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Research

Educational Initiatives and Research


Ongoing Education Research Projects of Note

Diversity Issues in Higher Education - Dr. Leon McDougle is Principal Investigator of several projects designed to investigate issues related to underrepresented in medicine and biomedical sciences groups.

Investigation of the Relationship Between Pre-Admissions Variables and Medical School Performance as Measured by the USMLE Step 1 Examination for Underrepresented Minority and Economically Disadvantaged Students Who Have Completed a Post Baccalaureate Training Program Through The Ohio State University College of Medicine. Data collection is ongoing.

Scholarship to date includes:

  • McDougle L, Way DP, Yash C: Effectiveness of a Premedical Postbaccalaureate Program in Improving Medical College Admission Test Scores of Underrepresented Minority and Disadvantaged Students. Journal of the National Medical Association 2008:100(9);1021-24.

A National Evaluation of Long-term Outcomes for Premedical Postbaccalaureate Programs Designed to Advance Workforce Diversity and Health Equity. The study focuses on 11 postbaccalaureate programs at Association of American Medical Colleges (AAMC) schools that are dedicated to improving access to medical school for students from underrepresented and disadvantaged backgrounds. Through a survey of practicing physicians, this study will explore the relationship between successful completion of such programs and providing care for the underserved. A control group of practicing physicians who did not participate in the postbaccalaureate programs will be used to test the hypothesis that the postbaccalaureate program graduates are more likely to provide substantial care for the underserved. Data collection is ongoing.

Scholarship to date includes:

  • McDougle L, Way DP, Rucker Y: Survey of Care for the Underserved: A Control Group Study of Practicing Physicians Who Were Graduates of a Midwestern Premedical Post Baccalaureate Training Program. Academic Medicine (In Press).
     
  • Berry-Winbush G, Dalzine L, McDougle L, Wexler R, Applin S, Marcus R, Post DM, Gabel LL. Closing the Health Disparity Gap: Impact of Health Empowerment Technologies on Elderly African American’s Health Provider Relationships. NIH RFA-MD-07-002 Research Infrastructure In Minority Institutions (RIMI)[P20] Submitted June 10, 2008 and Leon McDougle, MD, MPH, is Co-PI of the 5 year $478,277 Ohio State University subcontract funded Oct 2008.Data collection is ongoing.
     
  • Sanders V, McDougle L, Huebner K. DISCOVERY PREP Program (Diversity & Innovation in Science Created by Opportunities Valuing Engagement of and Research by Young Biomedical and Behavioral Scientist in a Postbaccalaureate Research Education Program). Leon McDougle is a Co-Investigator for this four-year $1,223,150 NIGMS award funded January 2010. Data collection is ongoing.
     
  • Wininger DA, Langan M, Strout L, McDougle L, Nagel R. The Ohio State University Internal Medicine Residency Primary Care Track: A new medically underserved, community-based program from an established Educational Innovations Project. Leon McDougle is a Co-Investigator for this $3.8 million DHHS Health Resources & Services Administration award, 09/30/2010 – 09/29/2015. Data collection is ongoing.

Virtual Reality: A Unique Means to Teach the Reality of the Patient-Centered Medical Home Dr. Doug Post is Principal Investigator on this five-year project (2010 – 2015) funded by the U.S. Department of Health and Human Services through the Bureau of Health Professions of the Health Resources and Services Administration (HRSA) for $1,319,089.

The purpose and objectives of the project are: To further enhance the Department of Family Medicine’s leadership role within the Ohio State University College of Medicine in the development and implementation of innovative, technology-driven, case-based, primary care educational initiatives toward learning patient-centered medical home (PCMH) principles. Objective 1- To create two virtual “realities” to enhance medical students’ learning PCMH principles: 1) a virtual EMR within the EPICCare® EMR System and 2) virtual patients within Second Life®. Objective 2- To assure that Med 1 and Med 2 medical students are well grounded in Quality Measures and Health Information Technology elements of the PCMH model. Objective 3- To assure that Med 3 and Med 4 medical students are well grounded in Patient Experiences and Practice Organization elements of the PCMH model. Objective 4- To develop, pilot, implement, and refine selected “best practices” called for by the Future of Family Medicine that position the Department of Family Medicine as a leader regarding the College’s new curriculum plus be responsive in expanding student interest in the specialty of family medicine. It is expected that the project will result in outcomes that are viable at Ohio State and can be easily adopted or adapted by others who might desire to do so. First, it is planned to create and build an Educational EMR that is an exact replica of the popular EPICCare® System. The Educational EMR will be loaded with patient-related data and information from existing paper-based, clinical reasoning, and standardized patient cases. Med 1 and Med 2 students will use the Educational EMR as though they are physicians to learn to become physicians as they also learn two important elements of the PCMH, Quality Measures and Health Information Technology. Second, it is planned that 30 virtual patients be created to “live” in a life-like virtual world to be cared for by Med 3 and Med 4 students as they become grounded in the Patient Experiences and Practice Organization elements of the PCMH. Finally, the project is intended to develop Future of Family Medicine “best practices” appropriate to the College’s new curriculum, which is to be implemented beginning the 2010-13 academic year.

