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Research Associates Programs

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Research Associates Programs Frank Illuzzi, MD, FACEP Melanie Dabakis, BS Ryan King, BSEE Ankur Talati, BS Jenna Turocy, BS Keith Bradley, MD St. Vincent s Medical ... – PowerPoint PPT presentation

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Title: Research Associates Programs


1
Research Associates Programs
  • Frank Illuzzi, MD, FACEP
  • Melanie Dabakis, BS
  • Ryan King, BSEE
  • Ankur Talati, BS
  • Jenna Turocy, BS
  • Keith Bradley, MD
  • St. Vincents Medical Center

2
Research Associates (RA) Programs
  • Obstacles to research in the ED
  • "Once upon a time "
  • An answer to some of these obstacles
  • RA programs
  • Keys to success
  • Future

3
Obstacles to Research in ED
  • ?

4
Obstacles to Research in the ED
  • I was too busy
  • Not my job
  • All you have to do is this one more, little
    thing
  • 24/7
  • carrot and/or the stick

5
"Once Upon a Time"
  • Lincoln Medical and Mental Health Center
  • South Bronx, NY 1993
  • Emergency Medicine residency program
  • Tremendously motivated faculty, residents and
    staff
  • No clinical research papers in 12 years
  • Why?
  • 165,000 patients per year

6
An Answer to Some of the Obstacles to Research
  • Needed
  • bright, motivated individuals
  • primary responsibility research
  • focused experts on the details of the research
  • on-site in the
  • 24/7 ED
  • available in large numbers
  • "free
  • willing to be paid with something besides
    money
  • Who did we get for the job?

7
An Answer to Some of the Obstacles to Research
  • Needed
  • bright, motivated individuals
  • primary responsibility research
  • focused experts on the details of the research
  • on-site in the
  • 24/7 ED
  • available in large numbers
  • "free
  • willing to be paid with something besides
    money
  • Medical Students!!!

8
Research Associates
  • Is there a practical difference
  • in the ability to collect
  • focused clinical research data
  • between
  • today's freshman medical students
  • vs.
  • themselves one year prior as college seniors?

9
Research Associates
  • If not, is there a practical difference
  • in the ability to collect
  • focused, clinical research data
  • between
  • today's freshman medical students
  • vs.
  • themselves one year prior as college seniors
  • juniors sophomores freshman?

10
Research Associates
  • Functions
  • subject identification
  • demographic and historical information
  • physical parameters
  • read informed consent
  • facilitate the research
  • stuff

11
Research Associates Programat Lincoln
  • Process
  • recruited from local colleges
  • Fordham University
  • Lehman College
  • Manhattan College
  • Mount St. Vincents
  • Columbia University
  • Iona College

12
Research Associates Programat Lincoln
  • Process
  • recruit from local colleges
  • orientation sessions (8 hrs. / weekend day x 2)
  • basics of clinical research
  • ethical issues
  • safety
  • volunteer duties
  • specifics on data collection for each study

13
Research Associates Programat Lincoln
  • Process
  • recruit from local colleges
  • orientation sessions
  • a four hour shift / week / academic semester
  • faculty evaluation of RAs from each shift
  • letter of evaluation from program director

14
Do RA Programs Work?
  • Lincoln
  • first semester, 38 RAs covered ? 80 of 24/7
  • by the end of two years, gt 60 RAs per semester
  • Bradley K, Osborn HH, Tang M.
  • "College research associates a program to
    increase emergency
  • medicine clinical research productivity."
  • Ann Emer Med, September 1996.

15
Do RA Programs Work ?
  • Lincoln
  • Studies 1995-1996 w/RA assistance
  • Asthma/Cocaine 112 subjects enrolled
  • Window Guards 1088 subjects enrolled
  • Ankle 350 subjects enrolled
  • 9 page data form
  • Chest Pain Evaluation limited to subject ID
  • TB studies requiring
  • CMV Meningitis universal precautions

16
Do RA Programs Work?
  • Bridgeport Hospital
  • Studies
  • enrolled
  • Troponin T 856
  • QT-Prolongation with Erythromycin 63
  • CUPID ECG Analysis 100
  • 1019

17
Do RA Programs Work?
  • Bridgeport Hospital
  • Studies
  • enrolled
  • C-Spine X-ray Clearance Protocol 102
  • Influenza Vaccine in the Elderly 134
  • ED Follow-Up Telephone Calls 113
  • Antibiotic Use in Children 377
  • 1743

