scholarly journals 2142

2017 ◽  
Vol 1 (S1) ◽  
pp. 44-44
Author(s):  
Rebecca Namenek Brouwer ◽  
Denise Snyder
Keyword(s):  
Clinical Research ◽  
Workforce Development ◽  
Medical Center ◽  
Academic Medical Center ◽  
Strong Support ◽  
Job Descriptions ◽  
High Quality ◽  
Mapping Process ◽  
Research Workforce ◽  
New Research

OBJECTIVES/SPECIFIC AIMS: Describe the process used to develop job descriptions and how this translates into consistent hiring practices. Describe how competencies are used to provide transparency into professional development opportunities. Discuss planned incorporation of competencies into efforts to train the clinical research workforce. METHODS/STUDY POPULATION: These processes were developed at Duke, an academic medical center with over 2000 active clinical research protocols and 300 new clinical trials per year. Over 1000 employees were evaluated for mapping into clinical research positions, with 685 mapping into new research positions (makeup of workforce to be depicted). RESULTS/ANTICIPATED RESULTS: Prior to this initiative, the clinical research workforce was not well-defined. Through the mapping process, employees were mapped from over 80 different positions into 10 (figure), resulting in a workforce that allows for visible career ladders and greater opportunity for development. As the initiative evolves and grows to include competency-driven performance evaluations, training modules, and assessments, we anticipate the ability to see the relationship between the competencies and high-quality clinical research support. DISCUSSION/SIGNIFICANCE OF IMPACT: The use of competencies in the context of workforce development is not new, yet in clinical research, they provide a much-needed framework for an ever-evolving profession. This comprehensive use of competencies throughout a workforce development initiative is key to ensuring strong support of high-quality clinical research.

scholarly journals Supporting researchers through full-service hotline and consultation services: Success in simplicity, customization, and staffing

2020 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Rebecca Namenek Brouwer ◽  
Emily Miller ◽  
Sunita Patil ◽  
Geeta K. Swamy ◽  
Rebbecca Moen ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Team Members ◽  
School Of Medicine ◽  
Academic Medical ◽  
High Satisfaction ◽  
Duke University ◽  
Research Questions ◽  
New Research ◽  
Consultation Services

AbstractNavigating the research domain at an academic medical center can be challenging, even for seasoned investigators. To address this, Duke University launched two initiatives: (1) a research navigation “hotline” to provide brief assistance with a variety of research questions; and (2) researcher onboarding and consultation, a one-to-one tailored offering to ensure that researchers are equipped to navigate research resources and processes effectively. The services are provided by the myRESEARCHnavigators (MRN) team, funded by Duke’s CTSA. The diverse scientific backgrounds of the six team members align well with those of the research community, allowing for a good match between the researcher and MRN team member. The MRN team answers approximately 30 questions per month, and has provided consultations to almost 400 researchers. Both services receive high satisfaction ratings (4 or 5 stars [out of 5 stars] given to 90% of hotline answers, and 99% of researcher onboarding/consultation sessions). As of July 2019, the School of Medicine has determined that the consultations are critical to their mission and have made them a requirement for new research faculty. The team will continue marketing both services to encourage adoption.

scholarly journals Health Disparities of Black Americans Hospitalized for Decompensated Liver Cirrhosis

2019 ◽  
Author(s):  
Ted Spiewak ◽  
Amir Taefi ◽  
Shruti Patel ◽  
Chin-Shang Li ◽  
Eric Chak
Keyword(s):  
Hospital Admissions ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Black Americans ◽  
Median Income ◽  
Healthcare Outcomes ◽  
High Quality ◽  
Decompensated Liver Cirrhosis

