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Department of Pediatrics

Health Services and Quality of Care Research Fellowship

Since July 2009, the UW Department of Pediatrics and Seattle Children’s Hospital has offered a two-year postdoctoral Health Services and Quality of Care Research Fellowship. Through this fellowship, fellows learn state-of-the art health services and quality improvement research methodologies with close mentorship from outstanding, experienced faculty in the Department of Pediatrics, Seattle Children’s Hospital and Seattle Children’s Research Institute. The fellowship includes required course work in the UW School of Public Health and Community Medicine and fellows have the opportunity to earn a Master of Science in Health Services. Up to 20% of the fellow’s time will be spent in clinical work (either inpatient or outpatient, depending on fellow’s interest); the remaining time will be dedicated to mentored research and coursework. The fellowship is funded by the Center for Quality and Patient Safety at Seattle Children’s Hospital. Support includes stipend, research support, tuition, benefits, travel, and administrative support.

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Curriculum

  • Fellows engage in mentored research activities. Each fellow is expected to complete at least two research projects within two years. The fellow will meet with one of the two fellowship directors (Drs. Lion and Desai) routinely throughout their training. The fellowship director will also help the fellow identify other possible mentors with compatible interests early in the first year of the fellowship, selecting from faculty in all Divisions of the Department of Pediatrics. The fellowship director and chosen mentors assist fellows with the selection of research projects to complete during their training.
  • Fellows are expected to independently complete a series of QI Research Methods readings on eight different QI research topics supplied in a syllabus at the beginning of their training. Topics include QI research methods such as interrupted time series analysis, cost-effective analysis, and stepped wedge designs. These articles are discussed with one of the fellowship directors early in their training to help orient them to methods they might utilize for their research projects.
  • Fellows present their scholarly progress at “Works-In-Progress” seminars ~2-3 times a year.
  • Fellows participate in training activities with other pediatric fellows in the Department of Pediatrics who have a clinical and/or health services research focus.
  • Fellows enroll in the MS or MPH program at the UW School of Public Health and Community Medicine. The MS/MPH program ensures that they receive excellent training in the basic methods of health services research, with a focus on biostatistics, epidemiology and research study design. They also have opportunities to immerse themselves in specialized fields of study as these pertain to their research interests, such as health policy, health economics, prevention science and qualitative methods. All interested applicants should simultaneously apply to the School of Public Health if interested in this fellowship. For more information see: http://sph.washington.edu/prospective/.
  • Ongoing regular evaluation of fellow progress is accomplished through learning contracts. Fellows draft learning contracts and revise them quarterly, as a means of setting goals and objectives and tracking their progress. Each fellow has a Scholarship Oversight Committee made up of 2-3 faculty mentors in addition to their assigned fellowship director. This committee will assess their progress, provide advice on coursework and projects, and assist with future career planning.
  • Fellows participate in research seminars hosted by the Seattle Children’s Research Institute, as appropriate.
  • Fellows have office space at the Seattle Children’s Research Institute in order to be co-located with other junior faculty and in close proximity to other senior health services research mentors.
  • Fellows are required to attend the annual Academic Pediatric Association sponsored QI Research Methods Conference the day prior to the Pediatric Academic Societies Meeting each year of fellowship. Travel costs are covered by the fellowship program.

Core Training Sites

Seattle Children's Research Institute (SCRI)

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Seattle Children's Research Institute (SCRI)

As one of the nation's top five pediatric research centers, Seattle Children's Research Institute is dedicated to making breakthrough discoveries that help prevent, treat and cure childhood disease. SCRI has more than 350 investigators researching hundreds of diseases and disorders, and nearly $53 million in federal research funding for the 2010 fiscal year. The research institute is organized into nine centers, each one specializing in areas that include immunotherapy, tissue and immune transplantation, outcomes research, clinical and translational research, and child health and behavior. Researchers in the centers work in close collaboration with one another, their colleagues at partner institutions including the University of Washington and Fred Hutchinson Cancer Research Center, and with our health care providers at Seattle Children's Hospital. This collaboration is one of our key strengths, allowing our faculty to draw on a variety of disciplines and techniques as they pursue solutions to some of medicine's most complex problems.

