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Advanced Fellowships & Centers of Excellence in Primary Care Education

The Advanced Fellowships & Centers of Excellence program aims to improve healthcare for veterans and the nation by providing advanced training to emerging interprofessional leaders. The program offers various specialized fellowships and emphasizes the development of leadership skills in clinical practice, research, education, administration, and policy.

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Advanced Fellowships & Centers of Excellence in Primary Care Education

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  1. Deborah Ludke, MHA Administrative Operations Officer Advanced Fellowships & Professional Development Centers of Excellence in Primary Care Education Office of Academic Affiliations Veterans Health Administration Advanced Fellowships&Centers of Excellence in Primary Care Education

  2. Advanced Fellowships Vision: Improving health care for VA and the Nation through advanced training of emerging interprofessional leaders

  3. Advanced Fellowships Staff • Stuart Gilman, MD, MPH, Director • Jeffrey Cully, PhD, Clinical Director • Deborah Ludke, MHA, Administrative Operations Officer • Kimberly Uhl, MBA, Management Analyst

  4. Organization of Programs VA Clinical Priorities MIRECC (Mental Health) Women’s Health Psychiatric Research Advanced Geriatrics Polytrauma / TBI Spinal Cord Injury Addiction Treatment War-Related Illness and Injury Multiple Sclerosis PADRECC (Parkinson’s) Dental Research Healthcare Improvement* Quality Scholars Patient Safety National Clinician Scholars Health Professions Education Health Systems Engineering Health Services Research Medical Informatics Clinical Simulation Health Professions Education Big Data-Scientist Training

  5. Advanced Fellows by Station2018

  6. Advanced Fellowships:Major Elements

  7. Advanced Fellowship Administration • Allocated by person, not position • Direct VA appointment • Default finance is not disbursement • Physician/Associated Health pay determinations • OAA Website http://www.va.gov/oaa

  8. Advanced FellowshipsOutcomes • AF has graduated over 2000 fellows since its inception in 1993. • Portfolio now trains approximately 50% physicians and 50% associated health professionals. • Graduates of the program have gone on to assume major leadership roles in VHA, Dept. of Defense, and Academic Medical Centers. • Leadership opportunities must be tailored to your (the individual fellow’s) interests and goals. • Leadership may relate to clinical practice, research, education, administration, and/or policy.

  9. Centers of Excellence in Primary Care Education Vision: • Veterans, families and caregivers are vital partners! • Trainees learn to provide outstanding team-based primary care • Interprofessional and collaborative academic and practice teams share continuous learning goals • Work influences national policies and practice Purpose: Foster transformation of clinical education by preparing graduates of health professional programs to work in and lead and improve patient‐centered interprofessional teams that provide coordinated longitudinal care. Developed in response to VA’s rapidly changing clinical system of care

  10. Centers of Excellence in Primary Care Education • Greater than 1000 interprofessional primary care trainees, high satisfaction, increased interest in VA • Improved: access, quality; referrals to mental health resources; control of diabetes mellitus • Contributions: development of non-VA Primary Care Nurse Practitioner Residency accreditation system and standards; Invited presentations to National Academy of Medicine, Macy Foundation, professional organizations • >40 peer reviewed articles, 1 book, 6 book chapters • Bibliography: www.va.gov/oaa/coepce • 5 Case Studies featured in Institute of Healthcare Improvement’s “Better Care Playbook” http://www.bettercareplaybook.org/ • First Six Years Paper: https://www.tandfonline.com/doi/full/10.1080/13561820.2018.1433642

  11. Centers of Excellence in Primary Care EducationCoordinating Center Staff and Consultants Staff • Stuart C. Gilman, MD, MPH; Director (Advanced Fellowships/CoEPCE) • Laural Traylor, MSW, Program Manager • Nancy Harada, PhD, MPA, PT; Evaluation Manager • Jayson Adler, Management Analyst • Deborah Ludke, MHA, Administrative Operations Officer (Advanced Fellowships/CoEPCE) • Kimberly Uhl, MBA, Management Analyst (Advanced Fellowships/CoEPCE) Consultants • Bradford Felker, MD, Primary Care Mental Health Consultant • Annette Gardner, PhD, MPH, Evaluation Consultant • Joshua Ruberg, PhD, Psychology Consultant • Kathryn Rugen, PhD, FNP-BC, FAANP, Nurse Practitioner Consultant • C. Scott Smith, MD, Physician Consultant • Ivy Tonnu-Mihara, PharmD, MS, Pharmacist Consultant

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