Abstract Background & Aims: Racial disparities have been reported in liver transplantation and chronic hepatitis C treatment outcomes. Determining causes of these disparities is important given the racially diverse American population and the economic burden associated with chronic liver disease. Methods: A retrospective study was performed among 463 patients diagnosed with cirrhosis admitted from (January 1, 2013 to January 1, 2018) to a tertiary care academic medical center. Patients were identified based on the International Classification of Diseases (ICD-10) for cirrhosis or its complications. Demographic information, laboratory data, medical comorbidities, insurance and adherence to cirrhosis quality care indicators were recorded to determine their relationship to readmission rates and other healthcare outcomes. Results: A total of 463 individual patients with cirrhosis were identified including Whites (n=241), Hispanics (n=106), Blacks (n=50), Asian and Pacific Islander Americans (API, n=27) and Other (n=39). A significantly higher proportion of Blacks had Medicaid insurance compared to Whites (40% versus 20%, p=0.0002) and Blacks had lower median income than Whites ($45,710 versus $54,844, p=0.01). All groups received high quality cirrhosis care. Regarding healthcare outcomes, Black patients had the highest mean total hospital admissions (6.1±6.3, p=0.01) and the highest mean number of 30-day re-admissions (2.1±3.7, p=0.05) compared to all other racial groups. Multivariable proportional odds regression analysis showed that race was a statistically significant predictor of 90-day readmission (p=0.03). Conclusions: Black Americans hospitalized for complications of cirrhosis may experience significant disparities in healthcare outcomes compared to whites despite high quality cirrhosis care. Socioeconomic factors may contribute to these disparities.

scholarly journals Racial Disparities of Black Americans Hospitalized for Decompensated Liver Cirrhosis

2020 ◽  
Author(s):  
Ted Spiewak ◽  
Amir Taefi ◽  
Shruti Patel ◽  
Chin-Shang Li ◽  
Eric Chak
Keyword(s):  
Racial Disparities ◽  
Hospital Admissions ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Black Americans ◽  
Median Income ◽  
Healthcare Outcomes ◽  
High Quality

Abstract Background & Aims: Racial disparities have been reported in liver transplantation and chronic hepatitis C treatment outcomes. Determining causes of these disparities is important given the racially diverse American population and the economic burden associated with chronic liver disease. Methods: A retrospective study was performed among 463 patients diagnosed with cirrhosis admitted from (January 1, 2013 to January 1, 2018) to a tertiary care academic medical center. Patients were identified based on the International Classification of Diseases (ICD-10) for cirrhosis or its complications. Demographic information, laboratory data, medical comorbidities, insurance and adherence to cirrhosis quality care indicators were recorded to determine their relationship to readmission rates and other healthcare outcomes. Results: A total of 463 individual patients with cirrhosis were identified including Whites (n=241), Hispanics (n=106), Blacks (n=50), Asian and Pacific Islander Americans (API, n=27) and Other (n=39). A significantly higher proportion of Blacks had Medicaid insurance compared to Whites (40% versus 20%, p=0.0002) and Blacks had lower median income than Whites ($45,710 versus $54,844, p=0.01). All groups received high quality cirrhosis care. Regarding healthcare outcomes, Black patients had the highest mean total hospital admissions (6.1±6.3, p=0.01) and the highest mean number of 30-day re-admissions (2.1±3.7, p=0.05) compared to all other racial groups. Multivariable proportional odds regression analysis showed that race was a statistically significant predictor of 90-day readmission (p=0.03). Conclusions: Black Americans hospitalized for complications of cirrhosis may experience significant disparities in healthcare outcomes compared to whites despite high quality cirrhosis care. Socioeconomic factors may contribute to these disparities.

An organizational model for developing multidisciplinary clinical research in the academic medical center

1993 ◽  
Vol 36 (6) ◽  
pp. 741-749 ◽  
Author(s):  
Mary E. Charlson ◽  
John P. Allegrante ◽  
James P. Hollenberg ◽  
Ted P. Szatrowski ◽  
Margaret G. E. Peterson ◽  
...  
Keyword(s):  
Clinical Research ◽  
Medical Center ◽  
Academic Medical Center ◽  
Organizational Model ◽  
Academic Medical

scholarly journals Factors Associated with Clinical Research Recruitment in a Pediatric Academic Medical Center—A Web-Based Survey

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0140768 ◽  
Author(s):  
Erica Rose Denhoff ◽  
Carly E. Milliren ◽  
Sarah D. de Ferranti ◽  
Sarah K. Steltz ◽  
Stavroula K. Osganian
Keyword(s):  
Clinical Research ◽  
Medical Center ◽  
Academic Medical Center ◽  
Web Based ◽  
Research Recruitment ◽  
Factors Associated ◽  
Academic Medical

scholarly journals Adapting data management education to support clinical research projects in an academic medical center

