Evidence Informed Practice Fellowships at a Complementary and Alternative Medicine

Institution

Brent Leininger DC, Linda Hanson DC, Corrie Vihstadt MOm, Lac, Sarah Gottfried NCTM, Roni Evans MS, DC

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Overview

• Background• Goals• Fellowship Tracks• Experiences• Results• Institutional Considerations

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

How did we get here?

• “Training a New Generation of CAM Clinical Investigators”– U of MN/NWHSU Collaboration (T32AT000487)– funded in 2002 by NIH/NCCAM

• “CAM Research Education Partnership Project”– funded in 2007 by NIH/NCCAM (R25 AT003582)

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Fellowship Goals

• Train CAM clinical research scientists– Design, Obtain Funding For, and Implement CAM

Clinical Research • Train CAM EIP educators– Design and Implement Research Orientated

Educational Programs for Future CAM Providers

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Fellowship Tracks

• Full time (4-5 yrs)– Research Intensive (Training to be Research

Scientist)– Master’s Degree in Clinical Research from U of MN

• Part time (1-2 yrs)– Teaching Focused – No Degree Expectations

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Research ExperiencesCoursework Statistics, Epidemiology, Ethics, Grant

Writing, Clinical Trials, etc

Institutional Workshops

“Reflections on Research” “Research Scholars”

Participate in Original Research

Grant Writing, Study Design, Project Management, Recruitment, Quality Assurance, & Human Subjects Protection

Systematic Reviews Peer Review

Mentorship Group & Individual

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Seminars & Instructor Meetings

Course design Instructional strategies (e.g., active

learning & critical thinking) Course evaluation & assessment

Teaching Foundations of EIP Research Scholars

Mentorship Group & Individual

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Teaching Experiences

Results

• 3 F/T Research Fellowships• 1 P/T EIP Teaching Fellowship

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

“The Fellows”

Results: Measuring Success

Proposals for Funding • 2 pending (2 NIH)• 2 rejected (1 NIH-Center Grant, 1 HRSA)

Clinical Trials • 2 on-going, federally funded RCTs• 1 pilot RCT in design phase

Dissemination • 3 peer-reviewed publications• 5 peer-reviewed presentations• 3 Cochrane protocols

Training: Teaching Responsibilities

• 3 “Research Scholars I & II”• 4 Co-instructors in an EIP Course• 4 EIP course redesign

2010/2011

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

A Meaningful Experience• Mentorship, Mentorship, and more Mentorship– Clinical Research Scientists– Multidisciplinary Clinical Specialists– Instructional Designer– Peer

Stick with me kid and I’ll

show you the ropes!

My Hero.

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Institutional Support• Financial – Tuition & fees– Salary– Travel Expenses

• Administrative – Mentors– Inclusive

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582

Acknowledgments

• Gert Bronfort PhD, DC• Roni Evans DC, MS• Louise Delagran MA, MEd• Mitch Haas DC, MA• Mary Jo Kreitzer PhD, RN• Michele Maiers DC, MPH• Craig Schulz DC, MS• Barry Taylor DC• Kristine Westrom MD, MS

Funded by the US National Center for Complementary and Alternative Medicine

R-25AT003582