Seattle Children's Hospital & Adolescent Medicine Clinic at Springbrook

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Seattle Children's Hospital

Seattle Children's Hospital is both a community hospital for greater Seattle and the pediatric referral center for the Northwest providing excellent pediatric care to meet the medical, surgical and developmental needs of children in the WWAMI region. Serving as the main clinical training site for pediatric residents, this 420-bed hospital is conveniently located one and one-half miles from the University of Washington campus in an attractive, residential neighborhood of Seattle. The staff consists of University faculty and Seattle Children's full-time physicians, as well as private practicing physicians from the Seattle area.

Other sites include Seattle Children’s Research Institute, Harborview Medical Center, the Fred Hutchinson Cancer Research Center, and the University of Washington Medical Center.

University of Washington, School of Public Health

The UW School of Public Health is grounded in teaching, research, and service.  Our 10,000 graduates have gone on to transform communities, lead health organizations, and find solutions to emerging public health challenges.

Our major departments are Biostatistics, Environmental and Occupational Health Sciences, Epidemiology, Global Health, and Health Services.

Fellowship Co-Director

Casey Lion, MD, MPH

Program Co-Director Assistant Professor

Fellowship Co-Director

Arti Desai, MD, MSPH

Program Co-Director Assistant Professor

Faculty

Tumaini Coker, MD, MBA

Associate Professor

Arti Desai, MD, MSPH

Program Co-Director Assistant Professor

Casey Lion, MD, MPH

Program Co-Director Assistant Professor

Douglas J. Opel, MD, MPH

Associate Professor of Pediatrics Adjunct Assistant Professor of Bioethics and Humanities

Frederick P Rivara, MD, MPH

Professor, Division of General Pediatrics and Hospital Medicine Vice Chair, Academic Affairs

Paul Sharek, MD, MPH

Clinical Professor

Fellows and Alumni

Current Fellows

Anisha Srinivasan, MD

Anisha Srinivasan, MD
1st Year Fellow

Anisha Srinivasan completed her bachelor’s degree at Stanford University and medical degree at University of Vermont. She moved to Seattle for her General Pediatrics Training at University of Washington and Seattle Children’s Hospital. She is currently continuing her clinical training as a fellow in the division of Developmental-Behavioral Pediatrics. She joins the Health Services and Quality of Care Research Fellowship to learn skills to understand factors at the intersection of systemic racism and ableism that influence health services, with the goal of developing interventions to improve care delivery to children of color with disabilities.

Kathleen Bonsmith

Kathleen Bonsmith, MD, MIPH, MS
2nd Year Fellow

Kathleen Bonsmith completed her Bachelor’s degree at Washington State University and attended the University of California, Davis for her Master’s degree. She also attended the University of Sydney, Australia for her Masters of International Public Health degree. She completed her Medical degree at the University of Washington and stayed in Seattle for her General Pediatrics training at the University of Washington and Seattle Children’s Hospital. During her residency she developed an interest in hospitalist medicine and ways to standardize and optimize clinical care. She joins the Health Services and Quality of Care Research Fellowship to gain the research skills needed to investigate the utilization and impact of digital technology on point-of-care clinical decision making and outcomes, with the goal of improving access to evidence based medicine for children both in the US and abroad.

Bibliography

Alumni

Casey Lion, MD, MPH
2011-2013

Casey Lion is an assistant professor of pediatrics in the division of general pediatrics at the University of Washington School of Medicine. She is an NIH-funded researcher focusing on improving the quality of health care for children from low income, minority, and limited English proficient families, with a current emphasis on communication between providers and families. Her methodological expertise relates to rigorous evaluation of quality improvement interventions.

Dr. Lion's undergraduate degree was in English from Princeton University, and she attended medical school at the University of California, San Francisco. Her interest in health care disparities and improving health care for children in lower resource settings prompted her to pursue a Master in Public Health degree at the University of California, Berkeley. She completed her residency training in pediatrics in 2010 and her quality of care research fellowship in 2013, both at the University of Washington and Seattle Children’s Hospital and Research Institute. In addition to her research, she also precepts pediatric residents in continuity clinic, the newborn nursery, and on the general pediatric inpatient service.

