United States Department of Veterans Affairs
Center of Excellence on Implementing Evidence Based Practice

Physician Post Resident Fellowship

The VA Physician HSR&D Fellowship is a core training program of the VA HSR&D Center of Excellence on Implementing Evidence-Based Practice at the Indianapolis VAMC, www.ciebp.research.va.gov.

Program Overview:
The fellowship provides two years of post-residency research, education, and clinical learning opportunities to eligible physicians. Fellows spend approximately 75 percent of their time in research and education and 25 percent in clinical care at the Roudebush VAMC. Mentors of national stature provide guidance to fellows in rich learning environments. Graduates are expected to be role models in leading, developing, conducting, and evaluating innovative health services and clinical research in a variety of clinical settings.

Fellowship Requirements: Eligible physicians must have graduated from an Accreditation Council for Graduate Medical Education (ACGME) accredited residency; be board certified or board eligible; be a U.S. citizen; and have an active, unrestricted U.S. medical license. International medical graduates must also have an Educational Commission for Foreign Medical Graduates (ECFMG) certificate that is valid indefinitely.

Program Goals: The goal of this fellowship training program is to prepare graduates for careers in health services, implementation and systems redesign research, with particular research skills in transforming healthcare delivery and organizations. Our VA Physician HSR&D Fellowship provide opportunities using VA’s internationally recognized medical informatics and quality improvement infrastructure and our research faculty and campus partners to provide outstanding training opportunities and to contribute to the improvement of clinical and management practice, scholarly pursuit of quality improvement, and Veterans Health Administration’s (VHA) recruitment and retention of health services and implementation researchers.

The VA Physician HSR&D fellowship will train post-residency physicians to (1) understand basic health services and implementation research methods; (2) understand health services and implementation research in great detail; (3) extract, analyze, and interpret information, both clinical and patient-centered, from electronic medical records and directly from patients; (4) develop, carry out, analyze, and report the results from a prospective research project; and (5) develop productive careers in academic medicine and/or serving the VA.

Each fellow will select a primary mentor, who along with the fellow, will create a Mentor Panel of content and methodologic experts from our Center, the Regenstrief Institute, Inc., Indiana University School of Medicine or IUPUI, that will meet at least quarterly to assess the fellow's progress in attaining his or her research goals.

Program Overview:  The fellowship provides two years of research and educational learning opportunities.  Mentors of national stature provide guidance to fellows in rich learning environments.

Curriculum:  The two-year curriculum includes an orientation to VA, a general research methodology, written and oral communication skills, and implementation science. There are opportunities to pursue more intensive training in areas such as: health services research, implementation science, operations research, decision science, system redesign, clinical information systems, decision support, evidence based medicine, organizational behavior and change management, clinical bioinformatics, computer science, health services research, research methods, and project management through Indiana University and Purdue University. In addition, the curriculum includes such content areas as quality improvement methods, leadership skills, patient safety, organizational change, leadership and other areas of significant interest to VHA. 

Fellows:  Physician fellows shall spend at least 75 percent of their time on projects relevant to the VA and no more than 25 percent in clinical care, teaching or administration. Fellows are expected to work with a research team and their mentors to play an important role in developing and implementing several HSR&D research projects and submit at least one (preferably more) manuscript(s) to a peer-reviewed journal. As a result of their work, they should accomplish at least one of the following: lead interprofessional teams, present at two or more national meetings and/or actively participate in and contribute to organizational change or system redesign initiatives at the Roudebush VAMC or VHA nationally.

Preceptors (mentors):  In order to select relevant projects to improving health care, fellows are encouraged to meet with institutional leaders within our VAMC and senior Center faculty. Fellows are to develop individualized learning plans in collaboration with their preceptors (mentors). Mentors should provide assistance with project and research methodology and content, as well as guidance in personal and professional development.  For these reasons, several mentors are often needed. These individuals are expected to meet regularly with the fellows to assess their progress, serve as role models, and provide constructive feedback and assistance in meeting the fellows’ goals. Mentors are expected to participate in formative and summative evaluation of fellows and the fellowship program. Mentorship opportunities include faculty of the VA Center of Excellence in Implementing Evidence-based Practice, as well as partners, the Regenstrief Institute, Inc. (http://www.regenstrief.org/), Indiana University, Indiana University-Purdue University Indianapolis-Indianapolis (IUPUI) and Purdue University.

Project:  All fellows will participate in at least one research project to which they make a substantive, independent, and identifiable contribution. The topic of the project should be of direct relevance to VHA's mission, although VA medical facilities do not necessarily have to be the sole sites of the research.

Career Development Award:  All fellows should develop a VA and/or NIH Research Career Development Award during their fellowship, working closely with their mentorship panel.  See Gill, T.M., McDermott, M.M., Ibrahim, S.A., Petersen, L.A., Doebbeling, B.N.  Getting Funded: Career Development Awards for Aspiring Generalist Investigators.  J Gen Intern Med 19:472-478, 2004.

Seminars and Lectures: Fellows are expected to attend weekly research seminars at the VA HSR&D Center of Excellence and the Regenstrief Institute. Fellows are also expected to organize and participate in a Fellows Conference, to help supplement experiential learning in desired areas of development.

Faculty scientists and fellows present their research at the weekly seminars, which provides an outstanding forum for interdisciplinary learning and dialogue on the latest methods and topics related to health services research, implementation sciences, geriatrics, and other related disciplines. Fellows are expected to present their research findings at our VA Center works-in-progress seminar and/or the Regenstrief Institute seminar at least once each year during the fellowship training program.

All VA post-doctoral fellows are encouraged to complete the “Implementation Research” course during their fellowship and the Patient Safety (SPEA-H 615, PBHL-H 615, and School of Nursing J 692). 

Master of Science in Clinical Research: Post-doctoral fellows with limited research experience or training have the opportunity to complete a Masters of Science in Clinical Research through the Clinical Investigator Training Enhancement (CITE) Program.  The CITE program is a K-30 funded grant through the National Institute of Health and prepares health care professionals for a career in clinical research.  Following completion of this program, graduates can embark on a career in clinical research with the skills necessary to successfully compete for grant funding, conduct and analyze research findings, and publish their work in scientific journals. 

Eligibility and Application:  Interested candidates should: 1) be a US citizen; 2) have completed clinical training terminal degree (e.g., nursing, pharmacy, etc) or a PhD in computer science, medical informatics, decision science, economics or related fields, and 3) Demonstrate a special interest in implementation and health services research.

Interested candidates must submit a cover letter describing their research interests, fellowship goals and career goals, curriculum vitae and three letters of recommendation.

Contact Information

Richard Frankel, PhD

(317) 988-4000

rfrankel@iupui.edu

 

or

 

Matthew Bair, MD

317-988-2058

Matthew.Bair@va.gov

 

 

Mail to:

HSR&D Center of Excellence

Roudebush VA Medical Center

1481 W. 10th Street, 11H

c/o Kathy Carlson

Indianapolis, IN  46202-2884

In accordance with Federal law, the VA HSR&D Center of Excellence and IU School of Medicine do not discriminate against any person on the basis of race, ethnicity, color, sex, religion, or disability in admission to, access to, or treatment in the Fellowship Programs.

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