ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAF
1
Faculty NameCollaboratorsProject NameInterventionDate Awarded6-MoCheck In12-MoCheck In18-MoCheck In24-MoCheck InFunds AnticipatedFunds DispersedTime RequestedProject Outcomes (Anticipated)Project Outcomes (Actual)Scholarly Products (Anticipated)Scholarly Products (Actual)Present at Fac MtgOther notes
2
Dino Messina Anar Kansara (med student)From Literacy to Confidence: A Provider-Mediated Approach to Empowering Patients Towards Better OutcomesQI project at CPC to assess and improve how MDs support patient understanding and health confidence; phase 1 is pt and MD surveys, phase 2 is intervention design and delivery (training session), and phase 3 is re-survey of pts and MDsJuly 1, 2025Jan 1, 2026July 1, 2026January 1, 2027July 1, 2027$2215 total
$400 in pt and MD survey incentive (raffle)
$750 in pt and MD interview incentives (gift card)
$150 for training materials
$360 for 3 refurbished iPads for data collection
$420 for travel expenses for researchers		tbd1. Pt and MD participation in surveys and interviews
2. MD participation in trainings and improved awareness and use of strategies post-training
3. Higher pt health confidence scores if MD underwent training
4. Improved communication and trust in encounter		Conference abstract and manuscript, possibly developing the training into a curriculum for students/housestaffAsked about target survey and interview numbers in first and third phases, asked about timeline since it seemed tight
3
Jessica MurphyHussain Khawaja
Melissa McNeil		Preparing early graduates for careers in academic medicine: the role of the Clinician Educator TrackMulti-institution survey comparing CET grads with non-CET grads, looking for any differences in self-assessment of their own readiness for teaching roles, including feedback, learner evals, small and large group didactics, clinical teaching, and curricula development, among other topics (likely Brown, BU, and Pitt)April 1, 2025Oct 1, 20251) How are you doing with your project?
2) What's the very next step?
3) What help do you need to keep things moving forward? 		April 1, 2026October 1, 2026April 1, 2027$2460 - $10 incentive for survey completionnot sureIncorporate findings into CET at Brown for program improvement, can be used by other medical educators to advocate for CET at their institutionsManuscriptRecommended that they consider adding a group of grads who did not have a CET at their program so could make sure not just comparing people who opted to do a CET vs those that opted not to
4
Edelva WilliamsIT/Epic, interpreter, pilot testersSimplifying post-visit communication with standardized, multilingual, after-visit instructions in resident clinicDevelop and implement standardized after-visit instructions to supplement the AVS, will be bullet-point format with visual aids, personalized for each patient, translated into several of the most common languages, and provide guidance on labs, test, med changes, referrals, and other instructionsApril 1, 2025Oct 1, 20251) How are you doing with your project?
2) What's the very next step?
3) What help do you need to keep things moving forward? 		April 1, 2026Oct 1, 2026April 1, 2027$800 translation
$300 pilot tester incentives
$300 staff training/food
$300 materials		not sureAfter pilot testing and refinement, plan to implement at the CPC in several languages, can expand to chronic disease phrases or subspecialty sitesconference abstractRecommended adding in outcome of proportion of visits with ANY patient instructions included, stratifying by patient language
5
Mariah StumpSandra Musial MD, Bryce Perler, Residents: Kaavya Mandi, Charmi Trivedi, Maria Vromans, Sam Bales Food is Medicine: Culinary and Lifestyle Medicine Series
Longitudinal culinary and lifestyle medicine initiative with once monthly evening sessions open to all residents involving both a didactic and experiential portion using a teaching kitchen (in-person with zoom option)Oct 1, 2024 (really Jan 1, 2025)Sent Jul 31, 20251) How are you doing with your project?
The project has been going well - we have most of the project laid out, now we are starting to implement the curriculum. We submitted the project to the IRB two weeks ago and it is pending approval. We had submitted in June but needed to work on several revisions so this is our second submission. We did meet with the IRB team to go over their suggestions to the IRB application. We have gained a lot of resident interest in participating in the longitudinal curriculum, which the first didactic was on August 13th. Additionally, we have secured dates for the in-person cooking sessions that will start next month at the BUH Community Health Institute.
2) What's the very next step?
Awaiting IRB approval so we can start distributing surveys to the resident as part of the research aspect of the project. The survey questions will be pre and post didactic sessions and will focus on the resident's comfort and knowledge with the didactic material. The first didactic session is scheduled for Wednesday, August 19 and will be an introduction to plant-based nutrition.
3) What help do you need to keep things moving forward? (You can respond in your own words here or use the checklist at the end of the email)
We were hoping for expedited IRB approval as we were hoping to distribute the pre-curriculum survey before the first session that was this week. Since this didn't happen we will need to meet with the IRB team to discuss how to report that these surveys will be not including the initial session given that we didn't receive IRB survey approval until after the first session.
Jan 1, 2026Jul 1, 2026Jan 1, 2027Food/ingredients to incentivize residents to participate in these sessions
$10-15 per student signed up for each culinary medicine session x 6 sessions

Honorarium for Dr Musial’s time helping to coordinate the live cooking classes.

n/aPre and post test assessing key concepts addressed during our interactive sessions and surveying residents’ comfort in giving nutrition advice to their own patient panel, and whether they would recommend the course to other residents.New curriculum/track within the residency program, conference workshop, SGIM poster or publication (how to implement culinary and lifestyle medicine curriculum into a residency program)
request for clarification prior to funding:
1. When during the year would the grant-funded sessions occur? Would they be part of the overall residency curriculum? Part of a block curriculum? Part of an elective month? A series of evenings? How many sessions do you anticipate (approximately)?
2. Will the grant-funded sessions all be pre-recorded or will they be live sessions or a combination? Can you lay out what the program would look like (week 1, week 2, etc with anticipated content)? Or is it the same content provided on several occasions for different groups of participants?
3. Please add any residents who are helping with this project to the “Collaborators” section of the application.
4. For the assessment piece, you might consider shifting your survey questions from residents’ own nutrition habits to something more related to residents’ comfort giving nutrition advice to patients, or something related to knowledge, skills, and attitude toward giving nutrition advice, or whether they would recommend your sessions to other residents. In other words, we would advise thinking about what survey results would provide the most compelling evidence to make your case for a resident track or elective or insertion of new curricular material, etc.
5. For the scholarly product, would also recommend considering an abstract/poster for the AMS Educational Symposium and/or the Department of Medicine Research Day.
6
Steph Catanesechief residentsRevitalize and Renew: A Resident Wellness RetreatOne-afternoon wellness retreat for PGY-2 residentsJuly 1, 2024Sent Jan 15, 20251) How are you doing with your project? Sadly, I have been asked to put this project on the back burner for the moment. Given the feedback from the research in progress meeting and the busyness of planning for X+Y related changes, Rachel has suggested that we begin with a needs assessment of the residents before planning any sort of "retreat".
2) What's the very next step? I plan to put together a questionnaire to survey the residents this spring as to what they think would be most helpful should we put on a wellness retreat. My hope is to incorporate as many of their suggestions into the retreat planning process as possible. I anticipate the content will look different but a good portion of the project (and proposal) will largely be the same!
3) What help do you need to keep things moving forward? I suspect I will need some help with 1) preparing a questionnaire for the residents and then 2) analysis of those responses. I think some accountability would be great to ensure I am regaining momentum with this project as I still feel excited about it and think it will be very meaningful.