Bibliography

Arti D. Desai, MD, MSPH
2012-2014

Arti Desai completed her undergraduate degree at the University of Michigan and her medical degree at Wayne State University School of Medicine. She went on to complete her residency training in Pediatrics at Stanford University/Lucile Packard Children’s Hospital. After 3 years of practicing hospital medicine in San Francisco, Dr. Desai decided to pursue a research career and completed the Health Services and Quality of Care Research Fellowship at the University of Washington, earning a Master of Science degree in Public Health (health services focus).

Her initial research examined pediatric health-related quality of life outcomes in hospitalized patients. She has also been involved in the development and validation of numerous quality measures related to assessing the quality of hospital-to-home transitions from the family perspective. She was awarded an APA Young Investigator Award for this work. Dr. Desai’s current research focuses on leveraging innovative health information technology to improve care coordination outcomes for children with medical complexity, with a focus on shared care plans. She was awarded an AHRQ-funded K08 Patient-Centered Outcomes Research (PCOR) Mentored Clinical Investigator Award and a Pediatric Early Research Career (PERC) award from the Seattle Children’s Research Institute to pursue this research. Dr. Desai enjoys mentoring other faculty and students in qualitative research and applying human-centered design principles to health services research.

Bibliography

Faisal Mailik, MD, MSHS
2013-2016

Faisal Malik earned his bachelor’s degree at the University of Virginia and his medical degree from Albany Medical College. He completed his pediatric residency and fellowship in pediatric endocrinology at the University of Washington and Seattle Children’s Hospital.

Dr. Malik joined the quality of care research fellowship with a strong interest in improving processes, healthcare outcomes, and patient health outcomes in both the inpatient and outpatient management of diabetes in childhood and adolescence. As a pediatric endocrinology fellow he examined patient characteristics associated with frequent hospital admissions for diabetic ketoacidosis (DKA) in children with type 1 diabetes and highlighted the vast differences in readmission outcomes and how hospitals use resources for children hospitalized for DKA in the United States. Dr. Malik also led an innovative home- and community-based intervention called the Diabetes Community Care Ambassador Program aimed at increasing patient and family involvement in the day-to-day diabetes care of youth in order to improve self-care behaviors and glycemic control.

Dr. Malik served a three-year term as the elected Chair of the American Academy of Pediatrics Section on Medical Students, Residents, and Fellowship Trainees (SOMSRFT). In that position, he developed and implemented a new strategic plan for the Section and successfully established a permanent SOMSRFT trainee feature in the journal of Pediatrics.

Bibliography

Carolyn C. Foster, MD, MSHS


2015-2017

Carolyn Foster completed her medical degree at Harvard Medical School in Boston, Massachusetts after completion of undergraduate studies in biology at Columbia University in New York. Her medical school thesis focused on the characterization and ideal treatment for children with vascular limb anomalies. She additionally studied the care experience of children with craniofacial anomalies. She received her pediatric residency training at the University of Washington and Seattle Children’s Hospital followed by a year as chief resident. During residency, she received a APA Young Investigator Award to study the hospital-to-home transition of care for children with medical complexity. She joined the Health Services and Quality of Care Research Fellowship with an interest in studying what constitutes high quality patient-centered care for children with medical complexity and how this care paradigm can be aligned with current and future delivery systems to optimize value for patients and their families. Dr. Foster is currently an Assistant Professor of Pediatrics in the Division of Academic General Pediatrics and Primary Care at the Feinberg School of Medicine and Ann & Robert Lurie Children's Hospital of Chicago.

Bibliography

Mersine Bryan, MD, MPH
2016-2018

Mersine Bryan completed her bachelor’s degree at Indiana University and her medical degree from Johns Hopkins University School of Medicine. She received her pediatric residency training at the University of Washington and Seattle Children’s Hospital. After residency, she practiced as a hospitalist and urgent care physician at Seattle Children’s Hospital. Based on her clinical experience, she became interested in the quality of care for general pediatric illness that transition across the spectrum of care, from outpatient to inpatient. Dr. Bryan completed General Academic Pediatric Fellowship funded by the National Service Research Award (NRSA) and earned her Masters of Public Health in Health Services at the University of Washington. During her NRSA fellowship, she developed an additional interest in the quality of health information online and how pediatricians can expand their sphere of influence to provide high quality health information to families. She received the Academic Pediatric Association Young Investigator Award to pursue a project to understand how parents and adolescents access health information online. Through the Health Services and Quality of Care Research Fellowship, Dr. Bryan continued to conduct research aimed at maximizing the quality of care for general pediatric illnesses and how to effectively convey this information to families across different modalities. Dr. Bryan is currently an Assistant Professor of Pediatrics in the Division of Hospital Medicine and General Pediatrics at the University of Washington School of Medicine and Seattle Children’s Hospital.

