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  Curriculum

The curriculum includes five core courses: Biostatistics; Clinical and Health Services Research Methods; Principles of Health Policy and Management; Community Health Research; and Leadership Development. In addition there are three integrating experiences that apply skills and tools Scholars have learned in the didactic courses to clinical research and practice settings. These experiences include: Seminars in Health Policy and Delivery in which national, state, and local health policy leaders meet with the Scholars; Research-in-Progress meetings in which Scholars receive individual and group mentorship on their research and presentation skills; and Community Health Research where Scholars work collaboratively with community-based health organizations in addressing community health issues in New Haven.

These didactic and integrating experiences are complemented by three other important curricular activities: 1) Journal Club sessions where members of the Yale community are invited to present their published work, 2) Mentor Lunches where health researchers are invited for informal conversations about their research and career paths; and 3) supplemental classes on topics such as manuscript preparation, informatics, proposal development, and grant writing.
     
Clinical Scholars pose with guest speaker Howard Dean.


2007-2008 Listing of Core Courses
Description
Biostatistics: This course is designed to develop expertise in biostatistical concepts and applications. At the end of this course, Scholars will be able to: design appropriate statistical analyses for diverse data sets and studies; conduct bivariate and multivariate statistical analyses, and interpret and critique statistical methods used in medical journals. Specific topics include descriptive and simple statistics (one- and two-way analyses including ANOVA and simple linear regression; non parametric analysis); multivariate analyses (linear regression, logistic regression, survival analyses); hierarchical analyses, Poisson regression, general linear models, repeated measures and longitudinal analysis, weighting, factor analyses, Bayesian analysis, and meta-analysis.
Clinical and Health Services Research Methods: This course is designed to build expertise in quantitative and qualitative research methodologies. It is taught in two parts. The first part focuses on quantitative methods, and the second part focuses on qualitative methods. At the completion of the course, Scholars will be able to: design study methodology to examine diverse topics in clinical and health services research, using both qualitative and quantitative methods (includes study design, sampling strategies, data collection and measurement approaches, and data analysis); critique published studies in terms of their research methodologies; and understand the implications of various methodological approaches for the internal and external validity of the study. Specific topic areas include principles of clinical and health services research, principles of qualitative methods, and special topics in clinical and health services research.
Principles of Health Policy and Management: This course introduces major tenets in health policy and health management. At the end of the course, Scholars will be able to: describe major components of healthcare delivery, financing, and regulatory systems in the U.S; apply several tools to policy and management problems (conduct comparative analyses of alternative policy interventions, design policy implementation plans, perform cost-effectiveness analysis, implement a management problem solving method, implement tools of quality improvement and program evaluation); describe the policy and/or management implications of their own research; and identify health policy and management levers of change to increase the translation and impact of their own research into clinical practice. Specific topics include healthcare financing and delivery systems, policy agenda setting, evaluating policy alternatives, policy implementation, health economics, cost effectiveness and decision analysis, marketing and consumer preference models, and managerial problem solving and organizational change.
Community-Based Health Research: This course develops understanding of key issues to prepare Scholars to conduct and critique community-based research. The course focuses on community assessment, community-based participatory research, planning, and program evaluation. At the completion of the course, Scholars will be able to: assess community health problems and strengths using available data on regional communities, and set priorities for intervention; consider alternative interventions, including the strengths and weaknesses of each intervention and choose the most cost-effective option; create a program implementation plan for chosen interventions, using PERT methods, including Gantt charts, to determine the critical path; evaluate community health programs by a variety of objective and subjective methods, including accomplishment of program goals and objectives, goal attainment scaling, and tracer methods; describe principles of community-based participatory research and understand its use in assessment, planning, and evaluative research that Scholars may do with community partners; and apply the principles of community-based participatory research to case studies and distinguish its unique characteristics, including barriers and facilitators to its implementation and ethical considerations.
Leadership Development: This course is designed to enhance Scholars' ability to develop leadership skills throughout their career. Through these sessions, Scholars will: develop the capacity to generate alternative explanations for organizational events by shifting from individual and interpersonal to group, intergroup and organizational levels of analysis; learn a set of behavioral science concepts that can aid both diagnosis and intervention in organizations; practice the ability to describe, reflect on, analyze, conceptualize and construct courses of action for organizational challenges that the Scholars face during their tenure in the Program; and create an individual action plan for their careers and leadership skills development.
Seminars in Health Policy and Delivery (SHPD): This series affords Scholars the opportunity to meet prominent national healthcare leaders and learn about decision-making in health policy. The 25 annual sessions alternate yearly between a primary focus on the public and private sectors. In the public sector year, Scholars meet leaders involved in state and federal agencies, and learn about the legislative process, including lobbyists and interest groups, foundations and advocacy groups. The public sector year includes a two-day visit to Washington, DC for policy briefings and meetings with legislators and policymakers. In the past, Scholars have visited the Agency for Healthcare Research and Quality, met with the late Dr. John Eisenberg, had lunch with Representative Henry Waxman, and received briefings from the Department of Health and Human Services.

In the private sector year, Scholars meet leaders of for-profit healthcare organizations, including those in venture capital, managed care, drug and device manufacturing, and large employers. Recent speakers have included:

Troyen Brennan, MD, MPH, Executive Vice President and Chief Medical Officer of Aetna, Inc.

William Clarke, MD, CEO and President of Cellectar, Inc., former Executive Vice President and Chief Technology and Medical Officer at GE Healthcare

Karen Davis, PhD, President of the Commonwealth Fund, formerly Chairman of the Department of Health Policy and Management at the Johns Hopkins School of Public Health and Professor of Economics

David Durenberger, Senior Health Policy Fellow at the University of St. Thomas in Minneapolis, Minnesota and Chair of the National Institute of Health Policy, formerly Senior US Senator from Minnesota (1978-1995)

William Goss, Managing Director with Cain Brothers & Company

Jerome P. Kassirer, MD, Distinguished Professor of Medicine at Tufts University School of Medicine, formerly Editor-in-Chief of the New England Journal of Medicine (1991-1999)

Robert J. Margolis, MD, Managing Partner and CEO of Healthcare Partners and CEO of its predecessor medical group, Chairman of the Board of Trustees for California Hospital Medical Center, Member of the California Association of Physician Organization (CAPG), and member of the Executive Management School Advisory Committee, School of Public Health at UCLA

Margaret E. O’Kane, President, National Committee for Quality Assurance (NCQA)

John Rother, Group Executive Officer of Policy and Strategy for AARP

David B. Snow, Chairman and CEO of Medco Health Solutions, Inc., formerly President and COO at Wellchoice, Inc. (formerly Empire BlueCross BlueShield)

John Tooker, MD, MBA, FACP, Executive Vice President and Chief Executive Officer of the American College of Physicians (ACP)

David Wennberg, MD, MPH, Chief of Science and Products Officer, President and COO, Health Dialog Analytic Solutions, formerly co-founded Health Dialog Analytic Solutions (HDAS)

Ronald Williams, Chairman and CEO of Aetna, Inc.

Hugh Zettel, Director, Government and Industry Relations GE Healthcare Integrated IT Solutions (GEHC IITS)


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