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Houston Center for Quality of Care and Utilization Studies

Training

Educational Programs

The Mission of the Education Program is to provide quality training experiences to (in order of resource allocation): junior faculty, formal post-doctoral fellows, formal doctoral student fellows/interns, formal pre-doctoral interns, and informal/unfunded interns).

The scope of the Houston Center's training activity has increased significantly over the last years. In addition to the post-doctoral fellowship program, the training mission of the Section includes: MIRECC fellows training, clinical fellows training, emphasis on training of and collaboration with minority students and faculty, increased VA and non-VA career development awards and fellowships, and institutional training grants. These efforts are described below. The post-doctoral program design is the blueprint for many of the other programs, and so will be described at greater length.

Post-Doctoral Programs

For more information regarding post-doctoral programs, contact Jessica Davila or click here.

VA Office of Academic Affairs-Funded Post-Doctoral Program

The Center's post-doctoral training program is designed to create an environment in which post-doctoral fellows can mature into independent health services researchers capable of and interested in pursuing research that will contribute to the ability of the Department of Veterans Affairs to fulfill its health care mission. At the Center, trainees work closely with a mentoring team. This team includes a primary advisor, an established researcher with a common research interests, and one or two other researchers with methodological or other skills important for the trainees' progress. Established researchers play a role of ensuring knowledge is advanced, not merely exchanged. Post-doctoral fellows are included in all activities of the research team leader, in accordance with the fellowship's purpose of producing independent health services researchers. In addition, a bi-weekly New Faculty/Post-Doctoral Fellow seminar series provides introductory information on the Center's procedures, the US and VA health care systems, academic medicine and career advancement guidelines, and topics in health services research.

Since 1993, 10 trainees have entered the fellowship program. Many have had research that was completed during the fellowship period published in refereed journals. The majority of past trainees continue to pursue research in academic and medical centers across the nation.



VA MD Fellowship


The Houston VA Medical Center Health Services Research and Development (HSR&D) Center of Excellence is accepting applications from recent doctoral degree graduates for a VA MD fellowship in health services research.

The goal of the fellowship is to develop independent health services research physician investigators. The fellow will receive didactic and experiential training in health care research concepts and methodology, and is expected to develop a research agenda and conduct a research project under the direction of a mentoring team in health care outcomes, quality, access, utilization, or cost. Research foci of the Center include: measuring the quality and outcomes of care in a variety of areas (liver cancer, dementia care, nursing home care, geriatrics, primary care, cardiology); exploring racial disparities in health care access and provision; analyzing utilization and costs of HIV-infected patients; incorporating patient preferences in treatment decisions; determining the effects of reimbursement mechanisms; and health services research measurement issues. The Center includes 14 physician investigators and 12 PhD investigators, representing the following disciplines: epidemiology, biostatistics, psychometrics, psychiatry, clinical psychology, industrial/organizational psychology, sociology, and economics. All investigators and fellows have positions in the Baylor College of Medicine Department of Medicine, Section of Health Services Research. The Center is committed to quality training, and has a structured mentoring program that ensures all fellows receive intensive support and supervision in their efforts to develop as a researcher.

Overview
The fellowship term is two years (second year reserved for fellows making satisfactory progress). Approximately 75% of the time will be devoted to research and educational activities, and 25% will be devoted to clinical activities. The curriculum should include such content areas as quality improvement methods, leadership skills, patient safety investigations and other areas of significant interest to the VA.

Compensation
The stipend will be based on years of previously complete Accreditation Council for Graduate Medical Education (ACGME) accredited physician residency training and on VA stipend rates based on the local indexed hospital. The HSR&D will provide $7,000 per year in research support, but expenses connected to the fellow's recruitment, educational activities, transportation, housing arrangements, or research are not funded under this program. Fellows will be protected from personal liability while providing professional services as a trainee at a VA facility under the Federal Employees Liability Reform and Tort Compensation Act. There is no service obligation after completion of the fellowship program is conducted; however; fellows are encouraged to seek VA employment.

Physician Fellow Selection Criteria
Only applicants of high quality will be approved for this fellowship. Qualified candidates must have completed an ACGME residency program and not be enrolled simultaneously in any other post-residency program; be ABMS or ECCOPT certified or eligible with demonstration of active pursuit of board certification; have an active, unrestricted U.S. medical license; be a U.S. citizen; and demonstrate special interest in the HSR&D Centers of Excellence (COE) focus.

To apply, please provide the following documents:
1. Curriculum vita.
2. Statement of research interest and career plans.
3. Three letters of reference.
Following review of these materials, selected applicants will be invited to participate in a one-day interview process. At such time, an official transcript, and a writing sample (a publication or a manuscript in submission or preparation) will be requested. The fellowship term begins July 1, 2006.

Please send all information to: Jessica Davila, PhD, Education Director, Houston Center for Quality of Care and Utilization Studies, VAMC (152), 2002 Holcombe Blvd., Houston, TX 77030 or e-mail jdavila@bcm.tmc.edu for questions. The deadline for receipt of this application is May 1, 2007. However, we will be reviewing applications as received and may select our fellows prior to this deadline. Therefore, expediency is important! The Department of Veterans Affairs is an equal opportunity employer.

VA MIRECC Post-Doctoral Program

In 2002, the South Central Mental Illness Research Education and Clinical Center (MIRECC) was awarded a Special Mental Illness Research Fellowship Program in Advanced Psychology/Psychiatry. This program includes two slots per year (one for a psychologist and one for a psychiatrist) and has a health services research track and a neuroscience track. The Houston Center is proud to support the health services research track by housing that fellow in the Center, providing infrastructure support, and most importantly, providing mentoring support.

See the following link:

  • http://www.va.gov/oaa/specialfellows/programs/SF_AdvPsy.asp

  • Post-Doctoral Training Program in Primary Care Research

    HCQCUS also houses and mentors physician fellows with health services research interests through the HRSA-funded Post-Doctoral Training Program in Primary Care Research held by Dr. David Hyman, Baylor College of Medicine, Department of Family and Community Medicine.

    Clinical Scientist Training Program

    HCQCUS also participates in the Clinical Scientist Training Program at Baylor College of Medicine. This program is committed to educating and training highly motivated individuals to become successful, independent clinical investigators and future leaders in academic medicine and biomedical research. It is designed primarily for junior faculty and senior sub-specialty fellows at Baylor. HCQCUS teaches the health services research module for the Clinical Investigation for the Career Scientist course, contributes to the Fundamentals in Clinical Investigation course, and provides limited health services mentoring for CSTP students.

    TSU Collaboration

    Collaborative research and methodological mentoring has also begun between faculty at Texas Southern University, a Historically Black College, and faculty at the center. Dr. Nora Osemene, under the mentoring of Dr. Robert Morgan of the Houston Center, applied for and was awarded a VA Minority Supplement Grant.

    Doctoral and Pre-Doctoral Training

    Internships

    HCQCUS provides formal-funded, formal-unfunded, and informal-unfunded research internship opportunities for doctoral students, medical residents, medical students, physician's assistant students, and undergraduates. The number and funding status of internships varies depending on available financial and mentoring resources. Contact Donna Espadas for more information.