18
Do RA Programs Work?
  • Bridgeport Hospital
  • 1 Health Screening Studies
  • enrolled
  • Womens Health Screening 2676 including
    domestic violence questions
  • AMAs Firearms Risk Assessment 3370
  • AHAs Cardiovascular Risk Assessment 3276
  • 9,322

19
Do RA Programs Work?
  • St. Vincents Medical Center
  • Cancer Screening Studies
  • enrolled
  • American Cancer Society recs. 3644
  • Cervical and Breast Cancer 2589
  • Prostate Cancer 521
  • Tobacco Cessation 3125
  • Colon-Rectal Cancer (to date) 1091
  • 10,970

20
Do RA Programs Work?
  • 20-50 RAs per semester during the school year
  • ? 20-45 RAs from around the country
  • for each summer semester

21
Do RA Programs Work?
  • 24,441 subjects
  • entered in research protocols by RAs

22
Do RA Programs Work?
  • Sustainability
  • RAs continue providing service from successful
    studies
  • (e.g., at St.Vincents
  • cervical, breast and prostate cancer screening
  • and tobacco cessation)
  • To date, 2112 patients and visitors received such
    service
  • e.g., 245 additional CT Tobacco Quitline
    referrals

23
Do RA Programs Work?
  • To date,
  • Research and Service interactions with 26,553
    patients and visitors
  • with
  • Cost 0
  • Patient complaints about RAs 0

24
RA Programs
  • Benefits?
  • research is done effectively, efficiently, while
    minimizing impact on clinical care
  • RAs get clinical exposure and research experience
  • Advisers have a guaranteed evaluated clinical
    experience for their students
  • Win-Win-Win

25
RA ProgramsKeys to Success
  • From the Medical Side
  • preparation and organization
  • dedicated director
  • principle and associate investigators
  • buy-in by faculty and residents
  • enthusiasm
  • welcoming
  • teaching

26
RA ProgramsKeys to Success
  • From the College Side
  • linkage with health professions advisor
  • identifying target audience
  • recruiting lecture and materials
  • advisor early warning of any problems
  • receive letters of evaluation
  • synergy

27
Chief RA
  • undergraduate degree already completed
  • applying to medical school
  • Program Director's assistant for the academic
    year
  • first port of call for RAs' on-line issues
  • involved in all aspects of clinical research
  • attends didactic sessions and research meetings
  • is the principal or associate investigator on a
    study

28
Chief RA
  • To date 18 CRAs
  • 12 accepted to medical school
  • 6 in the application cycle

29
RA Program Development
  • ? research requirements
  • ? financial and personnel resources
  • ? clinical pressures
  • need for innovative solutions
  • ?
  • Research Associates Programs

30
RA Program at St. Vincents Medical Center
  • 65,000 patient visit ED
  • largest ED in largest city in CT
  • diverse patient population
  • residencies and fellowships
  • major teaching affiliate of
  • University of Connecticut School of Medicine

31
RA Program at St. Vincents Medical Center
  • Focus of studies on 1? care screening in ED
  • ? each RA sees a large number of patients
  • Provides an evaluated clinical experience for
    large numbers of pre-health professions students
  • School year RAs from local colleges
  • Summer RAs from around the country

32
Starting a Research Associates Program
  • Guarantee clinical experience for large numbers
    of pre-health professions students
  • Linkage with local medical centers with
  • value added free research workers
  • residency programs in any specialty must do
    research
  • hospitals without residencies need data
    collection for quality improvement programs

33
Think of These Numbers
  • gt 1/2
  • half the U.S. population goes to an emergency
    department each year as a patient or visitor
  • 3.3
  • - Average number of hours in an ED visit
  • ? 500,000
  • college students and post-bacs interested in
    medical school

34
Think of This Number
  • 60 million
  • potential work hours
  • if pre-meds served as RAs for one 4-hr shift per
    week
  • in the nations emergency departments
  • helping patients and visitors
  • with their primary health care issues

35
What Would Coca-Cola Pay?
  • Access to ½ the people in the U.S.
  • For several hours each year
  • With a work force numbering hundreds of thousands
    of bright, committed people
  • Eager to work millions of hours for compensation
    other than money

36
Future
  • RAs as primary health care screeners
  • RAs moving health care forward through clinical
    research
  • RAs as a preparatory step for careers in the
    health professions

37
Watch ER on TVand guess what its like Be a
Research Associate in the Emergency Department
and know the reality.
38
If You See the Potential
  • www.RAProgram.org
  • - program details and application materials
  • Fall semester 2009 orientation sessions
  • Saturday and Sunday, 3 and 4 October
  • Keith Bradley, MD
  • Director, Research Associates Program,
  • KeithBradleyConsult_at_gmail.com

39
  • ?
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