July 1, 2025On hold indefinitely due to inability to provide this type of programming until resident contract negotiations are completeJanuary 1, 2026July 1, 20261. Coverage by fellows or attendings for 3-4 hours ($1500)
2. Off-campus venue ($1000)
3. Food, approximately 50 lunches ($400)
*hoping to get additional stipend from residency wellness funds		* Pre- and post- retreat survey to assess knowledge and perceptions of the program’s investment in resident well-being
* GME/ACGME survey results for the 2026 calendar year
* Measurement of ACGME milestone PROF-4
Goals are to assess resident knowledge of existing wellness resources and provide education on what’s available, to generate resident-driven ideas about how to improve wellness with in-retreat working groups, and to provide some social time		MedEd portal publication, a workshop, and/or a poster depending on the data we collect1. Might co-plan the retreat with a resident or two (in addition to the chiefs)?
2. Might be worth asking Rachel whether the residency program would cover some of the retreat expenses?
3. Might consider presenting some aspect of your project to the Scholarship in Progress group?
7
Katie KozackaAnthony Reginato and other rheum faculty and staff, Missy McNeilMusculoskeletal Ultrasound in Resident ClinicTrain DGIM faculty to use POCUS for knee and shoulder via 2 four-hour sessions, followed by resident sessions - co-taught by rheum folks January 1, 2024July 1, 20241) How are you doing with your project? things are going well, we had the two sessions though the turn out for the second ultrasound session was very low only two people compared with the first which was a full group. Handheld Ultrasound is finally coming to the Fain at the end of the summer so can be better integrated into teaching (from my end of things)
2) What's the very next step? I’m working on getting a survey out for now. I’m debating doing yet another session for the people who could not attend the shoulder. I think I’ll put that in the survey to gauge interest
3) What help do you need to keep things moving forward? i was thinking redcap was the best option for survey but I haven’t used it before. I’m working on log in a little confused how to get it started I’m going to call them tomorrow. If there is a less formal platform that is appropriate for this setting I can use that I just need some advice!! 		Sent Jan 15, 20251) How are you doing with your project? I did present a poster summary of our msk US course at the regional SGIM in the fall.
2) What's the very next step? Feel it wrapped up for now.
3) What help do you need to keep things moving forward? . For long term application of this course, folks really need to have US available in clinic. I felt that the inability to practice and use the skills daily made it difficult to have folks feel like they can teach residents the information or use it for teaching tools. 		June 1, 2025DONEJanuary 1, 2026DONE$1000
-coffee/breakfast
-standardized patients ($100 each/session)		noneUse of POCUS in clinics 6 mos after faculty sessions and 6 mos after resident sessions
Pre/post survey data 		Abstract presented at a conference
This curriculum integrated into rest of POCUS curriculum		sent email to askPrior to funding, could you please reply to the following items:
1) Consider adding money into your budget for abstract submission fees "I think abstract submission fees could be included in that 1000, I am getting the more detailed breakdown from Tony for the standardized patients. But I also think funding for food can be flexible as well. "
2) Describe any plans for maintaining faculty skills after the initial sessions and any anticipated QA (e.g., review of faculty-obtained images) "I would be willing to gather the faculty again 6 months after the sessions to review their scanning on one another. So this would be a good way as a group to follow up what we learned and see if they can still scan as instructed. It would be informative as well. There would be access to Dr. Reginato (have to confirm details with him, setting up another meeting) to look at images. And myself (though I am not expert). I think I would recommend we make a group image file or chat to direct questions and I could use my resources in the rheum department to get help with scans."
3) Describe any strategies for getting each resident/faculty to consistently log each use of the machine – we think the metric of how often POCUS is actually being used may be your most important outcome (e.g., a log zip-tied to the machine, index cards with a drop box, billing claims, etc) "3. I like index cards with drop box at CPC and FAIN. The US is a handheld, so maybe in order to sign it out you have to fill out an index card. Mindy has control over it at CPC right now and I will have the one in the fain. I don't think billing claims will catch enough of them. "
8
Ibrahim Abubeker and Meghan GearyVarious community orgsRamadan and Health1. Pre-clinic conference for residents that includes an overview of Ramadan and guidelines for managing DM during Ramadan
2. Community outreach and health fair, including collaborating with other physicians and health professionals, to offer health screenings, advice, nutritional counseling, etc at Dorcas and RI Islamic Center		January 1, 2024July 1, 20241. How are you doing with your project? The project for Ramadan and health is completed for this year! It was so exciting to have it expand to very motivated and organized Muslim medical students who recruited MDs outside of IM to join as well. The Lifespan Community Health Insititute was also very helpful with RNs for screenings separated by gender. Having it on a Friday after services was likely helpful for the community as well. Every time I mentioned Ramadan with a pt at CPC it built rapport and beyond diabetes, thyroid medications, pts choosing if they wanted to get blood drawn or not during Ramadan, discussions of needing to eat more than a few french fries in a day (a pt who felt vasovagal), pts missing having days off to celebrate in their home countries. I also think this is continuing resident community engagement. Namely, Yasmeen, Temi, Akbar. In sum, this year seemed to build local capacity to hopefully continue annually.
2. What's the very next step? Next step: working on writing this up in some small way.
3. What help do you need to keep things moving forward? Consider inviting Ibrahim back to talk about this project in the future. Perhaps there could be a cross-institutional collaboration.
January 1, 2025DONEJune 1, 2025DONEJanuary 1, 2026DONE$1,500 - 2,500 for 75-100 meal boxes, flyers, toys, lunch for Dorcas event, conference materialsfrom IA's email: "I have attached the Invoice from our Event.
The star grant was 1,600 USD; however, we used only 1,350 USD."
unknownPre/post clinic conference surveys to assess knowledge among residents
Community feedback following health fairs		preclinic conference delivered, community health fairs held, not sure what data we have outside of preclinic conf eval scores and number of attendess at health fairsIncorporation of preclinic conference into curriculum
Presentation of abstract at national or refugee health conferences		n/aPrior to funding, could you please revise the application as follows:
1) If the pre-clinic conference slides are already created, which we recall might be the case, we would recommend removing that as a focus of the grant (along with the pre/post surveys). You could still include a sentence indicating that the pre-clinic conference is another component of the overall effort. If – on the other hand – there is something new to that piece, please let us know and it’s fine to keep it in as is. -->still a component but not newly created
2) Please provide a little more detail on the estimated budget. "Meal Boxes: 25 boxes at $10 each, totaling $250.
Lunch for the Event: This will cater to community participants, physicians, community health workers, Brown Medical students, and volunteers. The estimated cost is $1,300. Color Printing: The estimated cost for printing materials is $50. Total Budget Requested: $1,600."
3) Please describe what is meant by health fair “community feedback” and how you anticipate obtaining that information from participants. This feels like a key outcome of the project. "We are committed to engaging with our community and will collect feedback through interviews with community members and event participants. This will help us assess the impact of our project and guide future improvements."
9
Hussain KhawajaResidents Jennifer Li, Jasneet Singh, Henri WathieuEscalation of Care Curriculum45-minute sessions held during intern conference, progressing in difficulty over the year, uses guided learning through a combination of lectures and simulations, would like to more effectively incorporate nursing staffOct 1, 2023Sent instead July 1, 2024 bc delay in starting due to nurse reimbursement issues1. How are you doing with your project? Doing good with the project. Ended the year with doing a final escalation of care session as part of the intern to resident retreat.
2. What's the very next step? Next step is to plan sessions for the new academic year. Hoping for 3 sessions in the fall and 2 in spring. Jasneet and Henri will stay on and we will see if we can recruit someone from the current PGY2 or 3 class or one of the chiefs might be interested.
We also have been thinking about streamlining this material and want to see if this could be worthy of submission to the med ed portal
3. What help do you need to keep things moving forward? Nothing that I can think of right now
Sent Jan 15, 20251. Project through the STAR grant is at a halt. It has been quite challenging to get RNs together for training sessions (the reason for which I had requested the STAR grant money).
Therefore, I am quite lost and not sure how to proceed next.
2. N/A
3. N/A

