National Alliance of Research Associates Programs (NARAP) Keith Bradley, MD Stephanie Carro-Kowalcyk, BA Ryan King, BSEE William Keefe, BS
Transcript
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National Alliance of Research Associates Programs (NARAP) Keith
Bradley, MD Stephanie Carro-Kowalcyk, BA Ryan King, BSEE William
Keefe, BS
Slide 3
Process n Pre-Orientation Lectures via NARAP website
(www.theNARAP.org) NARAP hospitals around the country NARAP
Director and NARAP Chief RAs n Orientation meet Program Directors
and Chief RAs practice how to enroll participants in the study(ies)
get > 500 RAs around the country to enroll study participants
the same way, every time over the course of the study
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Pre-Orientation Lectures NARAP n Overview of the RA Program and
NARAP n Primary Health Care Screening n Facilitating Primary Health
Care Screening through the Emergency Department
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Pre-Orientation Lectures This Semester n Research: Cervical and
Breast Cancer Didactics Pilot studies on RAs facilitating cervical
and breast cancer screening among ED patients and visitors current
NARAP national, multi-center study n Service: Tobacco Cessation
Didactics Results of NARAPs first national, multi-center study
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Pre-Orientation Lectures Practicals n REDCap n Demonstration n
Best Practices and Pitfalls of being an RA
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Pre-Orientation Lectures Site Specific n Day in the Life n
Ethics of Research: Confidentiality Informed Consent n Safety
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Goals Fired Up! Fired Up! n Being an RA Discernment
Qualification Development
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Goals Goals Fired Up! n NARAP Clinical research that
efficiently enrolls unprecedented numbers of participants in short
time frames New way to facilitate primary health care for a large
percentage of the US population Evaluated, significant clinical
experience as one of the determining factors for health
professional school admission
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Goals Goals Fired Up! You are each an essential part of this
new, exciting national effort!
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Research Associates (RAs) RAs are pre-health professional
students who volunteer in the emergency department (ED) as
participant identifiers and data collectors in clinical
research.
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RAs: An Answer for an EM Research Need
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n bright, motivated individuals
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research n focused experts
on the details of the research
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research n focused experts
on the details of the research n on-site, 24/7, in the ED
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research n focused experts
on the details of the research n on-site, 24/7, in the ED n
available in large numbers
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research n focused experts
on the details of the research n on-site, 24/7, in the ED n
available in large numbers n free = willing to be paid in a
commodity not money
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RAs: An Answer for an EM Research Need n bright, motivated
individuals n primary responsibility = research n focused experts
on the details of the research n on-site, 24/7, in the ED n
available in large numbers n free = willing to be paid in a
commodity not money Traditionally, = Medical Students!
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Difference between MS1 and Pre-Med?
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n 1 st year of medical school: anatomy, physiology,
biochemistry, neuroscience
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Difference between MS1 and Pre-Med? n 1 st year of medical
school: anatomy, physiology, biochemistry, neuroscience clinical
skills?
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Difference between MS1 and Pre-Med? n 1 st year of medical
school: anatomy, physiology, biochemistry, neuroscience clinical
skills? Not so much until MS 3,4
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Difference between MS1 and Pre-Med? n 1 st year of medical
school: anatomy, physiology, biochemistry, neuroscience clinical
skills? Not so much until MS 3,4 n So why not ?
applicants/seniors
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Difference between MS1 and Pre-Med? n 1 st year of medical
school: anatomy, physiology, biochemistry, neuroscience clinical
skills? Not so much until MS 3,4 n So why not ? applicants/seniors
juniors, sophomores, 2 nd semester first years
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Research Associates Pre-health professional students who
want:
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Research Associates Pre-health professional students who want:
n significant clinical exposure
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Research Associates Pre-health professional students who want:
n significant clinical exposure n significant research
experience
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Research Associates Pre-health professional students who want:
n significant clinical exposure n significant research experience n
a specific role in the ED
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Research Associates Pre-health professional students who want:
n significant clinical exposure n significant research experience n
a specific role in the ED (vs. just shadowing)
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Research Associates Pre-health professional students who want:
n significant clinical exposure n significant research experience n
a specific role in the ED (vs. just shadowing) n work with a
diverse patient population
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Research Associates Pre-health professional students who want:
n significant clinical exposure n significant research experience n
a specific role in the ED (vs. just shadowing) n work with a
diverse patient population n an evaluated patient-care
experience
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Research Associates Responsibilities
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Responsibilities n participate in training and orientation
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Research Associates Responsibilities n participate in training
and orientation n volunteer one 4-hour shift / week / semester
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Research Associates Responsibilities n participate in training
and orientation n volunteer one 4-hour shift / week / semester n
receive evaluations by RA Program staff
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Research Associates Responsibilities n participate in training
and orientation n volunteer one 4-hour shift / week / semester n
receive evaluations by RA Program staff patient interaction
skills
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Research Associates Responsibilities n participate in training
and orientation n volunteer one 4-hour shift / week / semester n
receive evaluations by RA Program staff patient interaction skills
follow research protocol
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Research Associates Responsibilities n participate in training
and orientation n volunteer one 4-hour shift / week / semester n
receive evaluations by RA Program staff patient interaction skills
follow research protocol accurate data collection
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Do RA Programs Work?
