Rockefeller University Center for Clinical and Translational Science

Rockefeller University Center for Clinical and Translational Science - Clinical Directors Network Community Engagement Clinician e. Seminars Using Web-based Distance Learning as a Bridge to Engage Academic Researchers and Community-based Primary Care Clinicians in Collaborative Translational Research Jonathan N. Tobin, Ph. D 1, 2; Rhonda G. Kost, MD 2; Peter Holt, MD 2; Scott Westervelt, MS 1; Omesh Persaud, BA 1; Barry Coller, MD 2 1 Clinical Directors Network (CDN), 5 West 37 th Street, 10 th Floor New York NY 10018 www. cdnetwork. org 2 Rockefeller University Center for Clinical and Translational Science, 1230 York Avenue, New York NY 10065 www. rockefeller. edu/ccts/ Funded in Part by NCRR Grant #5 UL 1 RR 024143 “TRANSFORMING CLINICAL AND TRANSLATIONAL RESEARCH AND EDUCATION AT ROCKEFELLER” (PI: Barry Coller, MD) ABSTRACT: Attendance & Evaluation Introduction The Rockefeller University Center for Clinical and Translational Science (CCTS) partnered with Clinical Directors Network (CDN), a primary care practice-based research network (PBRN) to create community-academic partnerships to conduct clinical and translational research in medically underserved settings including HRSA-funded Federally Qualified Health Centers (FQHCs). CCTS and CDN have implemented a distance learning program to engage community-based practicing primary care clinicians. Methods A series of fourteen one-hour CME-accredited webcasts (e. Seminars) included virtual lectures or simulcasts of CCTS Clinical Research Seminars presented by CCTS Faculty and Clinical Scholars over a 2. 5 year period. Topics reflected the intersection of CCTS Faculty expertise, CDN’s clinicians and clinical needs of FQHCs. Viewer/attendees completed an online evaluation at the end of each session. Results A total of 483 participants from over 46 states and US territories completed the sessions. Respondents included physicians (15%), dentists (6%), nurse practitioners (9%), nurses (36%), and administrators (9%). To date, 60% of presenters not previously involved in community-engaged research have begun to conduct studies in FQHCs and/or have submitted funding proposals to conduct community-engaged research. Conclusions This interactive approach served as the initial interaction between CCTS’s Faculty and Clinical Scholars and CDN’s community-based primary care clinicians. There is interest among communitybased primary care clinicians in participating in CCTS studies, with nursing professionals comprising nearly 40% of participants. This indicates an under-recognized opportunity for engaging nursing professionals in conducting community-engaged research, and strong interest among CCTS faculty and scholars in developing studies with FQHC-based clinicians. This distance learning platform promotes bi-directional community-engaged research. TOPICS, PRESENTERS AND PARTICIPANTS Webca st # Presenter Title of Session Date of # of States Total Viewing Live Library Evaluations Productio Represente As of March Viewing Completed n d 31, 2010 1 Acute HIV Infection - Clinical Presentation, Diagnosis and Management 6/20/2007 12 32 21 53 13 2 Lisa M. Neff, M. D. Pharmacotherapy for Obesity 10/16/2007 10 (PR & Mexico) 32 10 42 6 3 Barry S. Coller, MD 7 26 3 29 1 4 Edgar Charles, MD 11 17 2 18 5 5 Peter Holt, MD 16 26 7 33 8 6 Manish Ponda, MD 15 30 4 34 11 7 James Krueger, MD Psoriasis: More Than Skin Deep 11 24 3 26 4 8 Patricia Maningat, MD 12 26 4 29 8 10 11 12 13 14 Anti-Platelet Therapy in a 12/13/2007 Community Care Setting Hepatitis C Virus Infection and B 10/23/2008 Cell Disorders Colon Cancer: Screening and 11/13/2008 Prevention Cardiovascular Disease in Chronic 1/21/2009 Kidney Disease 1/22/2009 Statin Myopathy for Primary Care 9/17/2009 Physicians Protective and Damaging Effects Bruce Mc. Ewen, Ph. D of Mediators of Stress and 10/7/2009 Adaptations Sarah J. Schlesinger, HIV-1 Vaccines, Challenges and 11/16/2009 MD New Approaches Control of Chronic Diseases Kenneth Olden, Ph. D, Through