Category Archives: Research

Oct 31 2014
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An Anthropological Approach to Medicine

Theresa Yera is a senior at the State University of New York (SUNY) at Buffalo. A project of the Robert Wood Johnson Foundation (RWJF), the Institute for Health, Health Care Policy and Aging Research, and Rutgers University, Project L/EARN is a 10-week summer internship that provides training, experience and mentoring to undergraduate college students from socioeconomic, ethnic and cultural groups that traditionally have been underrepresented in graduate education.

Theresa Yera

When I applied to the 2014 Project L/EARN cohort, I was seeking exposure to anthropological research that would lead me into a career of public health service. I wanted to pursue L/EARN because of my strong interest in anthropology and medicine. My previous experience in health care included studying for the Emergency Medical Technician (EMT) examinations, volunteering as a Campus Health Educator (CHE), and participating in qualitative and quantitative research projects for almost three years.

The training as an EMT introduced me to patient and health care provider interaction and raised questions on streamlining the process. It also trained me to think critically and quickly, sharpen my leadership skills, and develop interview questions. Patients complained of many chronic and acute health problems that stemmed from their health behaviors and environment. The CHE initiative led me to value a community approach for health problems. In CHE, I worked to end racial disparities in organ donation and increase awareness of the need for organ donation and a healthy lifestyle. I met many individuals with personal stories that explained why they either did or did not want to donate.

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Oct 31 2014
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RWJF Milestones, October 2014

The following are among the many honors received recently by Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, grantees and alumni:

Linda Aiken, PhD, FAAN, FRCN, RN, has won the Institute of Medicine’s Leinhard Award in recognition of her “rigorous research demonstrating the importance of nursing care and work environments in achieving safe, effective, patient-centered, and affordable health care.” The director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing, Aiken serves on the National Advisory Committee of the RWJF Interdisciplinary Nursing Quality Research Initiative and is a research manager for the Future of Nursing National Research Agenda.

A number of RWJF Scholars and Fellows were recently elected to membership in the Institute of Medicine:

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Oct 28 2014
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New Cohort of RWJF Nurse Faculty Scholars

Twelve talented early-career nurse faculty have been selected as the seventh cohort of Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars. The award is given to individuals who show outstanding promise as future leaders in academic nursing.

Each scholar receives a three-year $350,000 award to pursue research, leadership training in all aspects of the faculty role, and mentoring from senior faculty at his or her institution. The scholars chosen this year are using their grants to study a range of issues, from pediatric asthma to dementia care to health literacy to HIV treatment to the use of technology to improve access and outcomes for rural and uninsured individuals.

At a time when many schools of nursing are turning away qualified applicants because they do not have the faculty to teach them, RWJF’s Nurse Faculty Scholars program is helping more junior faculty succeed in, and commit to, academic careers. The program also is strengthening the academic productivity and overall excellence of nursing schools by developing the next generation of leaders in academic nursing.

Read more about the 2014 and final cohort of RWJF Nurse Faculty Scholars.

Oct 27 2014
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Eight Peers, One Family

Swet Patel is a sophomore at the College of New Jersey, majoring in psychology. He is a graduate of Project L/EARN, a 10-week summer internship that provides training, experience and mentoring to undergraduate college students from socioeconomic, ethnic and cultural groups that traditionally have been underrepresented in graduate education. Project L/EARN is a project of the Robert Wood Johnson Foundation (RWJF), the Institute for Health, Health Care Policy and Aging Research, and Rutgers University.  

Swet Patel

On May 27, 2014, I finally ended my teens and entered my 20s. But I will forever remember this date as more than just my birthday. This was the first day of Project L/EARN.

Like my peers entering the program, I expected to gain research exposure that would be a great résumé booster. Little did I know I would gain so much more than just research experience. Although the 10-week program was intensive, and at some points it made me question why I was doing it, I never imagined I would be able to achieve so much in such a short period of time. I realized after seeing the fruits of my labor—the poster, the oral presentation, and the paper—that this program was beyond worth it.

Project L/EARN boosted my confidence. I actually feel like a researcher. And it was truly remarkable that I was able to meet such diverse individuals from a wide range of fields during the guest lecture series. I learned a great deal from these esteemed professionals regarding the different aspects of health care. The networking the program provided gave me lifelong relationships that I will forever cherish.

