Post on 23-Feb-2016
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Research Associates Program at St. Vincent’s
Frank Illuzzi, MD, FACEPKeith Bradley, MDPatrick Eiben, BSErika Gardner, BS
Michael Haydu, BSWilliam Keefe, BA
Research Associates (RAs)
RA’s are pre-health professional students
who volunteer in the emergency department (ED)
as participant identifiers and data collectors in
clinical research.
Clinical Research in the EDIs Different
Emergency Department experience …
Clinical Research in the EDIs Different
Emergency Department experience …
vs.
Research Lab experience …
RAs: An Answer to Some of the Obstacles to Research
bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers "free“
= paid in a commodity other than money
RAs: An Answer to Some of the Obstacles to Research
bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers "free“
= paid in a commodity other than moneyTraditionally, whom did they get for the job?
RAs: An Answer to Some of the Obstacles to Research
bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers “free”
= paid in a commodity other than moneyMedical Students!!!
Difference between MS1 and Pre-Med?
Difference between MS1 and Pre-Med? 1st year of medical school:
– anatomy, physiology, biochemistry, neuroscience– real clinical skills?
Difference between MS1 and Pre-Med? 1st year of medical school:
– anatomy, physiology, biochemistry, neuroscience– real clinical skills? Not so much until MS 3,4
Difference between MS1 and Pre-Med? 1st year of medical school:
– anatomy, physiology, biochemistry, neuroscience– real clinical skills? Not so much until MS 3,4
So … why not ? – health professional school applicants / college Seniors
Difference between MS1 and Pre-Med? 1st year of medical school:
– anatomy, physiology, biochemistry, neuroscience– clinical skills? Not so much until MS 3,4
So … why not ? – health professional school applicants / college Seniors – Juniors, Sophomores and 2nd semester First Years
We’re Looking for a Lot of Good Pre-Health Professional Students
We’re Looking for a Lot of Good Pre-Health Professional Students
Who want: a significant clinical exposure
a significant research experience
a specific role in the ED (vs. just shadowing)
to work with a diverse patient population
an evaluated patient-care experience
Research AssociatesFunctions
enroll participants in clinical research
obtain demographic and historical information
measure physical parameters
read informed consent
facilitate the research
Research AssociatesResponsibilities
participate in training and orientation
volunteer one 4-hour shift / week / semester
receive evaluations by RA Program staff on
– patient interaction skills
– ability to follow research protocol
– accurate data collection
Do RA Programs Work?
Do RA Programs Work?Since 1994, ≈ 40,000 participants enrolled in studies
Do RA Programs Work?
Since 1994, ≈ 40,000 participants enrolled ≈ 1000 RAs
Do RA Programs Work?Since 1994, ≈ 35,000 participants enrolled 900 RAs in 22 clinical research studies
Do RA Programs Work?Since 1994, ≈ 35,000 participants enrolled 900 RAs in 22 clinical research studies
– traditional, e.g., ankle injuries, trauma, CQI
Do RA Programs Work?Since 1994, ≈ 35,000 participants enrolled 900 RAs in 22 clinical research studies
– traditional, e.g., ankle injuries, trauma, CQI– screening, e.g., domestic violence, firearms risk,
Do RA Programs Work?Since 1994, ≈ 35,000 participants enrolled 900 RAs in 22 clinical research studies
– traditional, e.g., ankle injuries, trauma, CQI– screening, e.g., domestic violence, firearms risk, Pap, mammogram, PSA, colon-rectal
Tobacco Cessation Pilot Study
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
54% of participants smoked at some time
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
54% of participants smoked at some time – 22% within the preceding 30 days
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
54% of participants smoked at some time – 22% within the preceding 30 days
18% of smokers accepted CT Quitline referral
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
54% of participants smoked at some time – 22% within the preceding 30 days
18% of smokers accepted CT Quitline referral– 38% of those who smoked within preceding 30 days
Tobacco Cessation Pilot Study 3125 participants enrolled in 21 weeks by 63 RAs
54% of participants smoked at some time – 22% within the preceding 30 days
18% of smokers accepted CT Quitline referral– 38% of those who smoked within preceding 30 days
≈ 50% of all CT Quitline referrals in the state during those weeks came from the St. V’s ED!