Bibliography

Sarah Connell, MD, MSHS
2017-2019

Sarah Connell completed her bachelor’s degree at Wesleyan University and her medical degree at Virginia Commonwealth University School of Medicine. She trained in Pediatrics at the University of Washington and Seattle Children’s Hospital and was awarded the Abraham B. Bergman Prize at Harborview Medical Center for her exemplary care and dedication to children’s advocacy. After completing her residency, she worked for two years as an outpatient pediatrician for Public Health — Seattle and King County. During her residency, she developed a strong interest in the effect of Adverse Childhood Experiences (ACEs) on subsequent child development. She joined the Health Services and Quality of Care Research Fellowship to learn how to conduct intervention research. In particular, she studied how to assure that evidence-based solutions are implemented effectively and in ways that will have the greatest impact on mental health outcomes for vulnerable children.

Bibliography

Talya Miller

Talya Miller, MD, MSPH
2018-2020

Talya Miller completed her bachelor’s degree and medical degree at the University of Arizona. She then moved to Seattle for her General Pediatrics training at the University of Washington and Seattle Children’s Hospital. She is currently continuing her clinical training at University of Washington and Seattle Children’s Hospital in the division of Pediatric Gastroenterology. She joins the Health Services and Quality of Care Research Fellowship to gain skills to conduct research in understanding access, quality, and outcomes of pediatric care within gastroenterology, with the goal of developing new methods and tools to translate these research findings into healthcare practice and policy. 

Bibliography

 

How to Apply

Eligibility:

Outstanding pediatricians with a strong interest in developing skills related to health services and quality of care research. Eligible applicants must have completed an accredited 3-year pediatric residency program in the United States. Eligible applicants must be either board-eligible or board-certified in pediatrics. Applicants considering a pediatric sub-specialty fellowship are welcome to apply. Women and individuals from underrepresented groups are encouraged to apply. We will accommodate applicants with visas if the applicant meets the other eligibility criteria noted above.

Application Process:

 Potential applicants should send an email of inquiry to the fellowship directors (Drs. Casey Lion and Arti Desai): casey.lion@seattlechildrens.org AND arti.desai@seattlechildrens.org.

For your application, please send the following materials electronically to Lynn Doolittle, Fellowship Program Administrator:(Lynn.Doolittle@seattlechildrens.org):

  • Your CV
  • A two-page personal statement (including research objectives)
  • A half page diversity statement that describes how the work you plan to do will contribute to the mission statement below. "At the University of Washington, diversity is integral to excellence. We value and honor diverse experiences and perspectives, strive to create welcoming and respectful learning environments, and promote access, opportunity and justice for all."
  • Three letters of recommendation
  • Candidates concurrently pursuing a subspecialty fellowship (excluding Pediatric Hospital Medicine): A letter of commitment from the Seattle Children’s division chief of your subspecialty that states that your clinical responsibilities will not exceed 20% FTE and you will have 80% protected time for research activities and coursework during the 2-year period of the HSQOC fellowship.
  • All applicants interested in receiving a concurrent Master’s Degree should simultaneously apply to the UW School of Public Health. For more information, see http://sph.washington.edu/prospective/. Applications for the UW School of Public Health are due December 1st, 2020. Please contact the fellowship directors in advance to discuss the appropriate program to apply to within the UW School of Public Health.

Please note: All interviews for the 2020 application season will occur virtually using web conferencing software.

Application Timeline:

July 1st, 2020

     Application cycle is open (for a July 1st, 2021 fellowship start date)

Sept 18th, 2020

     Applications due

Sept 28th – Nov 6th, 2020

     Applicants invited for interviews

Nov 16th – Nov 30th, 2020

     Applicants will be notified of acceptance

Dec 1st, 2020

     Application for the UW School of Public Health is due

July 1st, 2021

     Fellowship start date