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Curriculum

Primary Care Research Fellowship


Program Components

1. Masters of Science in Public Health / Certificate in Public Health

All enrollees in the NRSA fellowship are expected to enter the MPH Program, unless they already possess that degree or its equivalent. The MPH in the new collaborative Colorado School of Public Health offers many opportunities for a well-rounded public health education as well as specialization in concentration areas such as: biostatistics, community & behavioral health, environmental & occupational health, epidemiology, and health systems, management & policy. A generalist path is also available where students can take additional focus area electives in global health, health communications, infectious diseases, public health informatics, nutrition and exercise, public health policy, health disparities, aging, and maternal/child health. Forty-two hours of required and elective course work is necessary along with completion of either a Masters Project or a practicum consisting of at least 120 field hours of service at an approved site.

Core faculty in the primary care fellowships are involved with the teaching of many courses in the MPH Program. Enrollees in the Faculty Development program are expected to obtain a Certificate in Public Health, which requires 18 hours of course work in the MPH program. Fellows also participate in "mini-courses" in medical writing, grant writing, qualitative research, secondary database analysis, and cost-analysis. PhD programs in Analytical Health Sciences, Health and Behavioral Sciences and Clinical Sciences are also available to fellows.

2. Individual Research & Evidence-Based Health Care Workshop

At the beginning of the fellowship, fellows will be guided in the identification of research projects and mentors. Completion of at least one independent project requiring study design, data collection, and statistical analysis will be required; many fellows have been able to complete more than one project during the program. Well-established research mentorships are available with active researchers in generalist disciplines and other departments or divisions in the School of Medicine. Areas of active research include: delivery of childhood and adult immunizations, improving outcomes of chronic physical and mental health problems in adults and children, injury epidemiology, smoking cessation, management of acute problems in primary care, clinical preventive medicine and evaluation of primary care and long-term care delivery systems. Fellows will be encouraged either to join established researchers in ongoing research projects or to pursue areas of unique interest with the assistance of their mentor(s). Fellows present their ongoing work at a weekly fellowship research conference.

The Evidence Based Health Care Workshop is an important part of the fellows' research training and each trainee begins with this seminar held each summer in the Rocky Mountain region. This five-day workshop focuses on teaching the use of current best evidence in making decisions about the care of individual patients or the delivery of health services. Trainees learn strategies and methods that are essential to being successful in academic medicine.

3. Development of Clinical Teaching Skills

To improve clinical teaching, fellows participate in the Stanford Faculty Development Program, an introduction to clinical teaching which consists of seven two-hour sessions involving brief didactic presentations, reviews of videotaped teaching sessions, role play teaching sessions, and reviews of practical experience.

4. Clinical Practice

NRSA fellows attend in the outpatient’s clinic for residents in their clinical discipline. Because it is our belief that the primary goal of the fellowship is to develop new skills in research and teaching, NRSA fellows are encouraged to limit clinical practice to one-half day per week. Faculty Development fellows maintain approximately 40% clinical/educational/ administrative effort in their home institutions.