Training & Education

Diabetes, mobile health, provider opiate prescribing, geospatial analysis, access to emergency care, EMTALA enforcement, pediatric/adolescent mental health, methodology, interpersonal violence, transition from ED to chronic care, ALTE, EMS, disaster medicine, asthma, genetic determinants of health, HIV, medical decision-making

24 months

Requirements:

• Earn advanced degree (MPH or equivalent) in public health, biostatistics, epidemiology or health service. The master’s degree tuition, books and all needed supplies, including software, are to be provided by the fellow.
• Develop and serve as principle investigator of a clinical research study
• Present scientific findings at a minimum of one regional and one national meeting
• Attend all research division weekly meetings, participate in bimonthly department journal clubs, help in departmental review of scientific proposals, become a journal reviewer
• Join and participate in an institutional research-related committee (e.g. IRB)
• Join and participate in a national task force or committee
• Prepare and submit a training AND project grant to NIH or a similarly competitive agency or foundation
• Author at least two scientific manuscripts
• Work as an attending physician at Los Angeles General Medical Center ED weekly
• Help mentor medical students and residents participating in departmental research

Fellows must have an active California medical license and be board-certified or board-eligible (ABEM or ABOEM) at the time of fellowship matriculation.

Fellowship Director:
Sanjay Arora, MD
sanjayar@usc.edu

Research Division Faculty Advisers:
Sanjay Arora, MD; Michael Menchine, MD, MPH; Elizabeth Burner, MD, MPH, MSci, FACEP; Sophie Terp, MD, MPH; Daniel Dworkis, MD, PhD; Sarah Axeen, PhD; Genevieve Santillanes, MD

1. Complete an abbreviated course in research methodology. The tuition, books and all needed supplies including software are to be provided by the fellow.
2. Develop a formal and sustainable curriculum for resident research module.
3. Initiate 2 new departmental journal clubs with a focus on study design: one for all current fellows and one for faculty.
4. Work with designated residents to supervise resident journal club, with a focus on developing a more engaging format.
5. Present scientific findings at one or more regional meetings.
6. Attend all research division monthly meetings; help in departmental review of scientific proposals; become a journal reviewer.
7. Perform service by joining and participating in a minimum of one departmental committee.
8. Serve as the lead author on a manuscript of publishable quality.
9. Deliver regular research educational lectures and literature updates at local grand rounds, with aspirations of presenting these lectures at a national conference.
10. Work as an attending physician at Los Angeles General Medical Center ED/ Verdugo hills at the discretion of the chair for a total of 2 shifts weekly.
11. Be present in the office with protected time every Monday.
12. Help mentor medical students and residents participating in departmental research.

Fellows must have an active California medical license and be board certified or board eligible (ABEM or ABOEM) at the time of fellowship matriculation.

12 months

Drs. Sanjay Arora and Michael Menchine

Dr. Deirdre Anglin, Dr. Sanjay Arora, Dr. Cynthia Bir, Dr. Ilene Claudius, Dr. Mark Eckstein, Dr. Sean Henderson, Dr. Michael Menchine, Dr. Seth Seabury

Clinical Decision Rules, Methodology, Interpersonal Violence, Diabetes, Transition from ED to chronic care, Pediatric/Adolescent Mental Health, ALTE, EMS, Disaster Medicine, Asthma, Genetic Determinants of Health, HIV, Medical Decision Making, Toxicology, Prescription Opioid Abuse, Health Economics, Biomechanics, Diversity Populations, Mobile health.

RED fellows will identify a primary intra-departmental mentor and a secondary mentor in or out of the department. Fellows will help mentor medical students and residents participating in departmental research. Faculty members who are matched with mentors commit to meeting with their assigned fellow at least monthly, and, in most cases, more frequently to discuss details of designing and implementing projects, presentations, and manuscripts. Our goal is to match each fellow with a primary mentor within the first 3 months of fellowship, if not before. In some cases, candidates will select mentors prior to starting the fellowship and may even begin initial discussions with their mentors about planned research activities.

Epidemiology and biostatistics (including multiple regression); critical evaluation of the medical literature; basic research design and methods; data acquisition, management and security; scientific writing; human subjects and ethical research participation.

SC-CTSI Introduction to Clinical and Translational Research; Emergency Medicine Basic Research Skills (EMBRS) Workshop

Under the guidance of one of the fellow’s primary mentors, he/she will develop lecturing skills and initiate a regular section at local grand rounds to inform residents and faculty about relevant literature that can be translated to the bedside to impact patient care. Additionally will develop a journal club for faculty and fellows, and will take over the research module curriculum.

Under the guidance of one of the fellow’s primary mentors, he/she will develop lecturing skills and initiate a regular section at local grand rounds to inform residents and faculty about relevant literature that can be translated to the bedside to impact patient care. Additionally will develop a journal club for faculty and fellows, and will take over the research module curriculum.

The fellows will be responsible for designing one project based on their own interests. A sample project might be a social media based approach to the dissemination of research, or a written compilation of must read papers in the year

2 clinical shifts per week

The Resident Research Track is designed to foster critical thinking and encourage scientific inquiry among the resident track members. The Resident Research Track formally meets quarterly, though informal sessions and mentoring are much more common. The main emphases are on:

• Developing a career roadmap that focuses on identifying training, skills and mentoring and strategies to attain these
• Turning clinical questions into testable hypotheses
• Gaining early skills in research design, data management and analysis
• Improving scientific writing
• Becoming a skilled consumer of relevant scientific literature, and communicating the findings from literature to others
• Conducting searches for evidence to inform clinical practice and learning to do this on a clinical shift

The specific activities will vary from year to year depending on the skills of the current resident members, but have included meetings with senior researchers at outside institutions, real-time “brainstorming” of research questions and hypothesis with other resident tracks and faculty members, and primers on basic data analysis techniques.

This grand Rounds Fixture aims to keep residents abreast and inspired by recently published literature that has direct impact on clinical practice. The sessions are short (approximately 30 minutes) with high educational and entertainment value.

Our department is known across the medical school as being amongst the most active in mentoring Keck students though their Required Scholarly Projects (RSP). In addition, our division runs a summer program for students ranging from first year undergraduates to fourth year medical students from across the country. The popularity of this program has increased to the point where last summer we had almost 30 students working for us. The students work as a team in the emergency department approaching patients to include in a prospective cohort, and last summer our students enrolled almost 2,000 patients in a study focused on risky drug and alcohol use and barriers to medication adherence. As director of the program, Dr. Arora requires that the summer students work three 8-hour research shifts per week, including weekends and evenings. Additionally, all students attend a Monday lab meeting where we discuss project related issues, do formal research related teaching, and listen to student presentations on clinical topics that have interested them while enrolling patients. The subject of this summer’s project will be examining patients’ understanding of their discharge instructions, specifically about the medications they received during their visit, their diagnosis, their discharge medications and what they are for, and their understanding of return precautions and follow-up visits. Dr. Arora’s dedication to the summer students earned him the RSP mentor of the year award at the Keck School of Medicine in 2015.