----
decided to close out the grant based on the RN recruitment challenges noted above		July 1, 2025$100 per education session for nurse compensation, 25 total sessions over the year = $2500$300 for a dinner during training session, gift cards for nurses at prep sessionsIncreased comfort and confidence in escalation of care pre vs post and across the year, realtime feedback from moderators and nursingSubmit abstract to conference
Submit of curriculum to med ed forums
Integration of curriculum in subsequent years		n/aPrior to funding, could you please revise the application as follows:
1) Narrow the topic of the grant to focus on the integration of nurses into the existing curriculum. This can manifest as a re-wording of the title and a shift of verbiage in different sections to emphasize the nursing integration piece, instead of the curriculum as a whole. You might also include the challenges with including nurses in the inaugural year of the curriculum as part of the rationale. DONE
2) For the budget, please remove money for food. Intern conferences already have food provided, and with 25 sessions, you’ll need all the money for nurse honoraria. DONE
3) Please confirm that you or the residents have discussed this plan with potential nurse participants and that the nurses feel that the $100 would be the right amount to encourage participation. Please also confirm that if they do participate during a nursing shift that it is okay to pay them on top of what they are already receiving from the hospital. IN PROGRESS
4) Can you include a little more about how you envision the nurse training course and if it would it include how to give feedback. DONE
5) Finally, please flesh out a bit how you will know that including nurses, specifically, made a difference in the effectiveness of the curriculum (vs residents playing a nurse). For example, perhaps a question related to this can be included in the intern survey. And/or the nurses can do a post-session survey on the curriculum and the interns, in addition to the real-time feedback offered during the session. DONE

You may also consider presenting some aspect of your project to the Scholarship in Progress group.
10
Meghan GearyMaddie Ward, rheum faculty, Suzanne McLaughlinMoving Out of the Kid’s Rheum: Transferring Pediatric Patients to Adult Practices in Rhode IslandCreate and pilot with 5-10 patients a standardized transition from peds to adult rhuem. Series of visits to prep, packet, appt coordination, co-visit with peds and adult rheum MDs.on holdn/an/aDGIM faculty not key part of the work, could clarify role and re-submit. Separately, could consider talking with CF clinic about their process, double check printing costs, incentivize survey completion for patients (instead of visit), for adult rheum would consider providing incentive for joining visit since during admin time.
11
Mindy SobotaZain Alfanek
Manasa Srivillibhuthur 		ReproGen: Transforming a women’s health clinic into an inclusive reproductive & gender health clinic1) Begin offering gender-affirming medical care in re-designed CPC clinic, 2) will see existing patients and recruit new patients from community sites who need primary care, 3) additional training via gender-health conference attendanceApr 1, 2023Oct 1, 20231) How are you doing with your project?
Launched Repro Gender clinic 7/1:
     -Held 2 education sessions for staff: found receptive, the information was very new to most. Wonder whether we should hold another?
     -Decorated the clinic for Pride month and have received positive feedback from patients
     -Communications: with practice manager, patient access manager, staff, patients (poster in clinic), DGIM (meeting) and residents (Clinic Update)
     -Updated our office visit template to use/incorporate gender-affirming language
     -Patient care: for the first month, had very few patients booked (despite our efforts, seems that staff didn't understand that they could continue to book what we've seen before, with ADDITION of gender affirming care). Now we are often fully booked! Some patients cancel or no show, as expected, but nothing out of the ordinary for pap visits. Most of our patients continue to be booked for cervical cancer screening and I think we are doing a beautiful job of delivering trauma informed care with this exam (E.g. we ditched the stirrups for most exams, improved our communication and exam skills). I have been tracking patients I started to track patients and I'd say 50% have been seen for issues in addition to cervical ca screening E.g. AUB, contraception, menopause symptoms, typically these come up in our ROS.

The proportion of patients seeking gender affirming care is small (3 patients so far, 1 this week) but we have learned a lot as we go. We got signed up for an attended our first statewide gender affirming care call, run by incredible people at Hasbro. We have connected individually with a few people in that group - E.g. Kirsten Foskett (now at WMC). We have also seen a man for hypogonadism and that work up was educational and helpful for the patients given Men's health clinic ?closing.

2) What's the very next step?
Ask Manasa & Zain whether they have time to distribute our business cards to referral sources for gender affirming care (Plan A - but hasn't happened) or whether we should just email/mail them (Plan B).
Reach out to 3-4 more people for CAB idea - I think I found 2 people.
Start prepping our SGIM abstract by (1) updating tracking sheet in easier way to read (2) assign tasks to Manasa & Zain for writing and (3) prep for an attend WIP meeting rescheduled for 12/8. To my embarrassment & shock, I no showed to WIP x 2. Not like me to do that. No good explanation - just a few too many balls in the air.
Lower down on the list: Update a template for Gender affirming hormonal treatment - we think this would be helpful to other residents/providers seeing patients.

3) What help do you need to keep things moving forward?
VERY appreciative of the precepting relief, which has been very helpful.
Accountability - this email check in is helpful! It's easy to have inbox take over my precepting relief session, I need to keep/continue to block the time.
Apr 1, 20241) How are you doing with your project?
OK overall.
Successes - we continue to have a steady supply of patients scheduled for reproductive/gender concerns and I think we are providing great care overall.
My 2 residents, Manasa and Zain, have mastered the basics (pelvic exams including challenging/trauma informed, common complaints like abnormal uterine bleeding, vaginitis, menopause and contraception including procedures) and I generally feel very confident about the care they can offer under my supervision. We did also start to offer work up and treatment for hypogonadism for cis-men, which has been rewarding. I've also regularly joined the RI quarterly GAC call. We submitted and had poster accepted to SGIM, case rejected by ACP.
Challenges - I feel like I lost some steam on becoming skilled in offering gender affirming care (GAC). We have 2-3 patients we see for GAC and did not make an effort to recruit more - our plan had been that Zain and Manasa would take our cards to a list of referral sources, but that didn't happen (unclear why - busy or not confident in our abilities?) Clinically, it's been a learning curve (E.g. didn't realize that the name imported into our template did not include the "preferred" name in EPIC, triggering a patient to be very angry with us). The guidelines themselves are on the one hand very simple but there has been some interesting nuance we've been learning, especially around estrogen prescribing E.g. perioperative and when there's a question of TIA). Never made the CAB suggested by Susan Ramsay happen.

2) What's the very next step?
Get more business cards printed
Attend 6/1 RI Trans health conference - distribute cards there
EPIC Template for GAC?
Schedule time with staff to re-train/advance training around GAC to be more confident about treatment by all staff, timed with Pride month - email office manager and social workers to request time

