

CDN’s clinicians and clinical needs of FQHCs. Viewer/attendees completed an online evaluation at the end of each session.

Results

A total of 483 participants from over 46 states and US territories completed the sessions.

Respondents included physicians (15%), dentists (6%), nurse practitioners (9%), nurses (36%), and administrators (9%).

To date, 60% of presenters not previously involved in community-engaged research have begun to conduct studies in FQHCs and/or have submitted funding proposals to conduct community-engaged research.

Conclusions

This interactive approach served as the initial interaction between

CCTS’s Faculty and Clinical

Scholars and CDN’s community-based primary care clinicians. There is interest among communitybased primary care clinicians in participating in CCTS studies, with nursing professionals comprising nearly 40% of participants. This indicates an under-recognized opportunity for engaging nursing professionals in conducting community-engaged research, and strong interest among

CCTS faculty and scholars in developing studies with FQHC-based clinicians. This distance learning platform promotes bi-directional community-engaged research.

TOPICS, PRESENTERS AND PARTICIPANTS

Participation

Total Sessions

Total Attendance

Total Evaluations Completed

Evaluation Response Rate

What Is Your Occupation?

Occupation

MD: Family Medicine

MD: Internal Medicine

MD: Pediatrician

MD: OB-GYN

Dentist

Nurse Practitioner

Nurse

RD/Nutritionist

Administrator

Social Worker

Phys. Asst.

Pharmacist

Other, Please Specify

Total

What Is Your Degree?

Webca st #

Presenter Title of Session

Date of

Productio n

# of States

Represente d

Live

Viewing

Library

Viewing

Total Viewing

Evaluations

As of March

Completed

31, 2010

1

Martin Markowitz,

MD

Acute HIV Infection - Clinical

Presentation, Diagnosis and

Management

2 Lisa M. Neff, M.D.

Pharmacotherapy for Obesity

6/20/2007

10/16/2007

3

4

5

6

Barry S. Coller, MD

Edgar Charles, MD

Peter Holt, MD

Manish Ponda, MD

Anti-Platelet Therapy in a

Community Care Setting

Hepatitis C Virus Infection and B

Cell Disorders

Colon Cancer: Screening and

Prevention

Cardiovascular Disease in

Chronic Kidney Disease

12/13/2007

10/23/2008

11/13/2008

1/21/2009

7 James Krueger, MD Psoriasis: More Than Skin Deep 1/22/2009

8

Patricia Maningat,

MD

9 Bruce McEwen, PhD

10

11

12

Statin Myopathy for Primary Care

Physicians

Protective and Damaging Effects of Mediators of Stress and

Adaptations

9/17/2009

10/7/2009

Sarah J. Schlesinger, HIV-1 Vaccines, Challenges and

MD New Approaches

Control of Chronic Diseases

Kenneth Olden, PhD, Through Application of Knowledge

ScD

Thomas Farley, MD,

MPH of Gene-Environment Interaction and Public Health Practice

Translating Research into Public

Health Improvements in New York

City

11/16/2009

12/2/2009

12/9/2009

13 Judith A. Aberg, MD HAART to Heart 1/20/2010

14

Beatrice A. Golomb,

MD, PhD

Statin Effects and Side Effects

TOTAL

3/17/2010

12

10 (PR &

Mexico)

7

11

16

15

11

12

23

11

17

10

7

22

45

(& PR,

Mexico)

32

32

26

17

26

30

24

26

41

27

39

31

14

45

410

21

10

3

2

7

4

3

4

4

3

4

5

1

2

73

53

42

29

18

33

34

26

29

44

27

40

33

15

47

483

13

6

1

5

8

11

4

8

1

7

10

6

3

5

88

Degree

MD/DO

DDS/DMD

NP

PA

MSW/CSW

RN

LPN

MPH/MPA/MBA

PharmD

Other, Please Specify

Total

What Is Your Gender?