The Patient-Centered Medical Home: Adaptable Curriculum Models, Instructional Modules, and Implementation PlansDr. Fred Miser is Principal Investigator on this five-year project (2010 – 2015) funded by the U.S. Department of Health and Human Services through the Bureau of Health Professions of the Health Resources and Services Administration (HRSA) for $1,004,187.

The purpose and objectives of the project are: To plan, develop, and implement educational and training modalities relative to the Ohio State University Family Medicine Residency Program that promote family medicine residents’ knowledge and abilities regarding the Patient-Centered Medical Home (PCMH). Objective 1- To design and configure a model three-year PCMH curriculum; Objective 2- To develop, pilot, and refine 16 instructional modules that emphasize topics germane to the PCMH; Objective 3- To transform respective model training sites of our three training tracks – Core-University, Urban, and Rural – into model PCMHs; and Objective 4- To model and teach how the PCMH provides comprehensive, integrated, and outcomes-based care.

Per Objective 1, it is expected that the project will result in the design and configuration of a model three-year PCMH curriculum that melds such important constructs as core family medicine principles, relationship-centered care, new information technology, and chronic care management. Per Objective 2, it is expected that 16 instructional modules will be developed that emphasize topics germane to the PCMH model: Patient Experiences, Quality Measures, Health Information Technology, and Practice. It is planned to deliver the modules via the Web as well as mobile computing devices, e.g., the Apple iPod Touch®. This will facilitate other programs using them as they would desire. Per Objective 3, we plan to totally transform each of our three model ambulatory care continuity training settings per each of our three training tracks (Core University, Urban, and Rural) into PCMHs to better teach our family medicine residents the new model of care paradigm. Per Objective 4, we plan to model and teach how the PCMH provides comprehensive, integrated, and outcomes-based care that meets the full range of patients’ health care needs, especially those with chronic disease.

Ohio State Primary Care: Foundation for a Central Ohio Accountable Care Organization - Dr. Mary Jo Welker  is Principal Investigator of this five-year project (2011 – 2016) funded by the U.S. Department of Health and Human Services through the Bureau of Health Professions of the Health Resources and Services Administration (HRSA) for $788,615.

The purpose of this project and objectives of the project are: To empower the Department of Family Medicine and the Division of General Internal Medicine to be transformational change agents within the Ohio State University Health System toward establishing and expanding an Accountable Care Organization in Central Ohio.

Objective 1- Given that primary care is essential to an Accountable Care Organization, establish a Primary Care Signature Program as an equitable partner to Ohio State’s six other Signature Programs and as a foundation for evolving the Ohio State Accountable Care Organization. Objective 2- Use health information technology and data resources to facilitate data analysis and evidence-based decision support toward managing performance risk, that is, successfully preventing and/or treating illness in a cost-effective way. Objective 3- Nurture informed champions, educate the broader physician community, and use innovative methods for training future health care professionals regarding Accountable Care Organizations.

Per Objective 1, a Primary Care Signature Program will be established at Ohio State that complements six existing Signature Programs and sets the stage for developing and evolving a Level 3 Accountable Care Organization serving all of central Ohio. Columbus Neighborhood Health Center, Inc., a federally qualified health center, whose structure includes five separate clinics will be the charter partner. Per Objective 2, we view our work as catalytic, ideally resulting in a comprehensive Central Ohio Health Information Exchange that will be the basis for determining if the Accountable Care Organization is able to meet its three-part aim of: 1) better care for patients, 2) better health for populations, and 3) slower growth in costs through improvements in care. Medical students will be introduced to the operational aspects of an Accountable Care Organization through a new curriculum presently being developed by the Ohio State College of Medicine. Per Objective 3, eight cutting-edge instructional modules, both in terms of content and delivery, will be developed for primary care residents such that they learn about Accountable Care Organizations in the process of patient care.