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Program Announcement

Program details and application procedures:
  Program Announcement

History and Purpose

In 1991, the Office of Academic Affiliations (OAA) started VA's Advanced Fellowships Program in Health Services Research and Development (HSR&D). A broad array of concerns was challenging health care delivery in VA and the nation. These concerns ranged from issues involving approaches for incorporating patient perspectives in decision making to quality, cost, and measurement issues. Few physicians had the training in health services research needed to address these critical issues, and the need for such trained physicians was increasingly dramatically. In response, OAA started the HSR&D Fellowship Program to develop a cadre of physicians with health services expertise for the VA healthcare system and to foster the development of high quality health services research and development at local and national levels.

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 competitively selected VA sites. 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 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. They must desire to lead and shepherd health services research in rapidly changing health care settings. International medical graduates must also have an Educational Commission for Foreign Medical Graduates (ECFMG) certificate that is valid indefinitely.

Application

To inquire about the application process and to learn more about the program, interested physicians should write to the site of their choice and send a cover letter and curriculum vitae to that site.

Health Services Research Fellowship Address List

Research Focus: Our Center of Excellence focuses on clinical practice management issues for those conditions that account for a large proportion of the costs and preventable morbidity and mortality in VHA. Our research focus within this priority area include the following: To improve our understanding of how to measure, monitor and understand quality and efficiency for a patient population with substantial disease burden; To rigorously examine alternative and innovative systems and strategies for efficiently improving quality and outcomes for common serious and chronic illnesses; and To develop and apply improved methodologies for informing policy makers regarding heterogeneity in the effectiveness and safety of proposed interventions and for assessing barriers to the implementation of high-priority care.

Research Focus: Fellowship faculty has a broad array of interests that center on studies to assess and improve the quality and access to VA healthcare. Priority areas include patient safety, medication effectiveness, and patient-centered care. Methodological expertise in implementation science, qualitative analyses, and use of large VA databases supports research in these priority areas.

Research Focus: Please refer to website for more details

Research Focus: Please refer to websites for more details

Research Focus: Please contact site for more details.

Research Focus: Please contact site for more details.

Research Focus: Please contact site for more details.

Research Focus: Cancer care, pain and symptoms management, severe mental illness, stroke quality, health services research, applied informatics, human factors engineering, healthcare engineering, simulation and modeling, patient safety, preventive services, technology evaluation, organizational studies, process innovation, clinical epidemiology, survey research, clinical trials, biostatistics, behavioral science, medical sociology, patient-provider communication, self-management, recovery models, and rehabilitation research.

Research Focus: Please contact site for more details.

Research Focus: Please contact site for more details.

Research Focus: Please contact site for more details.

Research Focus: Clinical Decision Support, Medical Decision-Making, Clinical Informatics.

Research Focus: Please contact site for more details.

Research Focus: Please contact site for more details.

Research Focus: Our Center has many ongoing projects, including quality and cost of care, treatment and medical outcomes related to alcohol and substance abuse, cardiovascular disease care and epidemiology, medication adherence, health care delivery, health policy, cost effectiveness, medical decision-making, physician education, geriatrics, prevention, and ambulatory care.

Research Focus: The theme of the Tampa Center of Excellence (COE) is maximizing rehabilitation outcomes targeting veterans with disabilities, including Wounded Warriors from Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). The goal is to advance the science of rehabilitation by using robust research methods that combine traditional health services outcomes (e.g., patient safety, QOL, access, healthcare utilization, and cost) with rehabilitation outcomes (e.g., function, activity, and community participation). Objectives are to: (1) Test rehabilitation interventions or programs designed to promote safety, function, activity, community participation, and QOL, while reducing healthcare utilization and cost; (2) Differentiate among PTSD, chronic pain, depression, anxiety, and mTBI for Wounded Warriors, given that symptoms may be subtle, delayed-onset, and overlapping (3) Predict the prevalence, severity, and cost of common rehabilitation adverse events across rehabilitation care settings; and (4) Develop and validate risk assessment and rehabilitation outcome measures with optimal specificity and sensitivity for veterans with disabilities, including PT.

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