3) What help do you need to keep things moving forward?
Think best would be to have 2 residents for a second site (vs random residents from women's health track or block) to ensure skillful care as patients are referred to us believing they may get more skillful care than with their PCP. I believe this 2024-2025 year I will have 1 second site resident, leaving the possibility to incorporate a women's health track resident (which might be OK - would have to select with patients they see to avoid seeing someone obviously challenging b/c I don't. know how skilled the resident is)
I wonder whether I can create some pre-work to prep the residents rotating through to have them come with better skills.
Oct 1, 20241) How are you doing with your project? Repro Gender clinic is now established, and this year we have 1 continuity resident + 1 rotating resident from WH elective, WH track or GIM. We are covering some didactic topics. NOT seeing much gender affirming care because we are not reaching out to referral sources and dont' currently have a resident champion.
2) What's the very next step? Email Ob-gyn colleague and send cards for referrals
3) What help do you need to keep things moving forward? (You can respond in your own words here or use the checklist below.) Honestly, I've been busy with my inbox so this has been a low priority compared to clinical care
Apr 1, 2025DONE1) Business cards $100
2) Swag to rebrand in collaboration with Pride $250
3) SGIM abstract submission $85
4) Fenway’s Advancing Excellence in Transgender Care conf ($500/resident + $650 for attending), $2000 would include food and train fare		???1) Descriptive analysis: track # patients seen, visit dx over first 6m. This might be enough for a poster if we throw in the 2 years of women’s health data, and show the change (not pre-post, just descriptive).
2) Possible qualitative analysis: could be focus group of the 2 residents (as learners/providers) or other residents rotating through. Would NOT be patients.
1) SGIM national – abstract, category “medical innovation”
2) Potential publication as a perspective piece about transforming a women’s health clinic to something more inclusive – we did the lit search, there’s not much so hope that even a small single site pilot might be a contribution.
3/3/25No recs except consider presenting to WIP group
12
Rebekah GardnerAnne Vera Cruz
Vinnie Francis
Missy McNeil		Pilot of a comics-based orientation to bedside roundingImplement a comics-based orientation for bedside rounding on Med BJan 1, 2023Jul 1, 20231) How are you doing with your project? Overall, things are going well. The project has officially launched with the first comic books deployed this past week on the wards. The STAR Grant money is being used for survey incentives, and so far we have sent out 71 gift cards to survey respondents.
2) What's the next step? Continue getting the comic books to the faculty randomized to that group and getting the gift cards to everyone who completes a survey.
3) What help do you need to keep moving forward? Nothing at this moment.		Jan 1, 20241) How are you doing with your project? We’re officially half way through the pilot. The grant money is going toward survey incentives, and so far we have sent out 157 gift cards. We submitted an abstract for the SGIM national meeting and are waiting to hear back.
2) What's the next step? Continue to get the surveys and gift cards out to all the participants and the comic books out to the faculty randomized to the intervention group.
3) What help do you need to keep moving forward? Nothing at the moment.		Jul 1, 20241) How are you doing with your project? The intervention and data collection part of the project just closed! The grant money went toward survey incentives and has been spent in its entirety. We presented some prelim data as a poster at the med school’s education symposium and at the recent SGIM national meeting.
2) What's the next step? Now we need to clean the dataset and analyze our data.
3) What help do you need to keep moving forward? Nothing at the moment.
 Sent Jan 1, 20251) How are you doing with your project? The data are clean, and we are almost done with the analysis.
2) What's the next step? Meeting with co-authors to formulate our main findings and then writing it up for publication.
3) What help do you need to keep moving forward? This is my last update and I’m ready to close out the grant!
$2400ish = $10 incentives for survey completion x 120ish participants x 2 surveys$2500 for survey incentives ($10 per survey)none1) Show that comics-based orientation improves trainee self-efficacy related to bedside rounding
2) Show that attendings recommend the orientation		Conference abstract and publicationPresentation a Graphic Medicine Conference in Toronto Jul 2023
Submitted abstract to national SGIM meeting
13
Catherine TrimburRuth Dapaah
Lynn Bowlby		Expanding Office-Based Addiction Treatment at the Center for Primary CareExpand buprenorphine prescribing at the CPC by implementing a backbone care coordination structure to support prescribers - led by a newly hired pharmacistOct 1, 2022Apr 1, 2023

late start, send Jul 1, 2023 instead		1) How are you doing with your project?
The project is going well. The pharmacist is integrated into the recovery clinic well, and we are planning the trip for her to shadow the pharmacist in similar position in NYC. We chose to wait until she had been in the job for a while in order to allow her to get the most out of the shadowing experience.
2) What's the very next step?
Next steps are two fold-clinically, we are starting our bridge panel of patients who are stable in their OUD on buprenorphine and ready for prescribing to be transtiioned to the PCP at CPC (resident, attending, NP). The pharmacist will see patients on that bridge panel until they can get in with their PCP and stably hand over prescribing. She will also be around for troubleshooting during precepting/clinical times for additional support. Research next steps are to edit the qualitative study questions for evaluating nurse and resident comfort around prescribing. We decided that it may be difficult to maintain confidentiality in a focus group of patients, and this could be triggering for patients, especially those early in recovery.
3) What help do you need to keep things moving forward?
Would love edits on focus group questions once theyre finalized.		Oct 1, 2023

send Jan 1, 2024 instead		1) How are you doing with your project? Things are going well. Meav has been doing great and she recently started doing her own sublocade injections, so we're trying to use that to offload the nurses.
2) What's the very next step? Next steps are doing the focus group with nurses (see attached focus group questions) and bring Meav to shadow the pharmacist at Montefiore (planning for early April).
3) What help do you need to keep things moving forward? Would love feedback on focus group questions.
April 1, 20241) How are you doing with your project? Project continues to go well. Meav is increasing her numbers, and seeing patients independently now. We've also expanded our prescribing to include brixadi, which is an additional XR bupe that has more dosing ranges, so can be a quicker start for folks and is less painful.
2) What's the very next step? Present focus group questions to research cluster.
3) What help do you need to keep things moving forward? Just a periodic reminder 🙂
Oct 1, 2024