Study for 2012Tobacco Cessation Study
national, multicenter based on the pilot work at St. Vincent’s 14 hospitals around the country, hundreds of RAs in less than 40 weeks projected to enroll 50 – 75,000 participants potentially the largest prospective,
interventional clinical trial
Study for 2012Tobacco Cessation Study
national, multicenter based on the pilot work at St. Vincent’s 15 hospitals around the country, hundreds of RAs in less than 40 weeks projected to enroll 50 – 75,000 participants potentially the largest prospective,
interventional clinical trial ever done
Study for 2012Tobacco Cessation Study
national, multicenter based on the pilot work at St. Vincent’s 15 hospitals around the country, hundreds of RAs in less than 40 weeks projected to enroll 50 – 75,000 participants potentially the largest prospective,
interventional clinical trial ever done
Nice topic at health professional school interview?
Think of These Numbers
Think of These Numbers > 1/2
Think of These Numbers > 1/2
– more than half the U.S. population goes to ED every year as a patient or visitor
Think of These Numbers > 1/2
– more than half the U.S. population goes to ED every year as a patient or visitor
4
Think of These Numbers > 1/2
– more than half the U.S. population goes to ED every year as a patient or visitor
4- average number of hours for an ED visit
Think of These Numbers > 1/2
– more than half the U.S. population goes to ED every year as a patient or visitor
4- average number of hours for an ED visit
500,000
Think of These Numbers > 1/2
– more than half the U.S. population goes to ED every year as a patient or visitor
4- average number of hours for an ED visit
500,000– college students and post-bacs interested in medical
school
National Alliance of Research Associates Programs
(NARAP) RA programs in multiple hospitals around the U.S.
clinical research consortium on the ED as a site to facilitate primary care screening
tens of thousands of participants enrolled in clinical studies over short time periods
A Research JUGGERNAUT!!!
NARAP Member InstitutionsCT Hartford Hospital/UConn Lawrence & Memorial St. Vincent’s. BridgeportDC GeorgetownMA UMassMO St. Louis UniversityNE Creighton UniversityNJ Hackensack U. Med
CenterNY University of Rochester NV University of NevadaPA Jefferson
TN Delta Med Center, Memphis
TX Seton / U Texas, AustinVT UVMWA Pullman Regional
Research Associates ProgramProcess
recruit - local colleges during the school year- nationally for the summer semester
orientation sessions (8 hrs. / weekend day x 2)– basics of clinical research– ethical issues– safety– specifics on data collection for each study
RA Program at St. Vincent’s Medical Center
85,000 patient visit ED
largest ED in largest city in CT
diverse patient population
Level 2 Trauma Center
the major teaching affiliate of Quinnipiac University School of Medicine
RA ProgramsBenefits
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 Study participants and future patients benefit most
Win-Win-Win-Win
Research Associates at St. V’sBecoming a RA
Application: www.RAProgram.org Application fee: $200 non-refundable!
– Criminal Background Check– drug testing– health clearance (varicella/chickepox, hepatitis B, TB)– uniform shirts x 2– administrative fee
HPA letter of endorsement (Cut/Paste from website)
Research Associates at St. V’s Shifts chosen according to time application and
payment received !
Summer semesters, 2012 mandatory orientationSaturday and Sunday, 2 and 3 June
orSaturday and Sunday, 16 and 17 June
at St. Vincent’s Medical Center, Bridgeport
Chief RAsResponsibilities
post-bacs in the application cycle
Program Director's assistants
develop their RA Program’s – recruiting, personnel management, scheduling, website, database management
“first port of call” for line-RAs' on-shift issues
So, If You See the Potential …
RA Program at St. Vincent’s
www.RAProgram.org
Chief RA in NARAP hospital www.theNARAP.org
Watch “ER” on TVand guess what it’s like;
Be a Research Associate in the Emergency Department
and know.
?