July 17, 2014 - (BRONX, NY) - Albert Einstein College of Medicine of Yeshiva University and Montefiore Medical Center have received a $2.5 million grant from the Agency for Healthcare Research and Quality (AHRQ) to establish a training program to improve the practice of healthcare in real-world settings. The program, in an emerging area called patient-centered outcomes research (PCOR), will be housed in the Harold and Muriel Block Institute for Clinical and Translational Research at Einstein and Montefiore and will prepare established and junior investigators to initiate and lead research in this area.
"Researchers are adept at evaluating new treatments and diagnostics in controlled settings but their results do not capture how people use them in their day-to-day lives," said Paul Marantz, M.D., M.P.H., the principal investigator on the grant and associate dean for clinical research education and professor of clinical epidemiology & population health at Einstein. "If we want to truly improve healthcare, we need to look at how medicine is practiced and received in real-world environments."
PCOR is intended to help patients and their physicians make informed decisions and recommendations. It aims to not only determine the most effective treatments and tests, but to flesh out and address other elements important to patients and their caregivers, such as potential harms and side effects, alternative options, personal preferences, quality of life, and barriers to implementation and treatment.
The Einstein-Montefiore PCOR training program will have three components. A key element is the immersion PCOR fellowship. Researchers and physicians already well-versed in clinical research will spend three months at Montefiore's Care Management Organization (CMO), which coordinates the healthcare and disease management programs for more than 250,000 patients in the Montefiore Health System. Urvashi Patel, Ph.D., assistant professor of family and social medicine at Einstein, leads the Evaluation and Outcomes Research unit of Montefiore's CMO and will direct the fellowship.
"Montefiore's CMO is at the forefront of innovation in healthcare delivery, and uses evidence-based approaches to improve the 'Triple Aim': improved health, enhanced patient satisfaction and reduced costs," said Dr. Patel. "The PCOR fellows will both learn from, and contribute to, these innovations and improvements of our healthcare system."
The other two components of the education and training program are a certificate in PCOR and an advanced learning collaborative. The certificate program is centered on a classroom curriculum that follows PCOR methodology standards and will be led by Dr. Marantz. Among the areas covered will be qualitative research, research informatics, participatory research and implementation and dissemination of PCOR.
The advanced learning collaborative will be co-led by Julia Arnsten, M.D., M.P.H., director of the Center for Comparative Effectiveness Research and chief of the division of general internal medicine at Einstein and Montefiore, and Mimi Kim, Sc.D., director of the Quantitative Sciences in Biomedical Research Center, head of the division of biostatistics and professor of epidemiology & population health at Einstein. The faculty collaborative will offer a forum for teaching, learning, information sharing, debate and methodology development. It will feature web-based and on-site seminars and conferences.
About Albert Einstein College of Medicine of Yeshiva University
Albert Einstein College of Medicine of Yeshiva University is one of the nation's premier centers for research, medical education and clinical investigation. During the 2013-2014 academic year, Einstein is home to 734 M.D. students, 236 Ph.D. students, 106 students in the combined M.D./Ph.D. program, and 353 postdoctoral research fellows. The College of Medicine has more than 2,000 full-time faculty members located on the main campus and at its clinical affiliates. In 2013, Einstein received more than $155 million in awards from the NIH. This includes the funding of major research centers at Einstein in diabetes, cancer, liver disease, and AIDS. Other areas where the College of Medicine is concentrating its efforts include developmental brain research, neuroscience, cardiac disease, and initiatives to reduce and eliminate ethnic and racial health disparities. Its partnership with Montefiore Medical Center, the University Hospital and academic medical center for Einstein, advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Through its extensive affiliation network involving Montefiore, Jacobi Medical Center -Einstein's founding hospital, and five other hospital systems in the Bronx, Manhattan, Long Island and Brooklyn, Einstein runs one of the largest residency and fellowship training programs in the medical and dental professions in the United States. For more information, please visit www.einstein.yu.edu, read our blog, follow us on Twitter, like us on Facebook, and view us on YouTube.