Turning it Over, A Paradigm Shift for Research and Training Programs? Kimball, AM, Garcia, PJ, Curioso,, WH, Blas M, Robertson,L, Chronister,, L. Fuller, S, Holmes, K University of Washington (USA), Universidad Peruana Cayetano Heredia (Peru)
Turning it Over What are the requirements to turn key a productive research and training scholar program? What are the incentives? What are the obstacles? Should it become a norm?? Why or why not?
UPCH, Peru: A Well Networked partner UPCH has multiple partners and collaborations spanning 20 years Including UW, NMRCD, Johns Hopkins, and other US and European universities, and individual investigator grants with NIH and other funding agencies This asset was key to our turnkey approach
Grants International Research and Training Program in Health Informatics, built on connections made through IARTP. Relatively new discipline 1999-2004 $ $ 675,000 Amauta Global Health Informatics Research and Training Center 2004 2009 $ $ 1 250,0001
Short Courses: - 2000 (MI) 2001 (MI) 2005 (MI and BIO) - 2008 (MI and BIO) Short Courses: - 2000 (MI) -2001 (MI) - 2005 (MI and BIO) - 2008 (MI and BIO) Long-term Training - MSc (UW) - MPH (UW) - PhDs (UW) Research
TRAINING Short-Courses 2000 Medical Informatics 26 2001 Medical Informatics 30 2005 Medical and Bio Informatics 43 2008 Medical and Bio Informatics 103 Masters and PhDs at UW Total 202 MSc Biomedical and Health Informatics 6 MPH 2 PhDs 2 Short-Term trainees and fellows Total 10 1 Librarian,, 1 Physician in Health Information 1fellow in GIS 3
SHORT COURSES IN COUNTRY TRAINING Year N * Pre-test Mean% Post-test test Mean % 2000 25 53 71 2001 30 48 67 2005 MI 18 49.7 59.7 2005 BIO 21 33.6 51.2 2008 MI 50 47 54 2008 BIO 39 64 82 Percentage for Participant s Performance on their Knowledge before (Pretest) and after (Post-test) the Courses
Long-Term Master Training Former Trainees Period Training Jorge Candiotti, MD, MPH, 2000- MS 2002 Silvia Pessah,, MD, MPH, 2000- MS 2002 Adriel Olortegui,, MD, MS 2001-2003 Jesus Peinado,, MD, MS 2001-2003 Franz Calvo,, MD, MPH 2002-2004 Walter Curioso, MD, MPH 2003-2005 Magaly Blas, MD 2005- Mabel Raza, Ing 2008 Ing 2007-2009 MSc in Biomedical and Health Informatics MSc in Biomedical and Health Informatics MSc in Biomedical and Health Informatics MSc in Biomedical and Health Informatics MSc in Biomedical and Health Informatics Certificate in Informatics Master in Public Health Certificate in Informatics Master in Public Health Certificate in Informatics MSc in Biomedical and Health Informatics
Short-Term Training Trainee Period Training Affiliation Henry Chavez, Lic 2002-2002 Short- term Carlos Collantes, MD 2002-2002 Short- term Elisa Solano, Ing 2008-2008 Short- term Information processing system at the library of Medicine at University Cayetano Heredia Attending. Physician Department of Surgery. Dos de Mayo Hospital. Lima, Perú Geographical Information System Maritza Puray, Master 2005-2006 2006 Post-doc Researcher lab in Iquitos Peru
Long-term PhD Training Former Trainee Perio d Walter Curioso, 2008- MD, MPH Curren t Magaly Blas, MD 2007-2009 Mabel Raza, Ing 2010- Curren t Training PhD in Biomedical and Health Informatics PhD in Epidemiology PhD IN Biomedical and Health Informatics Affiliation Health Informatics Unit at School of Public Health and faculty instructor at Universidad Peruana Cayetano Heredia. Currently in Training at the University of Washington Researcher and instructor at the Epidemiology Unit, STD / HIV from Universidad Peruana Cayetano Heredia Currently admitted for training at the University of Washington
Collaborative Supports Partners program for PH US students built bridges of trust with supervisors in Peru Videoconferencing capability Global Health Frameworks application and success Re-entry grants Successful FIRCA applications (Curioso, Blas)
How we collaborate Partnership: everyone participating adds value and the best solutions result from joint engagement Openness: each participant needs to focus on what they encounter rather than what they expect Uniqueness: every location has a set of norms that determine "how things are done," every sponsor brings guidelines requiring compliance Series of steps: enhance understanding of external expectations and internal current capacity, mutual support systems, modify collaborative traditions to share best practices and talents, train the trainers, outreach and marketing the new vision
Where are we going Self-sufficiency: the outcome sought by the partnership is self-sufficiency - both in competitiveness and local choice of focus (research and academic) Sustainability: clarity about the strategy required to achieve the vision and the requiredstructures (people, resources, systems, networks, status) that last beyond the project period- Transform thinking from a project to project survival approach to building a research systemthat is able to build resources and be at choice about what research questions are pursued.
The key to turn key is not entirely academic capacity UPCH and UW leadership in Research administration and support was also key The structure of UPCH since its foundation promotes research Admin support from UW insights in Global Support project (risk mitigation)
QUIPU- UPCH Lead Presents absolute advantage in Andean networking for broader impact Presents relative advantage in cost effectiveness of investment Turn key results appear to be on track with productivity and training Overall regional assessment (report pending) will provide additional insights for mapping future. (This is ready and submitted for publication)
QUIPU Meeting (Lima, Peru March 2010)
www.andeanquipu.org March 2010, Lima, Peru
Articles Developing Capacity in Health Informatics in a Resource Poor Setting: a Case Study from Peru Ann Marie Kimball1, Walter H. Curioso1, 2, Yuzo Arima*1, Sherrilynne Fuller1, Patricia J. Garcia2, Jose Segovia-Juarez2, Jesus M. Castagnetto2, Fabiola Leon Velarde2, King K. Holmes1 Evaluation of a joint Bioinformatics and Medical Informatics international course in Peru BMC Medical Education 2008, 8:1 doi:10.1186/1472 6920 8 1 Walter H Curioso, Jacquelyn R Hansen, Arturo Centurion Lara, Patricia J Garcia, Fredric M Wolf, Sherrilynne Fuller, King K Holmes, Ann M Kimball Informatics for Peru in the New Millennium Bryant Thomas Karras M.D. a, Ann Marie Kimball M.D. a, Virginia Gonzales Ed.D. a, Nedra A. Pautler MS, MA a, Jorge Alarcón, M.D. b, Patricia Garcia, M.D. c, Sherrilynne Fuller, Ph.D.
In Sum Moving the agenda of Informatics into a South South collaborative mode appears successful Obstacles for generalization beyond this case may include administrative infrastructure as importantly as academic capacity Aspirational incentives for northern universities are in place but financial incentives are not in place and could be The move has benefitted the collaboration overall
And we go on UW/UPCH consortium awarded a Frameworks Signature grant to train postdoctoral global health students in Leadership, Policy, Management Focused on exchange, case based learning Brings in 4 UW schools Stay tuned..
Definition of Success Open up trust for the value of research without borders (i.e., between institutions, as regional consortia, across national borders)