2019 ◽  
Vol 107 (1) ◽  
Author(s):  
Kevin B. Read
Keyword(s):  
Best Practices ◽  
Clinical Research ◽  
Data Management ◽  
Data Transfer ◽  
Medical Center ◽  
Academic Medical Center ◽  
Research Process ◽  
Academic Medical ◽  
Collaborative Training

Background: Librarians and researchers alike have long identified research data management (RDM) training as a need in biomedical research. Despite the wealth of libraries offering RDM education to their communities, clinical research is an area that has not been targeted. Clinical RDM (CRDM) is seen by its community as an essential part of the research process where established guidelines exist, yet educational initiatives in this area are unknown.Case Presentation: Leveraging the author’s academic library’s experience supporting CRDM through informationist grants and REDCap training in our medical center, we developed a 1.5 hour CRDM workshop. This workshop was designed to use established CRDM guidelines in clinical research and address common questions asked by our community through the library’s existing data support program. The workshop was offered to the entire medical center 4 times between November 2017 and July 2018. This case study describes the development, implementation, and evaluation of this workshop.Conclusions: The 4 workshops were well attended and well received by the medical center community, with 99% stating that they would recommend the class to others and 98% stating that they would use what they learned in their work. Attendees also articulated how they would implement the main competencies they learned from the workshop into their work. For the library, the effort to support CRDM has led to the coordination of a larger institutional collaborative training series to educate researchers on best practices with data, as well as the formation of institution-wide policy groups to address researcher challenges with CRDM, data transfer, and data sharing.

scholarly journals Impact of implementing a competency-based job framework for clinical research professionals on employee turnover

2020 ◽  
Vol 4 (4) ◽  
pp. 331-335
Author(s):  
Marissa Stroo ◽  
Kirubel Asfaw ◽  
Christine Deeter ◽  
Stephanie A. Freel ◽  
Rebecca J. N. Brouwer ◽  
...  
Keyword(s):  
Clinical Research ◽  
Employee Turnover ◽  
Large Scale ◽  
Turnover Rate ◽  
Medical Center ◽  
Academic Medical Center ◽  
Medical Setting ◽  
Academic Medical ◽  
Competency Based ◽  
Research Professionals

AbstractIntroduction:A new competency-based job framework was implemented for clinical research professionals at a large, clinical research-intensive academic medical center. This study evaluates the rates of turnover before and after implementation of the new framework. Turnover in this workforce (as with most) is costly; it contributes to wasted dollars and lost productivity since these are highly specialized positions requiring extensive training, regardless of experience in the field.Methods:Trends in employee turnover for 3 years prior to and after the implementation of competency-based job framework for clinical research positions were studied using human resources data. Employee demographics, turnover rates, and comparisons to national statistics are summarized.Results:Employee turnover within the clinical research professional jobs has decreased from 23% to 16%, a 45% reduction, since the implementation of competency-based job framework.Conclusion:The new jobs and career ladders, both of which are centered on a competency-based framework, have decreased the overall turnover rate in this employee population. Since little is known about the rates of turnover in clinical research, especially in the academic medical setting, the results of this analysis can provide important insights to other academic medical centers on both employee turnover rate in general and the potential impact of implementing large-scale competency-based job changes.

scholarly journals Establishing an investigational drugs and research residency at an academic medical center

2019 ◽  
Vol 76 (22) ◽  
pp. 1862-1867
Author(s):  
Molly Wascher ◽  
Janet Mighty ◽  
Victoria Brown ◽  
Daniel Ashby ◽  
Michelle A Rudek ◽  
...  
Keyword(s):  
Drug Use ◽  
Clinical Research ◽  
Residency Training ◽  
Medical Center ◽  
Academic Medical Center ◽  
Johns Hopkins Hospital ◽  
Investigational Drug ◽  
Investigational Drugs ◽  
Training Standards ◽  
Development Structure

Abstract Purpose The development, structure, and implementation of an innovative residency program designed to help meet a growing need for pharmacists with specialized expertise in investigational drug use and clinical research are described. Summary Clinical research has become an increasingly complex field, but prior to 2017 there were no U.S. specialty residency training programs focused on pharmacists’ role in drug development and the care of patients enrolled in clinical trials. In 2016 Johns Hopkins Hospital (JHH) launched an initiative to develop residency training standards specific to the areas of investigational drug use and clinical research. The residency development process consisted of creation of a residency development committee; a needs assessment, including formation of a diverse panel of internal and external experts to guide identification of key competency areas and development of residency goals and objectives; design of the program’s structure, including a framework for required and elective rotations; submission of an application for pre-candidate status to the ASHP Commission on Credentialing; and recruitment efforts. Conclusion The JHH investigational drugs and research residency, a combined PGY1 and PGY2 program with 5 competency areas, 14 goals, and 49 objectives, was granted pre-candidate status by ASHP in November 2016. The first resident began the program in June 2017.