sent Nov 19, 2024 (death in the family)		The expansion of OBAT is still going well! Answers to specific questions below:
1) How are you doing with your project? Well, we've got a fully established flow with pharmacist fully engaged with Recovery Clinic, seeing patients on her own, providing expanded long acting bupe injections to offload nurses.
2) What's the very next step? Two things-1: protocolize primary care engagement of patients who are only coming to CPC for addiction care (Meav is the lead on this); 2: we recently lost the CHW for recovery clinic, so in the process of hiring there. In the meantime, Meav is going to start joining panel management meetings to improve patient retention while we're without CHWs.
3) What help do you need to keep things moving forward? (You can respond in your own words here or use the checklist below.) Start building a tracker for folks we've helped taper off bupe using long acting injectables to publish case series along with BMC folks.
1) $250 for resident focus group (5 x $50 gift card)
2) $250 for RN focus group (5 x $50 gift card)
3) $1000 for travel to Montefiore to learn from their model (2 x $200/hotel x $250/train x $50/food)
4) $1000 for tracphones (40 x $25)		Didn't use travel money for Montefiore trip, instead sponsored working lunch between SUD staff in clinic and legal community collaboratorsCreation of backbone care coordination structure at the CPC employing a pharmacist, which will allow attendings, NPs, and residents to feel comfortable prescribing OUDCreation of a preclinic conference
Submission to NEJM Catalyst as Healthcare Innovation Feature
Abstract presentation at SGIM		Aim 1: interview, hire, train SUD pharmacist
Aim 2: create collaborative practice agreement for pharmacist
Aim 3: expance capacity for clinicians at CPC to manage SUDs
Aim 4: conduct focus groups with patients and residents to incorporate their perspectives
Aim 5: train CPC staff in harm reduction, best practices for people with OUD
------
Not able to go on field trip, instead using the remaining money to host a working lunch with the public defenders office and Meav and the vistas that work in TC/RC and the PDs office to discuss further collaboration, and advocacy for medical treatment of mental health and SUD instead of incarceration
14
Vidya GopinathTrack co-facultyIncreasing scholarship and conference attendance in the Women's Health TrackInstruct residents to keep Epic list of women's health cases
Contact in Sept to review potential cases for conference submission
Either co-author cases or confirm other faculty collaboration		on holdn/aCould expand to more structured intervention such as developing curricular content around case vignettes or other scholarship efforts, collaborating with other tracks to share existing scholarship content, creating a WIP session to promote scholarship, etc
15
Sarah FreemanIbrahim Yusuf, Syed KazmiHOCUS-POCUS: House Officer Curriculum to Understand Point of Care UltrasoundSession for PGY-2 IM residents at the Sim Center, including a didactic image interpretation portion and a hands-on image acquistion portion with standardized patientsJul 1, 2022Jan 1, 2023sent 1/3/23, reminder 2/1/23
1) How are you doing with your project?
We completed the first round of the HOCUS POCUS pilot in Oct-Nov. All of the individual components (intro lecture, all day sim center course, 6 POCUS rounds in Jane Brown and TMH wards) were well received. At the end of block wrap up session, multiple residents said HOCUS-POCUS was their favorite part of categorical block. The only "complaint" was residents wished they had received this training earlier in their residency.
We collected some REDCap data. Not all residents completed all the surveries. We were most successful at getting surveries filled out if we made residents fill them out in front of us but this wasn't possible in a few instances. I dont think we can use that data for anything besides internal QI.
Not suprisingly, residents got the most of this pilot if they participated in all of the components. One resident was sick and missed the sim center course. Since she had not participated in the sim center day, and did not do any independent studying, she was pretty lost on POCUS rounds. Additionally, residents who participated during an elective month, rather than during block, often couldn't attend POCUS rounds. These resident ended the pilot feeling much less confident in their POCUS skills.
2) What's the next step?
Next round of the pilot is scheduled for May 5th.
3) What help do you need to keep moving forward?
We just learned that our 3rd instructor, Dr. Syed Hammad Kazmi, is moving to NJ in June. He was integral to the success of HOCUS-POCUS round 1 so we are disappointed about this development. We are hopeful that Hammad will still be able to participate in the May-June pilot but he doesn't have his final schedule yet. We are brainstorming alternative instructors, such as Ruby Meran the EM ultrasound tech sonographer educator, but we would obviously have to pay her for her time. We were hoping to expand the number of POCUS sessions we offer next year but we cannot do that unless we have stable faculty.
Jul 1, 2023requested 7/5 and 8/16
1) How are you doing with your project? Great. Our pilot is over, and HOCUS-POCUS is now officially part of the residency curriculum!
2) What’s the very next step? We are offering the HOCUS POCUS course 3x this year. We are currently in the middle of the August session.
3) What help do you need to keep things moving forward? Nothing! We appreciate all the financial and emotional support we have received. HOCUS-POCUS would not exist without the amazing STAR grant team. Thank you!
Jan 1, 2024DONEJul 1, 2024DONETotal $1500
- $750 for standardized pts (2 SP per session at $30/hr x 6 hrs x 2 sessions)
- $500 for instructor honoraria ($250 per session)
- $250 for food ($125 per session)
[ cost for Sim Center is already in POCUS budget ]		- Improvement in pre- and post-test POCUS knowledge and image interpretation
- Grant committee recommended expanding surveys to capture acceptability and feasibility of curriculum format
- Expansion to all PGY-2 IM residents as part of standard POCUS curriculum		New curriculum integrated into residency, offered 3 times per yearAbstract at med ed conference
Pub suggested by grant committee		May 7, 2024We recommended opening participation to both GIM and Categorical residents; expanding the pre- and post-test surveys to include confidence with POCUS, intent to incorporate POCUS into clinical practice, engagement with the pilot format; and presenting at WIP. Also to consider pub.
16
Alisha CrowleyRoss HilliardResident education in applied consumer health technologies (REACH Tech)1) Two-week period to trial a device or use an app, will supply for residents
2) One-hour curriculumon wearable tech and health/fitness apps, delivered to block residents, will include lecture and de-brief on use of tech and apps 		Apr 1, 2022Oct 1, 2022

I sent this Jan 1, 2023 by mistake		sent 1/3/23, reminder 2/1/23
1) How are you doing with your project?
Mix of well and poorly. The sessions have been well received, and I've worked out the technical glitches about how to get residents the technology, but there were a lot of issues with illness in the fall and some scheduling mishaps so the attendance was less. I have pre-data, but need to send post-surveys out.
2) What's the next step?
Email Rob and Louise for the next dates, send out post surveys
3) What help do you need to keep moving forward?
This email was great prodding. 		Apr 1, 2023

Send this July 1, 2023 instead		requested 7/5 and 8/16
1) How are you doing with your project?
Unfortunately, my project is going poorly. After a robust start and some well received early sessions, I recognized that in order to be more productive and have a better finished outcome, that I need to have a more strictly protocolized project and utilize my administrative support better, as well as have IRB approval. This realization was hard to move forward from. I had been thinking about the role of coaching/mentorship that might be helpful in this and am reprioritizing a bit and building again from the ground up.
2) What's the next step?
To that end the very next steps are to get some additional coaching and to begin the IRB process. I've emailed Betsy Toll at the same time as I've sent this email, and I spoke with Jenn Jeremiah about a week and a half ago who said she'd be willing to act as a resource for some of this process as it's in the realm of needs assessment/curriculum design and who had some good insights.
3) What help do you need to keep moving forward?
I know that there are IRB navigators who can help with that process, but I've forgotten how to reach out, and it would be great to have their email. Thank you always for reaching out.
Oct 1, 2023

Send this Jan 1, 2024 instead		1) How are you doing with your project? A little better. I had the opportunity to meet with Betsy, and after discussion am narrowing my focus to wearable devices only, as these are logistically easier to use with residents than trying to provide payment information and worrying about duration for the various apps. It also makes the lecture more cohesive and will allow for comparison of different users experience with the same device. We have another meeting planned on February 20th.
2) What's the very next step? The three steps that are in progress before my next meeting with Betsy are to get additional mentorship from Ross regarding narrowing the research question, creating new pre/post surveys in accordance, and obtaining a second set of devices.
3) What help do you need to keep things moving forward? This is a great push.		Apr 1, 2024
Sent Jul 1, 2024 instead

Sent final check in request Jan 15, 2025		1) How are you doing with your project? Fairly well. I've made my pre/post surveys, gotten the IRB navigation documents and special secondary forms, and I'm editing/consolidating my powerpoint. I've continued to meet with Betsy and she's been invaluable. I also let Hussain know about the project for the clinician educators if they are interested in supporting it.
2) What's the very next step? Finish editing the PowerPoint and schedule the meeting with Betsy to dry run it.
3) What help do you need to keep things moving forward? I'm hopeful that in the fall I'll be through all of the administrative steps, which means that I'll need support for adding this to the block or QI curriculums (or potentially miniQICC but I think 2nd year is the best target) in the spring.
------
mid course update sent by alisha on 3/18/24
Brief update on STAR Grant is that I have met with Ross to adjust the research question somewhat to reflect more comfort and engagement than recall of practice since the former will be less subject to rotation variability and have had my follow up with Betsy. Next steps are IRB protocol and documents, and our next meeting together should be just after APDIM. Since I'm presenting at ACP, APDIM, and developing my lectures for the BRBPR curriculum this is taking a slight back seat for now but still moving forward. I've submitted the next set of receipts.		Oura Ring: $300
FitBit Versa 3: $180
AmazFit Bip: $50
Wellue DuoEK: $70
Withings BPM: $100
Upright GO S: $65
Total wearable technology investment: $765

Weight Watchers App:$45/month
Noom: 2 week free trial/participant
Myfitnesspal: $10/month
LoseIt: $40/year
Headspace : $13/month
Calm: $15/month
HealthApp: Included w/ iPhone, add on Eve $15/month
AAPTIV: $15/month
Application cost: $1396 --> 5 months: $581

Paywall articles/resources: $150
CDH Lectures for interested residents: $0
Snacks: $120

