Developing the Next Genera5on of Clinical Research Scien5sts. Northwestern Health Sciences University s Fellowship Program

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1 Developing the Next Genera5on of Clinical Research Scien5sts Northwestern Health Sciences University s Fellowship Program Roni Evans, Linda Hanson, Brent Leininger, Corrie Vihstadt, Gert Bronfort Supported in part by funds provided by the US Na5onal Center for Complementary and Alterna5ve Medicine R- 25AT003582

2 Presenta5on Overview Background Descrip=on of Program Competencies Format Outcomes to date Ins=tu=onal considera=ons

3 Background: CAM Scien5sts Needed! S=ll rela=vely few CAM professionals doing research NCCAM Strategic Plan Increase number, quality and diversity of CAM research scien=sts Several training opportuni=es available (F, K awards) Are chiropractors ready?

4 Background: Our Research Resources Wolfe- Harris Center for Clinical Studies $20 million in funding Matching ins=tu=onal funds 15,000 square foot clinic devoted to research Office of Research Services Research Educa5on and Career Development Funding (NCCAM) T32/F32s, University of Minnesota, Hennepin County Medical Center R25 CAM Research Educa=on Partnership Project

5 Overall Goal To create a research training pipeline for chiropractors and other CAM providers Fellowship Program as a cri=cal step in preparing CAM providers to be compe==ve with their non- CAM counterparts CAM Prac55oner Fellowship Program F31, F32 Recipient K award Recipient INDEPENDENT CAM RESEARCH SCIENTIST

6 What Does It Take To Be Compe55ve? Competencies 1). Describes and applies fundamental principles of clinical trial study design 2). Understands the mechanisms related to the treatment and condi=on under study 3). Effec=vely prepares high quality, compe==ve scien5fic grant applica5ons for funding 4). Effec=vely par=cipates in the dissemina5on of scien5fic results 5). Understands and applies the principles and prac=ces related to the responsible conduct of research 6). Provides effec=ve leadership of mul=disciplinary research teams to conduct high quality research.

7 Fellowship Program Format 5 years, full =me Salaried, with benefits Major components Exposure to the non- CAM world Academic coursework (MS degree, University of Minnesota) Prac=cal research training Mentorship F31, F32 applica=on and (hopefully) award

8 Exposure to the Non- CAM World Academic Coursework Core Curriculum Epidemiology, Biosta=s=cs, Grant wri=ng, Ethics, etc. Thesis project Masters Degree in Clinical Research (UMN) Seminars & Workshops Collabora=ve Opportuni=es Clinical & Transla=onal Science Ins=tute

9 Prac5cal Research Training Intensive Clinical Research Rota5ons Informed Consent Data Collec=on & Management Study Recruitment and Adherence Study Leadership Data analysis Grant Wri=ng Dissemina=on Project Management

10 Mentorship Mentorship, Mentorship, and more Mentorship Group (1x/month) Dean of Research Reflec=ons on Research Individual (almost daily) Research Faculty Collaborators

11 Results Course Work Grant Wri5ng Dissemina5on Clinical Trials Collabora5ons 3 fellows enrolled (2 DC, 1 AOM) : MS Clinical Research- University of MN 1 HRSA RO1 (0 funded) 3 NIH R21, RO1, R25 (2 funded) 1 NIH F32 (pending) 4 peer reviewed publica=ons 9 peer reviewed presenta=ons 3 Cochrane protocols - Dose Response of Spinal Manipula=on for Cervicogenic Headache - Chiroprac=c and Exercise for LBP in Adolescents - Chiroprac=c and Exercise for Spinal Dysfunc=on in Seniors - University of Minnesota: USA - University of Western States: USA - University of Southern Denmark: Denmark - Vrije University: The Netherlands - Dartmouth College: USA

12 Ins5tu5onal Considera5ons Commitment Financial Support Time Resources

13 Acknowledgments Gert Bronfort PhD, DC Roni Evans DC, MS Craig Schulz DC, MS Mitchell Haas DC, MA Michele Maiers DC, MPH Kris=ne Westrom MD, MS Louise Delagran MA, Med Barry Taylor, DC Mary Jo Kreitzer PhD, RN Russell Luepker MD, MS Our donors..