Research Overview

Quality Improvement / Program Evaluation Research Project

UCSF Public Psychiatry Fellowship at ZSFG

Overview

Each fellow will conduct a Quality Improvement / Program Evaluation Research Project.  The topic should be of interest to both the fellow and the clinic site medical director: a true public-academic partnership.  This project needs to be feasible given the available resources (fellow’s time, AHP intern’s time, other resources).  We will help you do this J.  Your project could be developed any of the following ways:

 

  • Projects could build upon work from prior fellows
  • Projects could arise out of a better understanding of the clinics’ needs (logic and congruence models)
  •  Projects could be selected from areas of active interest to CBHS (e.g., reducing unnecessary anticholinergic medications, primary care linkage, reducing benzodiazepine medications for people over 60y/o, vital sign monitoring). 
  • Projects could arise out of shared interest with your site supervisor

 

 

Supervision

Each fellow will receive at least monthly research supervision with Dr. Melanie Thomas, usually the 2nd Wednesday of the month.  You will receive co-mentorship from Drs. Dilley and Mangurian.  Dr. Thomas is available for PRN consultation as well throughout the year.  Please take advantage of this resource. 

 

Research Assistant

One of the unique aspects of the UCSF Public Psychiatry Fellowship at ZSFG is the access to a research assistant for six hours a week.  This person will help you with all aspects of your study from study design to data collection to preparation of your poster.  In addition, you will have the opportunity to learn how to supervise someone through this experience.  We will create a UCSF Box document together to store and share your project information.  In addition, there is a document on CLE discussing how to best utilize your research assistant.  Some specifics on the RA are below:

  • Fellows will meet with RA 1 hr every other week, but exact schedule TBD by Fellows.
  • Fellows, Dr. Thomas, and Dr. Shumway will meet as a group monthly with the RA. This will likely happen the 2nd Wednesday of the month.
  • RA will be allowed to work at the clinics or at PPF desks (7F6) these work days.
  • The RA will likely be one of the co-authors on the poster presentation.

 

 

Study Products

We believe that it is important for your work to be disseminated.  This is important both for the information to help guide best practices for patient care, and also to further your career development.  The following are the specific deliverable products you will create by the end of the year.

 

  • 1-page written Executive Summary of project, suitable for distribution to clinic staff and/or SFHN-BHS medical directors (Examples on CLE)
  • American Psychiatric Association abstract submission (www.psych.org submissions open in September) + poster presentation if abstract accepted (Examples on CLE)
  • Oral presentations
    • Staff at clinic placement
    • SFHN-BHS medical director meeting (June)
    • ZSFG Psychiatry Grand Rounds (June)
  • Publication
    • Fellows will work individually with Drs. Thomas and Mangurian to publish results, at minimum as a Letter to the Editor in Psychiatric Services.  Frontline Reports Column is also appropriate in Psychiatric Services.  These letters or column should not exceed 500 words and may have a maximum of three authors and five references (no references for column).  
    • Deadline for preliminary draft is May 27, 2015; final draft is June 17, 2015.
    • Deadline for submission to Psychiatric Services is between June 1-30, 2015.  Drs. Thomas and Mangurian will work with individual authors to find an appropriate deadline.  
    • Regarding authorship, in most cases the fellow will be the first author, Dr. Thomas will be the middle author, and Dr. Mangurian will be the senior author.
  • Final fellowship oral presentation (30 min for each fellow, presentation + discussion)
    • This presentation is very informal
    • Provide a brief overview of main findings
    • Discussion of impact on clinic and response of various audiences to results
    • Implications for services at the clinic (including ideas for future fellow research projects)
    • Pearls of wisdom on how to utilize an AHP intern


Resources

The CLE website had several documents to help you with your project, including but not limited to: 1) a menu of project ideas; 2) prior CHR proposals; 3) prior drafts of PPF publications, 4) prior APA posters; 5) computer issues (MyAccess/MyResearch/VPN, PubMed, HIPPA, REDCap); and 6) guide to working with RAs.

 

Time Line

Ideally, the following time-line should frame your projects over the course of the year:

Month

Study Aspect

Specific Deadline

July

Get to know your clinic

 

August

Work on logic model

 

September

Brainstorm ideas and conduct literature review

Logic model (9/3)

October

Finalize study idea and draft CHR if necessary

Literature review (10/8)

November

Create data collection forms & draft APA poster proposal

CHR completed if necessary (11/21)

December

Finalize data collection forms

Submit poster abstract (~12/1); Data collection tool (12/10)

January

Data collection

Begin data collection (1/7)

February

Data collection

Complete data collection (end of Feb)

March

Data analysis & prepare APA poster

Start data analysis (3/4)

April

Finalize APA poster

Draft of poster (4/1); final poster (4/29)

May

Presentation at the APA

Draft Executive Summary & GR presentation (~5/13)

June

Presentation at meetings and working on publication

Draft publication (6/17)