(provided by the applicant): Health services research has become an important scientific discipline that provides the evidence needed to ensure the delivery of quality health care and appropriate prevention interventions in the United States. In the past 15 years, health service scientists have made important contributions to various aspects of the health care system such as racial disparities, cost, quality, access, and equity. Under the leadership of the Agency for Health Care Research and Quality (AHRQ), evaluation of optimal health care practice and disease prevention interventions are now based on scientific evidence. Evidence-based medicine and disease prevention strategies necessitate the need for health service researchers to be skilled in the quantitative sciences, including study design, data analysis, economics, system modeling, multidisciplinary collaborations and outcome measures. For the past 14 years the AHRQ training program at the Case Western Reserve University School of Medicine (Case SOM) has focused on developing Health Service Research scientists with these skills. The success of these new scientists, as described below, has been rewarding for the faculty. In addition, the total number of graduates with MS, PhD or MPH degrees from all programs in the Department since 1993 is 314. During the entire 14-year period of funding by AHRQ we have trained 32 students, this includes post-docs, pre-docs and MD/PhDs (this includes current students). Among these students there are six minority persons and a student with a physical disability (one female and one male Native Americans, three African American females and one African American male). The graduates have used their new skills to pursue productive careers in health services research. We have tracked these students and found that they have been Principal Investigator on research grants totaling more than 5.8 million dollars, following their graduation from the training program. The past and current students have published 303 peer reviewed papers and reviews. Also, since 1994 the current and past trainees have made 497 oral presentations at scientific meetings and seminars. In this application we seek funding to continue training MD/PhD students and predoc PhD students.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Institutional National Research Service Award (T32)
Project #
5T32HS000059-20
Application #
8290036
Study Section
Special Emphasis Panel (ZHS1-HSR-A (01))
Program Officer
Harding, Brenda
Project Start
1993-09-30
Project End
2013-06-30
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
20
Fiscal Year
2012
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Alan, Nima; Seicean, Andreea; Seicean, Sinziana et al. (2014) Impact of preoperative anemia on outcomes in patients undergoing elective cranial surgery. J Neurosurg 120:764-72
Kshettry, Varun R; Kelly, Michael L; Rosenbaum, Benjamin P et al. (2014) Myelomeningocele: surgical trends and predictors of outcome in the United States, 1988-2010. J Neurosurg Pediatr 13:666-78
Alan, Nima; Seicean, Andreea; Seicean, Sinziana et al. (2014) Smoking and postoperative outcomes in elective cranial surgery. J Neurosurg 120:811-9
Seicean, Andreea; Seicean, Sinziana; Schiltz, Nicholas K et al. (2013) Short-term outcomes of craniotomy for malignant brain tumors in the elderly. Cancer 119:1058-64
Seicean, Andreea; Seicean, Sinziana; Alan, Nima et al. (2013) Effect of smoking on the perioperative outcomes of patients who undergo elective spine surgery. Spine (Phila Pa 1976) 38:1294-302
Schiltz, Nicholas K; Koroukian, Siran M; Singer, Mendel E et al. (2013) Disparities in access to specialized epilepsy care. Epilepsy Res 107:172-80
Seicean, Sinziana; Strohl, Kingman P; Seicean, Andreea et al. (2013) Sleep disordered breathing as a risk of cardiac events in subjects with diabetes mellitus and normal exercise echocardiographic findings. Am J Cardiol 111:1214-20
Seicean, Andreea; Schiltz, Nicholas K; Seicean, Sinziana et al. (2012) Use and utility of preoperative hemostatic screening and patient history in adult neurosurgical patients. J Neurosurg 116:1097-105
Styron, Joseph F; Barsoum, Wael K; Smyth, Kathleen A et al. (2011) Preoperative predictors of returning to work following primary total knee arthroplasty. J Bone Joint Surg Am 93:2-10
Peterson, Lars E; Litaker, David G (2010) County-level poverty is equally associated with unmet health care needs in rural and urban settings. J Rural Health 26:373-82

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