scholarly journals Racial Disparities of Black Americans Hospitalized for Decompensated Liver Cirrhosis

2020 ◽  
Author(s):  
Ted Spiewak ◽  
Amir Taefi ◽  
Shruti Patel ◽  
Chin-Shang Li ◽  
Eric Chak
Keyword(s):  
Racial Disparities ◽  
Hospital Admissions ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Black Americans ◽  
Median Income ◽  
Healthcare Outcomes ◽  
High Quality

Abstract Background: Racial disparities have been reported in liver transplantation and chronic hepatitis C treatment outcomes. Determining causes of these disparities is important given the racially diverse American population and the economic burden associated with chronic liver disease. Methods: A retrospective study was performed among 463 patients diagnosed with cirrhosis admitted from (January 1, 2013 to January 1, 2018) to a tertiary care academic medical center. Patients were identified based on the International Classification of Diseases (ICD-10) for cirrhosis or its complications. Demographic information, laboratory data, medical comorbidities, insurance and adherence to cirrhosis quality care indicators were recorded to determine their relationship to readmission rates and other healthcare outcomes. Results: A total of 463 individual patients with cirrhosis were identified including Whites (n=241), Hispanics (n=106), Blacks (n=50), Asian and Pacific Islander Americans (API, n=27) and Other (n=39). A significantly higher proportion of Blacks had Medicaid insurance compared to Whites (40% versus 20%, p=0.0002) and Blacks had lower median income than Whites ($45,710 versus $54,844, p=0.01). All groups received high quality cirrhosis care. Regarding healthcare outcomes, Black patients had the highest mean total hospital admissions (6.1±6.3, p=0.01) and the highest mean number of 30-day re-admissions (2.1±3.7, p=0.05) compared to all other racial groups. Multivariable proportional odds regression analysis showed that race was a statistically significant predictor of 90-day readmission (p=0.03). Conclusions: Black Americans hospitalized for complications of cirrhosis may experience significant disparities in healthcare outcomes compared to Whites despite high quality cirrhosis care. Socioeconomic factors may contribute to these disparities. Trial Registration: Not applicable.

scholarly journals Nurse adaptability: Implementing clinical trials in the midst of a pandemic

2020 ◽  
Vol 11 (4) ◽  
pp. 30
Author(s):  
Sarah J. Mendez ◽  
Brian Raimondo ◽  
Patricia Hughes
Keyword(s):  
Clinical Research ◽  
Nursing Staff ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hospital Units ◽  
Training Materials ◽  
Academic Medical ◽  
Clinical Research Trials ◽  
Novel Coronavirus ◽  
Study Intervention

Working in Manhattan, the center of the nations’ outbreak of the novel coronavirus-19 virus truly demonstrated how adaptable nurses are. During this time, multiple clinical research trials began at our academic medical center, NYU Langone Health, as researchers attempted to learn what medical interventions worked best to treat critically-ill COVID-19 patients. In designing and implementing these trials, the researchers had little familiarity with the workings of inpatient hospital units. They did not understand how nursing staff provided care to patients on these units. Likewise, many bedside nurses had never assisted researchers in conducting clinical research on their patients. Therefore, a nursing operations team (NOT) was needed to assist both the research teams and the inpatient nurses. NOT met with the researchers to review proposed clinical research trials and determine how nursing staff would be utilized to complete the required research tasks such as specimen and data collection, study intervention administration, and patient monitoring. Toward that end, NOT developed education and training materials on all of the research trials that were implemented at NYU Langone Health for our bedside nurses. This education included tip sheets, safety huddle rounds with the involved units, and “just in time” education to any nurse whose patient was urgently enrolled in a trial. In this way, NOT helped bedside nurses quickly adapt to their role in assisting the research team conduct their studies on our COVID positive inpatients.

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