Total : $2,431 --> $1616		7/1/2022 oura ring $59.99 AmazFit Bit $59.00 7/21/2022 Visa gift cards $115.75 1) surveys pre/post session to assess knowledge and comfort level of participants
2) additional post session question to assess if participants felt content was valuable		Designed curriculum and created surveys, purchased tech, delivered to 1.5 GIM resident groups, well-received, modified to just teaching about devices based on resident feedback, initially thought about IRB submission, but got bogged down with details of that and everything was put on holdPoster or workshop on curricular innovation at APDIMtbd - hopefully a postern/aDownward revision in anticipated funds estimate to account for not having to pay app fees for 12 months, only for 5 months; we asked her to confirm space in curriculum, has heard yes from gim block, waiting to hear on cat block
------
Project completed. Next steps are to present the curriculum to another couple groups, administer the surveys, and report the data as an educational innovation as a poster abstract without IRB submission
17
Meghan GearyCarrie Bridges Feliz, Michelle Wheelock, Mikaela Carrillo, Charlotte MerrickVeggie Rx: A collaboration between CPC, Southside Community Land Trust and Lifespan Community Health Institute to provide locally grown produce to patients with DM and food insecurity1) Provide 14 CPC patients (A1c>9 + food insecurity) with a bi-weekly, culturally appropriate fruit/veggie box via SCLT
2) Offer recipes and cooking programs for participants
3) Monitor A1c, ED/inpatient utilization, patient satisfaction		April 1, 2022Oct 1, 2022

I sent this Jan 1, 2023 by mistake		1) How are you doing with your project?
It's been a joy (with challenges of course). Our last week of produce prescriptions is in two wks on Jan 25th. One of my key learnings is this happened because of a broad team of individuals. (edited)
2) What's the very next step?
-Completing the last week of produce pickup and delivery and asking participants survey questions (for internal QI / project improvement only - not to publish - not IRB)
-Obtaining post A1cs
-Presenting at Research in Progress the first Friday in Feb
-Then planning for resuming this summer Carrie Bridges has secured some funding and is looking for more.
3) What help do you need to keep things moving forward?
Nothing right now. Considering possibility of offering shared medical visits and/or home visits for people enrolled, applying for AAIM innovation grant, increasing community engagement, involving residents, hiring a coordinator, alerting enrolled participants' PCPs, optimizing DM meds. (edited)
Apr 1, 2023

Send this July 1, 2023 instead		1) How are you doing with your project?
I'm excited to report that Lifespan Community Health Institute (LCHI) through Carrie's leadership is going to be able to enroll 50 adult pts in a veggie rx program again this summer. Carrie obtained grant funding and is again partnering with Southside Community Land Trust (SSCLT). This program will be beginning next week, and the 50 adults will be from CPC and Fain. The program will go through Dec 2023. All pts will have DM with A1c not at goal and food insecurity. One amazing additional thing is Carrie has found a partner called Project Dash who is analogous to a door dash that can do deliveries. As you might remember, I was one of many many people who did deliveries last fall/winter and while I found it peaceful to listen to podcasts and great to explore Central Falls, including getting empanadas, however I cannot imagine having the capacity to do that this year.
2) What's the very next step?
My very next step is to obtain the list of enrolled participants and communicate to their PCP that they have a pt are enrolled.
3) What help do you need to keep things moving forward?
I need help thinking about how to approach being sure we are targeting doing our utmost best to Rx DM with meds and medication adjustments during their enrollment. Perhaps ideally to try and meet our healthcare metric which has $ on the line for pts w DM w A1c <9. 		Oct 1, 2023DONEApr 1, 2024DONE$15 per share x 12 weeks = $180/participant x 14 participants = $2500ish1) Improvement from pre to post A1c, ED/hospital utilization, primary care engagement
2) Attendance at cooking programs
3) Participant satisfaction with program (via survey)
4) Pilot data to use for applying for additional funding		Overall Program Satisfaction High
CPC/TMH – 82.6% were satisfied or very satisfied
HCH – 85.7% were satisfied or very satisfied

Satisfaction with Produce
CPC/TMH – 78.2% were satisfied or very satisfied
HCH – 85.7% were satisfied or very satisfied

Suggestions for improvement
CPC/TMH – add more fruit, increase delivery
HCH – more frequent distribution, more produce per bundle

Barriers: transportation, inconvenience with children, work
Manuscript and posterNov 7, 2023Recommended reducing survey length if possible, putting more personal questions at the end
18
Dino MessinaMica KaneManaging HTN in a resident clinic using home BP monitoring1) Provision of home BP cuffs to CPC patients with teaching on how to use
2) Access to patient education materials on HTN
3) Daily measure/record of BP
4) Monthly telephone visits x 6mos regarding BP, telephone encounter with info routed to PCP for management		Jan 1, 2022Jul 1, 20221) How are you doing with your project?
* Patients
- intake/baseline survey - 26 completed
- 1 mo phone f/u - 16 completed, 2 scheduled, 8 missed/other
- 2 mo phone f/u - 9 completed, 9 scheduled, 8 missed/other
- 3 mo in person/post-survey - 2 completed, 7 scheduled, 16 to be scheduled, 1 missed/other
* Residents
- baseline survey - 8 complete, 3 incomplete, 7 other
- post survey - 0 complete, 11 incomplete, 7 other

2) What's the next step?
* Patient Visits
- All patients should have completed Visit 1 and almost all Visit 2 by the end of August
- Patients scheduled for in-person follow-up visits for Visit 3 during the month og August will have post-surveys completed
* Resident Surveys
- Will make one last effort to ask ask remaining 3 residents to complete baseline surveys
- Will send out post-surveys when each of the resident's enrolled patients have completed 3 month visits (most residents have more than one patient enrolled)

3) What help do you need to keep moving forward?
* Once data are in, will need to schedule meeting with clinic management, including nursing, to try to scale this up to a clinic-wide work flow, incorportating education and free cuffs (will need additional funding) - we also have the barrier of inadequate staffing right now
* Logistics to be figured out:
- Set patient up with cuff in-person and teaching
- Who will conduct telephone vs. in-person visits to obtain home BPs
- Frequency of visits
- Standardized approach to BP data collection and routing to PCP


Jan 1, 20231) How are you doing with your project?
We have finished the data collection phase and entering the analysis phase.
2) What's the next step?
Our next immediate steps are to combine the raw data (physical survey responses, BP logs) into one data source followed by analyzing pre-and post data.
3) What help is needed to move forward?
We would appreciate any feedback on preliminary analysis, which we will send to the committee when completed, to ensure results are presented in the most effective and appropriate manner.		Jul 1, 20231) How are you doing with your project?
In limbo, we need a new vista student and resident interested in taking this on, also need additional BP cuffs, I tried a few lifespan sources and came up empty, could use help securing funding
2) What's the very next step?
New vista/resident
3) What help do you need to keep things moving forward?
Additional BP cuffs		Jan 1, 2024DONE1) Purchasing 25 omron series 3 home BP cuffs: $900 2) Giftcards for 25 resident and 25 patient participants: $1250 3) Statistical consultant: TBD1) Can residents gather and interpret their patients’ home BP readings and feel comfortable making adjustments to meds or recommending lifestyle changes based on measurements
2) Do patients measure their BPs at home and self-manage their HTN (e.g., monitor effects of new meds or dose changes, exercise, change diet, etc)
25 patients received cuffs and education

Residents:
75% felt home bp fairly to completely representative of actual bp
67% felt equally to more confident making clinical mgmt decsions on home bp alone (vs office alone)
100% felt more comfortable titrating bp meds with home bp to supplement office bp

