The Cecil G Sheps Center at The University of North Carolina at Chapel Hill requests a competing renewal for our pre and post-doctoral interdisciplinary training program in health services research for the years 2013-18. Predoctoral trainees will be supported by the program for two years, and will have already completed their coursework. They will be drawn from multiple disciplines including: health policy, epidemiology, health behavior, economics, pharmacy, allied health and sociology. Post-doctoral trainees will work with a mentor to develop and complete research related to the delivery of health services in the currently changing health care system. While some post-doctoral trainees may have had PhD level training, others will be MD, PharmD, or DDS clinicians who complete a master's degree in public health during the fellowship. Many trainees will collaborate with investigators at the Sheps Center on projects funded by the Agency for Healthcare Research and Quality, National Institutes of Health, Health Resources and Services Administration, the Patient Centered Outcomes Research Institute, and others. All trainees participate in a weekly, two-hour interdisciplinary seminar during which work in progress sessions monitor their development, as well as participate in discussions of methods issues in health services and patient-centered outcomes research, as well as career development activities. Mentoring in the fellowship is provided by an interdisciplinary faculty, led by the program director, Tim Carey MD MPH, director of the Sheps Center and an internist and health services research. He will be assisted by Kathleen Thomas PhD (mental health services research), Mark Holmes PhD (health policy and economics), Barbara Mark RN PhD (nursing and care quality), Betsy Sleath PhD (Pharmaceutical Policy), Til Sturmer MD PhD (Epidemiology) and Morris Weinberger PhD (Sociology and Health Policy). Fellows will also have access to the facilities and resources of the Sheps Center for Health Services Research, a pan-university center currently conducting over 60 projects with an annual budget of over $18M per year, as well as the broader resources of the University of North Carolina at Chapel Hill. We are requesting funding for 6 pre-and 4 post-doctoral fellows per year. All trainees receive training in the responsible conduct of research specific to health services research. We make particular efforts to attract and train minority trainees. Trainees generally go on to careers in academic research, state and local government and the private sector.

Public Health Relevance

The US health care system is rapidly transforming in response to social, economic and policy changes. Skilled researchers are needed to assist in these changes so as to maximize the quality and efficiency of clinical care, and to address current disparities in health and health care. We propose to train PhD and clinical investigators in the methods of health services research toward those goals.

National Institute of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
Institutional National Research Service Award (T32)
Project #
Application #
Study Section
Special Emphasis Panel (ZHS1-HSR-X (01))
Program Officer
Benjamin, Shelley
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of North Carolina Chapel Hill
Internal Medicine/Medicine
Schools of Medicine
Chapel Hill
United States
Zip Code
Elstad, Emily A; Sheridan, Stacey L; Lee, Joseph G L et al. (2014) Have screening harms become newsworthy? News coverage of prostate and colorectal cancer screening since the 2008 USPSTF recommendation changes. J Behav Med 37:1242-51
Stover, Angela M; Mayer, Deborah K; Muss, Hyman et al. (2014) Quality of life changes during the pre- to postdiagnosis period and treatment-related recovery time in older women with breast cancer. Cancer 120:1881-9
Gupta, Shivani; Brenner, Alison T; Ratanawongsa, Neda et al. (2014) Patient trust in physician influences colorectal cancer screening in low-income patients. Am J Prev Med 47:417-23
Roberts, Andrew W; Crisp, Ginny D; Esserman, Denise A et al. (2014) Patterns of medication adherence and health care utilization among patients with chronic disease who were enrolled in a pharmacy assistance program. N C Med J 75:310-8
Lichstein, Jesse C; Domino, Marisa E; Beadles, Christopher A et al. (2014) Use of medical homes by patients with comorbid physical and severe mental illness. Med Care 52 Suppl 3:S85-91
Brenner, Alison; Howard, Kirsten; Lewis, Carmen et al. (2014) Comparing 3 values clarification methods for colorectal cancer screening decision-making: a randomized trial in the US and Australia. J Gen Intern Med 29:507-13
Domino, Marisa E; Beadles, Christopher A; Lichstein, Jesse C et al. (2014) Heterogeneity in the quality of care for patients with multiple chronic conditions by psychiatric comorbidity. Med Care 52 Suppl 3:S101-9
Kavalieratos, Dio; Mitchell, Emma M; Carey, Timothy S et al. (2014) "Not the 'grim reaper service'": an assessment of provider knowledge, attitudes, and perceptions regarding palliative care referral barriers in heart failure. J Am Heart Assoc 3:e000544
Pergolotti, Mackenzi; Cutchin, Malcolm P; Weinberger, Morris et al. (2014) Occupational therapy use by older adults with cancer. Am J Occup Ther 68:597-607
Kavalieratos, Dio; Kamal, Arif H; Abernethy, Amy P et al. (2014) Comparing unmet needs between community-based palliative care patients with heart failure and patients with cancer. J Palliat Med 17:475-81

Showing the most recent 10 out of 80 publications