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Oct 23 2014
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RWJF Scholars in the News: CPR for Ebola patients, freezing women’s eggs, the inevitability of failure, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

The New York Times reports on remarks by medical ethicist Joseph J. Fins, MD, in which he calls for clearer guidance on whether clinicians should administer cardiopulmonary resuscitation (CPR) to Ebola patients whose hearts stop beating. In a commentary published on the Hastings Center Report website, and cited by the Times, Fins argues against administering CPR because of the danger of transmission of the virus to clinicians, the slim likelihood that Ebola patients will recover, and other clinical factors. Fins, an RWJF  Investigator Award in Health Policy Research recipient, urges a dialogue on the question leading to clear guidelines from hospitals and government officials.

In an article for CNN, Rene Almeling, PhD, and co-authors say that while Apple and Facebook made headlines last week for offering to cover costs for their female employees to freeze their eggs, people should be suspicious of egg-freezing as a “solution.” The technology carries risk and has high rates of failure, they write. “But even if the technology were perfect, the proposal to help women put motherhood on ice so they can focus on their jobs is shortsighted,” they add. “[R]ather than making fundamental changes to the structure of work in our society to accommodate women’s reproductive years, technological optimists reach for an engineering solution. ... Instead, the goal should be to build systems of production that allow us to live our lives without constantly watching the clock.” Almeling is an RWJF Scholars in Health Policy Research alumna.

The consumption of sugar-sweetened soda might be promoting disease independent of its role in obesity, according to a study co-authored by RWJF Health & Society Scholars program alumni Belinda Needham, PhD, MA, and David Rehkopf, ScD, MPH. The study shows that telomeres—the protective units of DNA that cap the ends of chromosomes in cells—were shorter in the white blood cells of survey participants who reported drinking more soda, Science Blog reports. Shorter telomeres have been linked to a number of chronic diseases, including heart disease, diabetes and some types of cancer.

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Oct 23 2014
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New RWJF Podcast Episode Features Keith Wailoo

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Keith Wailoo Keith Wailoo, PhD

Tune in to the sixth episode of RWJF’s Pioneering Ideas podcast to hear from RWJF  Investigator Award in Health Policy Research recipient, premier medical historian and Princeton educator Keith Wailoo, PhD. RWJF’s Steve Downs, SM, joins Keith to discuss how deeply held cultural narratives influence our perceptions of health, and how today’s wild ideas are often tomorrow’s cutting edge innovations.

Visit iTunes to download this episode and subscribe to future episodes.

In this episode, we also look at innovations that ask, “What if?” and explore simple shifts in perspective:

  • OpenNotes’ Tom Delbanco and Jan Walker talk to RWJF’s Emmy Ganos about why they decided getting health care providers to share their notes with patients was an essential innovation—and where their work is headed next.
  • Founder and CEO of LIFT Kirsten Lodal talks to RWJF’s Susan Mende and shares some simple ideas with the potential to revolutionize our approach to helping people achieve economic stability and well being.
Oct 17 2014
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Stay Up to Date with RWJF!

Want to stay on top of the latest news from RWJF? Check out all the ways you can get the latest news delivered to you:

·         Sign up for Content Alerts, newsletters, and funding alerts

·         Read the Sharing Nursing’s Knowledge e-newsletter, then subscribe

·         Sign up to receive Charting Nursing’s Future policy briefs

·         Stay up to date on the Future of Nursing: Campaign for Action

Oct 16 2014
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RWJF’s Clinical Scholars Program: A Proud Legacy of Creating Change

Encouraging physicians to be not only agents of care, but agents of change: That’s the challenge the Robert Wood Johnson Foundation (RWJF) Clinical Scholars Program has embraced for 45 years, and it’s a challenge the Foundation has met with “great success,” writes Bharat Kumar, MD, in an article in the American Medical Association’s ethics journal, Virtual Mentor.

In an era of increased activism and access to health care as evidenced by the creation of Medicare and Medicaid, a group of medical school professors envisioned the Clinical Scholars Program as a way to move beyond “the detached and passive model of medical practice” and instead “train physicians to become agents of change, not only in the clinic and in the hospital, but also in communities, in classrooms, and the halls of power,” Kumar writes. Three years after the program was launched in 1969 at five universities, with support from the Carnegie Corporation and the Commonwealth Fund, it came under the auspices of RWJF.

