Fellowship Education Program
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Health Care Disparities Research Fellowship
Program Overview
The Department of Family Medicine and
the Program for Biopsychosocial Study at the University of Rochester School
of Medicine offer a unique two-year fellowship in Health Disparities
Research for the Family Physician.
This fellowship track will prepare family physicians to conduct independent
scholarly investigations in the evaluation of the structure, process, outcome,
and output of the healthcare system. Fellows choosing this specialty track
will learn to apply health services research methods and quality improvement
to health care disparities.
Goal: To prepare fellows for obtaining NIH/AHRQ K awards. Our fellowship program's post-graduate training opportunities have attracted international attention and have been visited by scholars from England, Finland, Israel, Korea, Norway, Puerto Rico, Spain, Switzerland, and Taiwan.
Training
Fellows will receive advanced training in small
group, individual, and large group teaching methods, emphasizing a learner-centered
approach. A biopsychosocial orientation will be developed, enabling fellows
to become effective teachers in all aspects of primary care. Fellows will
co-teach with faculty, supervise residents in the hospital and Highland
Family Medicine Center, and teach medical students in classroom and clinic
settings.
Research
Research is essential for the development and
advancement of academic family physicians. Fellows will acquire fundamental
skills in epidemiology and biostatistics, and will complete requirements for
a Master's Degree in Public Health (approximately 50 credit hours consisting
of core courses, statistics courses, electives and a Master's thesis). Additional
information about the MPH program can be found at: www.urmc.rochester.edu/smd/cpm/.
Current and recent research grants (awarded to faculty by such agencies as The National Institutes of Health, The Centers for Disease Control and Prevention, The Agency for Health Care Quality and Research, The Robert Wood Johnson Foundation (RWJF) and the American Academy of Family Physicians Foundation) include: Under-Insurance and Mortality, Socioeconomic Disparities and Managed Care Utilization, Using Census Data to Monitor Care to Vulnerable Groups, Patient-Centered Care and Health Care Cost, The Impact of HMOs on Racial and Socioeconomic Disparities in Health Care among the Insured, Health Care Access for Deaf Persons, Patient/Provider Communication When the Patient is Deaf, Do Reporting Biases Mitigate Disparity Estimates for Preventive Care, and an RCT of Mifepristone for Fibroids.
Fellowship Director
Kevin Fiscella, M.D., M.P.H. : Associate Professor of Family Medicine and Community & Preventive Medicine, has received major grants from the NIH, CDC, AHRQ, The Robert Wood Johnson Foundation, and the AAFP Foundation. He has published widely on racial/ethnic and socioeconomic disparities in health and health care. He has served, or is serving, on such national advisory panels dealing with issues of disparities as The Institute of Medicine, RWJF, AMA, Aetna, and NCAQ. He is currently directing three R01 funded projects.
Faculty
Steven Barnett, M.D., Assistant Professor of Family Medicine, has received funding from AHRQ and private foundations. His interest has focused on access to health care for deaf persons.
Vincent Silenzio, M.D., Assistant Professor of Family Medicine, researches disparities in health and health care related to sexual orientation.
Sean Meldrum, M.S. is an epidemiologist with advanced training in statistics and SAS programming. His experience includes work with large data sets, including the New York State Immunization Project.
Collaborative Agreements
Dr. Timothy Quill is director
of the Program for Biopsychosocial Studies, and will act as mentor for interested
fellows and offer advanced clinical training. Dr. Susan McDaniel in the Department
of Psychiatry will offer expertise in writing, family systems and mental health
in primary care. The Department of Community and Preventive Medicine offers
courses in biostatistics and epidemiology for clinician-researchers that may
lead to a Masters of Public Health degree.
Stipend
Stipend support is commensurate with the previous
training and experience of each fellow. Fellows receive malpractice and health
insurance.
Eligibility
To qualify for admission to the fellowship,
candidates must:
- have completed an accredited residency program
- be AAFP Board-eligible or certified
- be able to obtain a New York State license, hospital privileges and HMO provider status prior to starting this program
- intend to remain and practice in the United States
A strong background in the psychosocial aspects of care is desirable.
Application Procedure
For further information, write or call:
Kevin Fiscella, MD, MPH, Director
Health Care Disparities
Research Fellowship
Department of
Family Medicine Research Programs
University
of Rochester School of Medicine & Dentistry
1381 South Avenue
Rochester, NY 14620 USA
Phone: (585) 506-9484 Ext. 217
Fax: (585) 271-9055
Email: Kevin_Fiscella@urmc.rochester.edu
For MPH information visit their website at: www.urmc.rochester.edu/cpm/