The Robert Wood Johnson Foundation Clinical Scholars Photo: Harold Shapiro Change Agents In Medicine For More Than 40 Years Mission Develop physician leaders to improve US health and healthcare with a commitment to service and patients. Alumna Tammy Chang (second from left, Michigan CSP 1113) and community partner Zachary Rowe (left) with community members Photo: Harold Shapiro 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 Core Competencies, continued • 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 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 8 29 33 24 Emergency Medicine 33 Family Medicine Internal Medicine 17 Neurology OBGYN Pediatrics 126 71 Psychiatry Surgery Urology 15 9 Other Scholar Distribution by US State (Updated October 2013) 51 and over 26 - 50 11 - 25 6 - 10 1-5 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) Scholars in Canadian Provinces: (Alberta 2; British Columbia 4; Manitoba 1; Nova Scotia 2; Ontario 9; Quebec 13) Alumni Feedback “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 “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) 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 Contact Us E-mail: Phone: Website: rwjcsp_admin@med.unc.edu 919-843-1351 http://rwjcsp.unc.edu