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Since 1994,
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled n by over 1000 RAs
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled n by over 1000 RAs n in 23 clinical research studies
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled n by over 1000 RAs n in 23 clinical research studies
traditional, e.g., ankle injuries, trauma, CQI
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled n by over 1000 RAs n in 23 clinical research studies
traditional, e.g., ankle injuries, trauma, CQI screening, e.g.,
domestic violence, firearms risk,
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Do RA Programs Work? Since 1994, n 40,000 participants enrolled
n by over 1000 RAs n in 22 clinical research studies traditional,
e.g., ankle injuries, trauma, CQI screening, e.g., domestic
violence, firearms risk, Pap, mammogram, PSA, colon-rectal Pap,
mammogram, PSA, colon-rectal
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Do RA Programs Work? Since 1994, n > 50,000 participants
enrolled n by over 1000 RAs n in 23 clinical research studies
traditional, e.g., ankle injuries, trauma, CQI screening, e.g.,
domestic violence, firearms risk, Pap, mammogram, PSA, colon-rectal
Pap, mammogram, PSA, colon-rectal tobacco cessation tobacco
cessation
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Think of These Numbers
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n > 1/2
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Think of These Numbers n > 1/2 more than half the U.S.
population goes to ED every year as a patient or visitor
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Think of These Numbers n > 1/2 more than half the U.S.
population goes to ED every year as a patient or visitor n 4
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Think of These Numbers n > 1/2 more than half the U.S.
population goes to ED every year as a patient or visitor n 4
-average number of hours for an ED visit
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Think of These Numbers n > 1/2 more than half the U.S.
population goes to ED every year as a patient or visitor n 4
-average number of hours for an ED visit n 500,000
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Think of These Numbers n > 1/2 more than half the U.S.
population goes to ED every year as a patient or visitor n 4
-average number of hours for an ED visit n 500,000 college students
and post-bacs consider medical school
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Think of These Numbers What would a Fortune 500 company pay to
have half the U.S. population sit in a room for 3 hours once a year
with half a million college-educated people poised and motivated to
ask them questions about their use of the companys products and to
encourage them to buy the products they werent using?
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RA Programs Benefits
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Benefits
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Benefits
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Benefits n Research is done effectively
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RA Programs Benefits n Research is done effectively,
efficiently,
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RA Programs Benefits n Research is done effectively,
efficiently, while minimizing impact on clinical care
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RA Programs Benefits n Research is done effectively,
efficiently, while minimizing impact on clinical care n RAs get
clinical exposure and research experience
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RA Programs Benefits n Research is done effectively,
efficiently, while minimizing impact on clinical care n RAs get
clinical exposure and research experience n Advisers have a
guaranteed evaluated clinical experience for their students
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RA Programs Benefits n Research is done effectively,
efficiently, while minimizing impact on clinical care n RAs get
clinical exposure and research experience n Advisers have a
guaranteed evaluated clinical experience for their students n
Participants and future patients benefit most
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RA Programs Benefits n Research is done effectively,
efficiently, while minimizing impact on clinical care n RAs get
clinical exposure and research experience n Advisers have a
guaranteed evaluated clinical experience for their students n
Participants and future patients benefit most Win-Win-Win-Win
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Chief RAs Responsibilities n Program Director's assistants n
develop their RA Programs recruiting, personnel management,
scheduling, website, database management scheduling, website,
database management n first port of call for line-RAs' on-shift
issues
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National Alliance of Research Associates Programs (NARAP)
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n RA programs in multiple hospitals around the U.S.
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National Alliance of Research Associates Programs (NARAP) n RA
programs in multiple hospitals around the U.S. n clinical research
consortium with a focus on the ED as a site to facilitate primary
care
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National Alliance of Research Associates Programs (NARAP) n RA
programs in multiple hospitals around the U.S. n clinical research
consortium with a focus on the ED as a site to facilitate primary
care n tens of thousands of participants enrolled in clinical
studies over short time periods
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NARAP Member Institutions CT Hartford Hospital/UConn Lawrence
& Memorial Lawrence & Memorial St. Vincents / Quinnipiac
St. Vincents / Quinnipiac DC Georgetown MA UMass MO St. Louis
University NJ Hackensack University Medical Center NY University of
Rochester NV University of Nevada PA Jefferson TX Seton / U Texas,
Austin VT UVM WA Pullman Regional
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Watch ER on TV and guess what its like; Be a Research Associate
in the Emergency Department and know.
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Quiz n complete the RA Program Overview quiz found on the
www.theNARAP.org website www.theNARAP.org n save as
YourLastName,YourFirstName-RAProgramOverview n send to your Chief
RA for Recruiting