Patients:
about 50% identified correct bp at baseline - close to 90% after
about 30% measured bp > 2 days a week at baseline - close to 100% after
about 20% had very strong understanding of how daily routines affected bp at baseline - close to 75% after
about 55% felt a lot of control pver bp at baseline - close to 100% after
significant improvement in mean sbp from 1 mo to 3 mos (143->131)		Submit abstract to SGIM 2023 meetingOral presentation during Department of Medicine resident research dayMay 16, 2023We asked them to re-submit with narrower focus, reframe as a pilot to assess feasibility/accetability in resident clinic (vs BP lowering efficacy), reduce number of participants, remove control grp, consider telehealth f/u instead of in-person; also consider adding incentives for patients and residents who participate
19
Christine DuffyLiz FrancisCancer prevention & survivorship curricula development Needs assessment of residents and faculty regarding cancer survivorship curriculum and elective opportunityOct 1, 2021Apr 1, 2022emails sent 4/4 and 4/20
1) How are you doing with your project?
So the resident questionnaire was completed
2) What's the next step?
Plan is to do a month long cancer survivorship elective
3) What help do you need to keep moving forward?
I need to get the faculty questionnaire out. I was going to see if Julie Uber could help me do it on redcap (survey monkey you cant do much without purchasing…if there is another way that has good functionality that might be easier?		Oct 1, 2022

I sent this Jan 1, 2023 by mistake		sent 1/3/23, reminder 2/1/23
1) How are you doing with your project?
The survivorship elective is just ending today! It seems to have been a success! Will be working with Liz Francis (who basically did everything ) to plan on how to transition to next year. Liz is submitting abstract to ASCO and hopefully will be able to get a manuscript about the elective development and implementation.
2) What's the next step?
Next step is meeting with the three residents who want to help continue the elective next year, and what changes/adjustments etc we will need to make. Need to see who is interested in the elective for next year.
3) What help do you need to keep moving forward?
Support for the admin time required to organize the clinical experiences as well as repeat lecture or video of this years with live Q and A sessions.
Apr 1, 2023

Send this July 1, 2023 instead		1) How are you doing with your project?
The elective will continue this year with some minor changes based on feedback (few sessions dropped). Plan to have some lectures live if possible (one’s from Brown alumni). Olivia is picking up reigns for this years elective. Abstract was a accepted and presented to ASCO this year (I could not go, but I know Don told me it was well received )
2) What's the very next step?
Paper Re: the elective in progress.
3) What help do you need to keep things moving forward?
Some admin support for scheduling and coordination [Kelly says this will be Diane]		Oct 1, 2023DONE1) $200 for survey design and incentives for completion
2) $200 for submission of 2 abstracts (SGIM and ASCO)
n/a1) Better understanding of faculty and residents' needs regarding cancer survivorship education and receptivity to different curricular approaches
2) Eventual creation of curricular content for IM residents, month-long elective, residency track		creation of a one-month 6-module elective, featuring didactics and clinics
11 residents participated in elective (10 live online and 1 later as independent study)
64 faculty lecturers from 27 disciplines from 10 institutions and 20 unique clinics
participation improved resident confidence in and understanding of cancer prevention and survivorship topics
Conference presentation
Submit for publication		One-month elective created and delivered
Abstract presented to ASCO this year
Paper re: the elective in progress. 		June 6, 2023Originally she had suggested much larger 3-part project; we recommended re-submitting with focus only on needs assessment piece; also recommended adding survey completion incentives for faculty and residents
20
Kyla DewarTaylor Arnoff MS2
Dillon Artigliere MS2
David Painter MS2		Pathways shadowing projectImplementation of a shadowing program at BMAP for participants in the AMS Pathways Pipeline ProgramOct 1, 2021Apr 1, 20221) How are you doing with your project?
Not able to get IRB approval in time or meet in person with the Pathways high school students.
I was able to get 9 high school students signed up to shadow with clinicians at Brown Medicine with an informal survey of students and faculty after participation with the help of 2 medical students who were working with me. I have attached the slides. I was able to provide a token of appreciation to the faculty who had student shadow. It also was helpful to establish a workflow for onboarding the students.
From the survey it seemed transport and days for shadowing were a barrier for those who didn't shadow and of those who did they were interested in seeing different specialties and inpatient side (the n was very low)
2) What's the next step?
I am still working to get IRB approval for pre-post participation surveys and focus group for Sept 2022. I have heard from Lifespan that they will not allow minors to shadow but was able to get BPI to approve shadowing of 16 and up.
3) What help do you need to keep moving forward?
To be able to save the rest of the funds I have not used for this coming fall semester when we will hopefully be able to have in person focus group and provide food


Oct 1, 2022

I sent this Jan 1, 2023 by mistake		1) How are you doing with your project?
So my STAR Grant has been going well and more active. We had an in person Pathways final poster presentation and focus group during that in Dec. I used funds for donuts and gift cards to get the high school students participate and to give to med students leading focus group. We also had pre and post surveys sent out this year. Based on Prelim data with ended up submitting 2 abstracts to SGIM annual meeting. One was focusing on the Pathways Program with the 2 medical students who ran that this year. The other was based more on the shadowing components for this and another project with another medical student helping on that.
2) What's the next step?
I am working on cleaning up the focus group transcription and using NVivo to analyze it.
3) What help do you need to keep moving forward? n/a		Apr 1, 2023

Send this July 1, 2023 instead		1) How are you doing with your project?
Overall, the project is going well. We had two posters and I submitted an application for a BPI Grant to hopefully help keep things moving forward. We have also submitted a workshop for the ASPBP annual conference in Oct (https://julnet.swoogo.com/ASPBP23/abstractsubmission/3097167) which is for The Association of STEMM Pathway and Bridge Programs
2) What's the very next step?
To transcribe the exit interviews from the last month of medicine section and to figure out what to do with the data. I had written in funds to pay for a trascription service in the grant. We will likely need to wait for more iterations of survey data though
We also need to secure funding for the month of medicine student stipends if I do not get the BPI grant
3) What help do you need to keep things moving forward?
I think I am getting close to needing to do another research in progress meeting but not quite there yet		Oct 1, 2023

Send this Jan 1, 2024 instead		1) How are you doing with your project?
Things are slowly moving forward. We had the Pathways final poster presentation in Dec and I was able to supply 3 $500 dollar scholarships with the BPI grant for the winners. We had another focus group.
2) What's the very next step?
I am waiting on Diane Holland to sign the business agreement (she responded today that she got it) with the transcription service and once that is done, I can upload the files and hope to have them complete by the end of the month.
3) What help do you need to keep things moving forward?
I'm looking for some workshops for NVivo software and working on setting up a meeting with Evan and our little group once we get the transcriptions
My overall goal is to have something written up by then end of the summer focusing on the qualitative data. By then we will have two years of focus group data for the pathways program and 5 exit interviews for the Month of Medicine (now called Rhode to Medicine) students.

1) $900 med students'stipend
2) $600 high school students' incentives
3) ???? faculty appreciation
4) transcription of focus group session (50 cents/min for 2 20-min sessions = $20ish)
5) background checks for faculty (15ish x $50 = $250ish)		??? for food and gift cards for HS student focus group participation, abstract submission?? 12/12/2022 breakfast group meeting $213 1/21/2022 Faculty shadowing breakfast $140 2/17/2022 surveys, distributing and help organizing shadowing medical student David Painter $300 2/17/2022 surveys, distributing and help organizing shadowing medical student Taylor Arnoff $300 3/2/2023 stipend for medical student Ana Guimaraes to go to SGIM and present poster $583 3/2/2023 stipend for medical student James Albright to go to SGIM and present poster $583 3/2/2023 abstract An early look at the successful components of pre-collge pathways program supporting underrepresented students $85 3/2/2023 abstract Early lessons in supporting underrepresented pre-college and college students on a path to medicine through shadowing $85 1) Pathways high school students are able to shadow BPI faculty
2) Kyla is able to get actionable information for program improvement		52 HS students participated in the pathways program, diverse group, 46% did pre-survey, 15 did focus group
overall, prelim findings that participation increased their confidence, self-efficacy, and desire to pursue healthcare career