2

20

88

1

0

6

2

Total

2

3

4

0

6

10

32

W hite

(C auc as ian)

69%

His panic/L atino

10%

B lack/A frican-

A merican

14%

A s ian

7%

Please Rate The Presenter

Total

14

483

88

18%

Percentage

2%

3%

5%

0%

7%

11%

36%

7%

2%

1%

0%

2%

23%

100%

P leas e R ate T he P res enter

70%

60%

50%

40%

30%

20%

10%

0%

61%

34%

E xcellent V ery

G ood

3%

G ood

1%

F air

0%

P oor

The Overall Quality Of The

Webcast Was:

Total

0

22

3

7

13

5

8

0

0

30

88

Percentage

15%

6%

9%

0%

0%

25%

3%

8%

0%

P E R C E NT

100%

With What Ethnic Group Do

You Identify Yourself With?

45%

50%

40%

30%

20%

10%

34%

0%

E xcellent V ery

G ood

14%

5% 2%

G ood F air P oor

The Delivery Of The Webcast

Was:

50%

40%

42%

60%

50%

40%

30%

20%

10%

0%

30%

10%

A s ian

0%

E xcellent V ery

G ood

W hite (C auc as ian)

8% 8%

2%

G ood F air P oor

How Well Did The Webcast

Meet Your Overall

Expectations?

60%

37%

The Information Content

Of The Webcast Was:

The Organization Of The

Webcast Was:

3%

V ery well Well enough Not very well

49%

50%

40%

39%

30%

20%

10%

0%

E xcellent V ery

G ood

12%

0% 0%

G ood F air P oor

60%

50%

40%

30%

20%

10%

0%

55%

33%

E xcellent V ery

G ood

11%

G ood

0%

F air

0%

P oor

Suggested Topics For Future Continuing Medical

Education (CME) Sessions:

Diabetes

· Diabetes

· Diabetes with the homeless

· Most recent information about diabetes

· The relationship between HTN, diabetes, elevated cholesterol and cardiomyopathy

· High blood pressure treatment, diabetes treatment

· Suggestions for the care of chronic diseases

(hypertension, diabetes, asthma).

Cardiovascular Disease

· Cardiovascular health

· Cardiology, CHD, and chronic diseases

· Depression, heart disease and cancer

· Types of cholesterol-reducing therapies

HIV/AIDS

· More information on accuracy of HIV Ab testing

· Other HIV topics in sequence-sort of mini curriculum A-Z

· HIV test education, counseling and outreach

· More studies about the HIV vaccine

Nutrition

· Nutrition

· Nutrition related treatment

· Any chronic disease/condition that can be aided through diet

· How food affects mood

· Vegetarian diet in kidney disease, as a part of therapy

· Obesity and genetic counseling

Other/Clinical

· Childhood dental health and the impact of maternal dental care

· Men's Health issues

· MRSA with the homeless

· Other topics in integrative and preventive medicine

· The effects of GINA on conducting health risk assessment and health promotion

· Substance Abuse and Concomitant

Problems

· Immune Disorders related to arthritis

· More information on how to help change needed environmental negatives

· Experiences at genetic clinics

· Leaky bowel syndrome

· Sickle-cell anemia

· Colon cancer, how to increase screening rates

· Hepatitis

· Pain management

Other/Non-Clinical

· How to educate the public effectively

· Coding in primary care

· Ways to foster medical compliance

· Writing for a RO1 research grant, preparing posers and abstracts, Statistical preparation for Epidemiologists using various statistical software (SAS, SPSS, STATA and others)

Conclusions

• This interactive approach served as the initial interaction between

CCTS’s faculty and scholars and CDN’s community-based primary care clinicians.

Of ten CCTS Heads of Lab and Clinical Scholars who presented online rounds without prior community engagement experience,

60% are currently developing community-based studies with CDN, indicating strong interest among CCTS Faculty and Scholars in developing studies with FQHC-based clinicians.

•There is interest among community-based primary care clinicians in participating in CCTS studies, with nursing professionals comprising nearly 40% of participants.

This indicates an under-recognized opportunity for engaging nursing professionals in conducting community-engaged research.

•This distance learning platform promotes bi-directional communityengaged research.

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