The Dartmouth Orthopedics Clinician/Researcher Training Program (DOC/RTP) annually provides two orthopedic residents (one after the PGY 2 and one after the PGY 3) a research year during which they earn a Master's degree from The Dartmouth Institute for Health Policy and Clinical Practice (TDI), formerly the Center for the Evaluative Clinical Sciences. The objective is for these residents to grow into the orthopedic research leaders of the future, possessing sound research practices and techniques to perform their own research and to evaluate the research of others. The singular curriculum, designed by Dr. John E. Wennberg (voted the most influential health policy researcher of the past 25 years by Health Affairs), combines epidemiology and biostatistics, decision analysis using Bayesian theory, quality improvement in ambulatory and hospital-based practice settings, economics of health care, health policy, sociology of health care systems, and use of large data bases, all taught by some of our nation's leading experts in these fields, 7 of the faculty being members of the National Academy of Science. The infrastructure to support the many research opportunities for our NRSA residents has been coordinated by Dr. Weinstein, recently appointed as TDI Director and successor to Dr. Wennberg. The success of the DOC/RTP has been so unmistakable that the program is being copied and emulated by others at Dartmouth and around the country. In our first 5 years of funding, Master's degrees in health policy and clinical practice will have been awarded to 10 orthopedic residents. Each of these outstanding individuals, from medical schools such as Yale, Dartmouth, University of Washington and Northwestern, came to Dartmouth not only because of the outstanding Orthopedics program but also because of the opportunity afforded by the NRSA and the chance to learn about the delivery and science of health care. All orthopedic graduates from TDI's program have continued their academic careers either in subspecialty fellowships or through medical center/medical school association. Research projects and publications have increased exponentially. More importantly, the quality of resident work has improved and the study of the science of medicine has been developed as a critical component of their clinical success.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Institutional National Research Service Award (T32)
Project #
5T32AR049710-10
Application #
8484740
Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Program Officer
Panagis, James S
Project Start
2003-05-01
Project End
2014-04-30
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
10
Fiscal Year
2013
Total Cost
$146,923
Indirect Cost
$8,651
Name
Dartmouth College
Department
Orthopedics
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
Ghani, Abul; Padha, Kanav; Anjum, Rashid et al. (2015) A NOVEL AND REPRODUCIBLE TECHNIQUE OF DISTAL LOCKING IN INTRAMEDULLARY NAILING OF LONG BONES 'THE PUSH WITH HAND TECHNIQUE'. Int J Curr Res 7:16224-16226
Higgins, Brendan T; Barlow, Daniel R; Heagerty, Nathan E et al. (2015) Anterior vs. posterior approach for total hip arthroplasty, a systematic review and meta-analysis. J Arthroplasty 30:419-34
Moses, Rachel A; Zhao, Wenyan; Staub, Lukas P et al. (2015) Is the sedimentation sign associated with spinal stenosis surgical treatment effect in SPORT? Spine (Phila Pa 1976) 40:129-36
Hecht, Paul J; Lin, Timothy J (2014) Hallux valgus. Med Clin North Am 98:227-32
Van Citters, Aricca D; Fahlman, Cheryl; Goldmann, Donald A et al. (2014) Developing a pathway for high-value, patient-centered total joint arthroplasty. Clin Orthop Relat Res 472:1619-35
Keeney, Benjamin J; Turner, Judith A; Fulton-Kehoe, Deborah et al. (2013) Early predictors of occupational back reinjury: results from a prospective study of workers in Washington State. Spine (Phila Pa 1976) 38:178-87
Mata-Fink, Ana; Meinke, Mary; Jones, Charlene et al. (2013) Reverse shoulder arthroplasty for treatment of proximal humeral fractures in older adults: a systematic review. J Shoulder Elbow Surg 22:1737-48
Lee, Cara Beth; Mata-Fink, Ana; Millis, Michael B et al. (2013) Demographic differences in adolescent-diagnosed and adult-diagnosed acetabular dysplasia compared with infantile developmental dysplasia of the hip. J Pediatr Orthop 33:107-11
Lurie, Jon D; Moses, Rachel A; Tosteson, Anna N A et al. (2013) Magnetic resonance imaging predictors of surgical outcome in patients with lumbar intervertebral disc herniation. Spine (Phila Pa 1976) 38:1216-25
Keeney, Benjamin J; Fulton-Kehoe, Deborah; Wickizer, Thomas M et al. (2013) Clinically significant weight gain 1 year after occupational back injury. J Occup Environ Med 55:318-24

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