Application of Knowledge 12/2/2009 Sc. D of Gene-Environment Interaction and Public Health Practice Translating Research into Public Thomas Farley, MD, Health Improvements in New York 12/9/2009 MPH City Judith A. Aberg, MD HAART to Heart Beatrice A. Golomb, Statin Effects and Side Effects MD, Ph. D TOTAL Participation Total Sessions Total Attendance Total Evaluations Completed Evaluation Response Rate Total 14 483 88 18% Total 2 3 4 0 6 10 32 6 2 1 0 2 20 88 Percentage 2% 3% 5% 0% 7% 11% 36% 7% 2% 1% 0% 2% 23% 100% 23 41 4 44 1 11 27 3 27 7 17 39 4 40 10 10 31 5 33 6 1/20/2010 7 14 1 15 3 3/17/2010 22 45 2 47 5 45 (& PR, Mexico) 410 73 483 88 Degree MD/DO DDS/DMD NP PA MSW/CSW RN LPN MPH/MPA/MBA Pharm. D Other, Please Specify Total What Is Your Gender? Total 13 5 8 0 0 22 3 7 0 30 88 Percentage 15% 6% 9% 0% 0% 25% 3% 8% 0% 34% 100% With What Ethnic Group Do You Identify Yourself With? · Cardiology, CHD, and chronic diseases Other/Clinical · Childhood dental health and the impact of maternal dental care · Men's Health issues · MRSA with the homeless · Other topics in integrative and preventive medicine · The effects of GINA on conducting health risk assessment and health promotion · Substance Abuse and Concomitant Problems · Immune Disorders related to arthritis · More information on how to help change needed environmental negatives · Experiences at genetic clinics · Depression, heart disease and cancer · Leaky bowel syndrome · Types of cholesterol-reducing therapies · Sickle-cell anemia · Colon cancer, how to increase screening rates · Diabetes with the homeless · Most recent information about diabetes · The relationship between HTN, diabetes, elevated cholesterol and cardiomyopathy · High blood pressure treatment, diabetes treatment · Suggestions for the care of chronic diseases (hypertension, diabetes, asthma). Cardiovascular Disease What Is Your Occupation? Occupation MD: Family Medicine MD: Internal Medicine MD: Pediatrician MD: OB-GYN Dentist Nurse Practitioner Nurse RD/Nutritionist Administrator Social Worker Phys. Asst. Pharmacist Other, Please Specify Total Suggested Topics For Future Continuing Medical Education (CME) Sessions: Diabetes · Cardiovascular health The Overall Quality Of The Webcast Was: The Information Content Of The Webcast Was: What Is Your Degree? Martin Markowitz, MD 9 Please Rate The Presenter How Well Did The Webcast Meet Your Overall Expectations? HIV/AIDS · More information on accuracy of HIV Ab testing · Other HIV topics in sequence-sort of mini curriculum A-Z · HIV test education, counseling and outreach · More studies about the HIV vaccine Nutrition · Nutrition related treatment · Any chronic disease/condition that can be aided through diet · How food affects mood · Vegetarian diet in kidney disease, as a part of therapy · Obesity and genetic counseling · Hepatitis · Pain management Other/Non-Clinical · How to educate the public effectively · Coding in primary care · Ways to foster medical compliance · Writing for a RO 1 research grant, preparing posers and abstracts, Statistical preparation for Epidemiologists using various statistical software (SAS, SPSS, STATA and others) Conclusions The Delivery Of The Webcast Was: The Organization Of The Webcast Was: • This interactive approach served as the initial interaction between CCTS’s faculty and scholars and CDN’s community-based primary care clinicians. • Of ten CCTS Heads of Lab and Clinical Scholars who presented online rounds without prior community engagement experience, 60% are currently developing community-based studies with CDN, indicating strong interest among CCTS Faculty and Scholars in developing studies with FQHC-based clinicians. • There is interest among community-based primary care clinicians in participating in CCTS studies, with nursing professionals comprising nearly 40% of participants. This indicates an under-recognized opportunity for engaging nursing professionals in conducting communityengaged research. • This distance learning platform promotes bi-directional communityengaged research.