re: the shadowing component, early prelim analysis showed even with structured shadowing, still many logistical barriers, conflicts with school, but positive experience if able to make it, especially with the college students shadowing gave insight and deepened motivation to pursue healthcare career		Conference presentation
Pub suggested by grant committee		2 abstracts presented as posters to SGIM national meetingAug 6, 2024We recommended use of some of the funding to provide incentive/acknowledgement of faculty participation; also to consider adding in cost of transcription; finally recommended considering publication
21
Hussain KhawajaJennifer Jeremiah
Dominick Tammaro		A brief intervention to improve the quality and quantity of feedback to residents on the internal medicine inpatient servicesWeekly feedback cards for each learner on inpatient service structured around identified learning goalsJul 1, 2021Jan 1, 20221) How are you doing with your project?
Project has unfortunately been at a standstill, waiting for the IRB approval. We did get something back from them after 4 months, asking for some very minor revisions that we responded to within 24 hours. I am hopeful that this time there will be a quicker response and we can go ahead with our project.
2) What's the next step?
Once IRB approval is in, I will be sending out a pre-intervention survey to all ward attendings and residents. Then, I will need to reach out to the ward attendings and familiarize them with the feedback cards and we can go ahead and get started with collecting our qualitative data as well.
3) What help do you need to keep moving forward?
Not much that I need in terms of help for now but I was thinking of discussing this project in one of your RIP (Research in Progress) meetings, perhaps in March?

Jul 1, 20221) How are you doing with your project? Due to a big delay in getting the IRB approval, timelines had to be shifted because we were too close to the new academic year at that point, after sending out the initial call for survey completion
2) What's the very next step? Sending out surveys to the new interns early next week and starting the intervention 3 weeks after that (I am hoping for the 2nd half of September)
3) What help do you need to keep things moving forward? Had hoped for a better survey response from our faculty (only had 14 submitted) but not sure if that can be helped!! 		Jan 1, 20231) How are you doing with your project? Intervention underway. We were finally able to implement the use of feedback cards in the second half of November. This intervention will likely go on for a total of 6 months (hoping to have enough data by then).
2) What's the very next step? Collecting data (feedback cards and post surveys by house staff and attendings). We are also planning 1-2 focus group sessions in the coming months. Hoping for the first one sometime in March, and the other one more towards the end of the intervention period.
3) What help do you need to keep things moving forward? Nothing in particular. Hoping for a good post survey response rate		Jul 1, 20231) How are you doing with your project? Data collection ended on June 30, 2023. Entering data from the feedback cards for qualitative analysis. I employed the help an AMS student (will pay her $500 from the grant money) for this work. Poor qualitative data because of lower post survey responses but we will be analyzing that data very soon as well. Very disappointing focus group experience! Gave up on that idea.
2) What's the very next step? Data analysis and depending upon what we find, hoping to see if it can be submitted to a journal for publication. Perhaps local like RIMJ given this is a single center study. Would also want to explore if we can move these along to a) other divisions within the department of medicine and b) to another institution to share/spread this work?
3) What help do you need to keep things moving forward? Nothing for now. may need guidance with publication/expansion of this work to other places.
$1000-1500
1) Incentives for attendings who drop in maximum learner cards in one-month time period in the form of ABP gift cards.
2) Setting up drop boxes in 2-3 locations.
3) Printing feedback cards
4) Support with survey design and qualitative analysis		1) lock boxes for feedback cards - pending receipt submission
2) eventually gift cards for faculty, lunch for learner focus groups		One precepting session per week for 4-6 weeks in Sep and Oct 2021, will do again when have data to analyze1) Assessment of resident and attending satisfaction with process
2) Improvement in quantity and quality of feedback		Attendings: Feel more comfortable giving feedback
Increased frequency with which they now provide formal feedback once a week
Improvement in helping learners define specific goals
Better with helping them create actionable plans to meet these goals

Residents: Increase in frequency with which they receive feedback once a week in a more formal way
More disagreed that feedback should happen more frequently!
Having received feedback cards, more house staff felt that goals were clearly defined and that actionable plans were being made for meeting these goals
Conference presentation
Submit for publication		Feb 20, 2024We recommended use of some of the funding to support help with survey design and qualitative analysis
22
Ross HilliardDr. Hamish Fraser (BCBI) – Co-I, PI for prior ED pilot
Paola Jimenez (Brown CDH) – RA
Ian Bacher (BCBI) – Technical Support, RedCap-Ada integration
Dr. Megan Ranney – project advisor, in-kind support		Evaluation of a symptom checker app in an ambulatory primary care officeImplementation of patient symptom checker app in primary care settingJul 1, 2021Jan 1, 20221) How are you doing with your project? - Great! We finished enrollment and met our goal of 200 participants. The very last of my chair grant is being used up now with the Research Assistants pulling data for diagnoses from patient notes (a few remain unlocked, so that process has slowed slightly). We are planning and have some physician volunteers to help with the review to determine the accuracy of the patient-completed symptom checker app as compared to the diagnoses from their physician visit.

2) What's the very next step? - Data review to determine accuracy of diagnostic data as well as appropriateness of triage level (stay home, MD visit, urgent care, ED).

3) What help do you need to keep things moving forward? - We have been searching and have actually applied for funds through Brown to be able to compensate the physician reviewer's time, but that is still in limbo. Luckily these colleagues are awesome and are interested in being involved even if the only tangible benefit is being listed as co-authors on the eventual manuscript.


Jul 1, 20221) How are you doing with your project? - We're making great progress! We completed enrollment of 201 participants, have gathered the data from those encounters, and have built the RedCap structure to allow for physician review of the data (both provided by the App and by the visit).
2) What's the very next step? - We anticipate being able to start this physician review (Crowley, Nagle, Catanese, Hilliard) by the end of July. Each physician has to review 50 patients.
3) What help do you need to keep things moving forward? - At present, the project is doing well, we were able to get some additional support from Brown's VP for Research to support both analyst time and physician time to review. An R01 for a larger project is pending NIH study section scoring. 		Jan 1, 20231) How are you doing with your project? - We had a delay to get to data review by physicians, but this is now moving well with the help of Drs. Crowley, Nagle and Catanese
2) What's the very next step? - Complete physician review and move to data analysis
3) What help do you need to keep things moving forward? - Has anyone figured out how to add a few hours to the day? In truth things are moving along better now after some technical delays/hurdles that had to be worked out.
Jul 1, 20231) How are you doing with your project? Initial study results used as part of a paper now in revisions comparing the diagnostic app to ChatGPT, has a pretty good chance of being published. We also used it in an R01 submission to AHRQ with Hamish Fraser as PI and me as Co-PI to further explore and expand our reach of the ambulatory study, potentially also including the physician in the loop. This has received positive responses and "just in time" materials were submitted back in June
2) What's the very next step? Further draft of a focused paper on our symptom checker study alone.
3) What help do you need to keep things moving forward? Time! Maybe a magic button that pauses the rest of the world to focus on writing (in seriousness, have some great collaborators and I think this work will be able to continue even after my departure from Brown).
$2100 for iPad Pro to function as BPI managed device for project$2300 for iPad and accessoriesn/aComparison of 200 patient visits/physician diagnoses to output from Ada symptom checker evaluation completed prior to the visit by participantsChatGPT 3.5 better than Ada at dx but usafe triage, ChatCPT 4.0 worse dx but better at triage
Analysis comparing Ada with physician dx still pending		Research article in informatics journal, potentially JMIR or JAMIAPaper in revisions comparing app to ChatGPT, used it in an R01 submission to AHRQ with Hamish Fraser as PI and me as Co-PI to further explore and expand our reach of the ambulatory study, potentially also including the physician in the loop, drafting focused paper on our symptom checker study alone.Aug 15, 2023Originally he had requested funds go to time/effort, which cannot be done; we recommended pub or poster fees, travel/conf expenses, new tech, allocating this funding to co-investigator and increasing his time on related grant
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100