The article describes the program’s current objective—to provide post-doctoral training for young physicians in health services research, community-based participatory research and health policy research—and its current structure: training sites at the University of Michigan, the University of Pennsylvania, Yale University, and the University of California, Los Angeles; a national program office at the University of North Carolina; and a longtime collaboration with the U.S. Department of Veterans Affairs that supports positions for Clinical Scholars via affiliated Veterans Affairs medical centers.

The program’s final cohort of scholars, selected this year, will follow in the footsteps of more than 1,200 alumni, many of whom “have become leaders in health care policy and delivery,” Kumar writes, with roles in all levels of government and notable advancements in the fields of pediatrics, internal medicine, and emergency medicine.

Alumna Stacey Lindau, MD, says in the article that the program’s “traditions of promoting excellence, critical thinking, and service extend beyond the two to three years of training, effectively creating a pipeline of alumni dedicated to service.”

Read “The Robert Wood Johnson Clinical Scholars Program: Four Decades of Training Physicians as Agents of Change.”

Oct 16 2014
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RWJF Scholars in the News: Ebola safeguards, pay-for-performance, brain development and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

PBS NewsHour interviews Howard Markel, MD, PhD, FAAP, on whether hospitals, doctors and nurses are sufficiently prepared to handle Ebola cases in the United States, and what measures should be taken to increase safety. “As someone who studies epidemics, there’s always lots of fear, scapegoating and blame,” Markel, an RWJF Investigator Award in Health Policy Research recipient, said. “American tolerance for anything less than perfection has only shortened. The incredible thing to focus on is that so little has happened, so few cases have spread here.” The video is available here and an accompanying article is available here. Markel is also quoted in an Ebola story in the New Republic and wrote a blog for the Huffington Post.

In an article for Forbes magazine, RWJF Investigator Award in Health Policy Research recipient Peter Ubel, MD, discusses whether pay-for-performance health care models can lead to overdiagnosis and overuse of antibiotics. He cites recent journal articles suggesting that sepsis may be over diagnosed in hospitals because the institutions receive higher reimbursements for sepsis patients than for those with milder infections. “In other words, it pays not to miss sepsis diagnoses,” Ubel writes. “Because of the inherent subjectivity of medical diagnoses, those groups that assess health care quality need to remain on the alert for the unintended consequences of their measures. And those insurers and regulators eager to establish clinical care mandates? They need to slow down and make sure their administrative fixes do not create undue side effects.” Ubel also wrote a separate Forbes article on health insurance turnover.

Recent research on children who began life in overcrowded Romanian orphanages shows that early childhood neglect is associated with changes in brain structure, Science Times reports. A study co-authored by RWJF Health & Society Scholars program alumna Margaret Sheridan, PhD, finds that children who spent their early years in Romanian orphanages have thinner brain tissue in cortical areas that correspond to impulse control and attention, providing support for a link between the early environment and Attention Deficit Hyperactivity Disorder (ADHD). Researchers compared brain scans from 58 children who spent at least some time in institutions with scans of 22 non-institutionalized children from nearby communities, all between the ages of 8 and 10. The article notes that the study is among the first to document how social deprivation in early life affects the thickness of the cortex.

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Oct 15 2014
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Let’s Have a Conversation about Food that Goes Beyond Restriction and Restraint—and Resonates with Real People

Sonya Grier, PhD, MBA, is an associate professor of marketing at the Kogod School of Business at American University in Washington, D.C., and an alumna of the Robert Wood Johnson Foundation (RWJF) Health & Society Scholars program (2003-2005).

Sonya Grier Sonya Grier, PhD, MBA

Human Capital Blog: Congratulations on receiving the Thomas C. Kinnear award for your 2011 article in the Journal of Public Policy & Marketing on food well-being! Please tell us about the award.

Sonya Grier: The award honors articles published in the Journal of Public Policy & Marketing (JPP&M) that have made a significant contribution to the understanding of marketing and public policy issues. This year, eligible articles needed to have been published between 2010 and 2012. The marketing community was called upon to nominate articles for the award. JPP&M editorial review board members and associate editors then voted among the nominees.

Generously funded by Thomas C. Kinnear, his colleagues, friends and former students, and administered through the American Marketing Association  Foundation, the award’s purpose is to recognize authors who have produced particularly high-quality and impactful research in marketing and public policy.

HCB: How did your article do that?

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