Implementation of an Emergency Medicine Research Associates Program: Sharing 20 Years of Experience

Abar, Beau; DeRienzo, Vincent; Glick, Joseph; Wood, Nancy; Shah, Manish N.; Schneider, Sandra; Adler, David

doi:10.5811/westjem.2017.12.36721

Cited by 12 publications

(15 citation statements)

References 10 publications

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“…The Emergency Department Research Associates (EDRA)11 program first approached all eligible patients >18 years of age, broadly introduced the study, and asked if patients would be willing to learn more about it. Exclusion criteria included (a) an inability to communicate in English, (b) presentation to the psychiatric ED, (c) presentations for intoxication, suicide attempt, mental health arrest or overdose, and (d) patients who had an Emergency Severity Index score of 1 and/or were in the critical care bay.…”

Section: Methodsmentioning

confidence: 99%

Latent Class Analysis of Barriers to Care Among Emergency Department Patients

Abar¹,

Holub²,

Hong³

et al. 2019

WestJEM

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Introduction Emergency department (ED) patients experience a variety of barriers to care that can lead to unnecessary or repeated visits. By identifying the patterns of barriers experienced by subsets of the ED patient population, future researchers might effectively design interventions to circumvent these barriers and improve care. This study sought to identify classes of individuals with regard to perceived barriers to care. Methods Over a 10-week period, two medical students distributed surveys to eligible patients ≥18 years who presented to the ED. After consent, patients provided demographics data and rated their perceived access to care on nine specific items (scored 1–5). We used latent class analysis (LCA), a parametric clustering method, to determine patient groups. Demographic characteristics were then compared across classes. Results We enrolled a total of 637 patients. Results of the LCA indicated that a six-class solution fit best: 1) low barriers (60%); 2) “work responsibility” barriers (13%); 3) economic-related barriers (10%); 4) “appointment difficulty” barriers (8%); 5) “illness and care responsibilities” barriers (6%); and 6) diverse barriers (2%). Patients in the low-barriers class were the oldest across classes (p<.001). Individuals in the low-barriers class were also more likely to be White (p=.015) and have private insurance (p<.001) than those in the “appointment difficulty,” “illness and care responsibilities,” and diverse barriers classes. Conclusion LCA suggests there are six distinct classes of patients with regard to perceived access to care. These classes may be used as a potential starting point in designing targeted interventions for ED patients to improve continuity of care.

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Section: Methodsmentioning

confidence: 99%

Latent Class Analysis of Barriers to Care Among Emergency Department Patients

Abar¹,

Holub²,

Hong³

et al. 2019

WestJEM

Self Cite

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“…A full description of the structure and processes of the UR EDRA program is described in a previous publication. 15…”

Section: Study Setting and Populationmentioning

confidence: 99%

“…Details of the structure of the program and training it provides are well described in a previous publication. 15 In this study, we characterize participation in an EDRA program as an undergraduate and its association with postgraduate program matriculation and professional outcomes. Specifically, this study 1) describes the professional outcomes of participants of the EDRA program after their departure from the program, 2) describes the extracurricular activities of participants of the EDRA program, and 3) associates EDRA program activities with postgraduate employment and program acceptance, as well as career plan changes, following departure from the EDRA program.…”

mentioning

confidence: 99%

Academic and Professional Outcomes of Participants in an Emergency Department Research Associate Program

Liu

Nobay

Adler

et al. 2020

AEM Education and Training

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Objectives: Studies have found that participation in emergency department research associate (EDRA) programs is associated with medical school acceptance. However, little is known about the association between EDRA program participation and other academic and professional outcomes. We sought to characterize the academic and professional outcomes of EDRA program participants and their perception of program influence on academic and professional outcomes.Methods: We conducted a cross-sectional study of University of Rochester EDRA program participants who graduated from the program May 2010 to May 2017. EDRAs were sent a secure, deidentified, survey. Standard descriptive statistics were used to characterize participant demographics and outcomes. National acceptance rates were referenced from sources.Results: A total of 56 graduates completed the survey (64% response rate). Forty (71%) identified as female, 12 (21%) identified as Asian, one (2%) identified as Black or African American, and three (5%) identified as Hispanic or Latino. Acceptance rates to MD programs, DO programs, PhD programs, and master's programs were 88% (22/25), 92% (12/13), 100% (2/2), and 100% (9/9), respectively. Rates were significantly higher compared to national rates (all p < 0.001). Eighty-three percent (30/36 responses) and 74% (37/50) spoke about the EDRA program during postgraduate program and job interviews, respectively, and 78% (35/45 responses) included the EDRA program in their personal statements. Twenty-five percent (14/55) changed their career goals after participating in the EDRA program, of which 36% (5/14) left medicine and 21% (3/14) were undecided and chose to become a physician.Conclusions: An EDRA program can help develop and support a career in medicine and science. EDRA graduates used their experiences directly in their postgraduate program applications and job interviews. Acceptance rates of EDRA program graduates to postgraduate programs were higher than national averages. An EDRA program can help clarify career goals after program participation.R eceiving acceptance to postgraduate education is challenging. In 2018, a total of 43, 35, and 32% of applicants to allopathic medicine, osteopathic medicine, and physician assistant programs, respectively,

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“…In an effort to increase and improve enrollment into both registries, we used the University's Emergency Department Research Associates (EDRA) program. The program employs 25–30 undergraduate students, supervised by a faculty administrator and director, to approach, consent, enroll, and engage emergency department (ED) patients into research studies . Established over 20 years ago, this program has enrolled > 20,000 study participants, staffing the ED 16 hours/day, 7 days/week.…”

mentioning

confidence: 99%

“…The program employs 25-30 undergraduate students, supervised by a faculty administrator and director, to approach, consent, enroll, and engage emergency department (ED) patients into research studies. 12 Established over 20 years ago, this program has enrolled > 20,000 study participants, staffing the ED 16 hours/day, 7 days/week. EDRAs complete human subject protection training supplemented with training to avoid negative patient care impacts and ensure study protocol adherence.…”

mentioning

confidence: 99%

Effectiveness and Cost of Recruiting Participants to a Research Registry Using an Emergency Department Research Associate Program

Dykes

Glick

Abar

et al. 2019

Clinical Translational Sci

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We identified a novel way to recruit participants into a research registry by using an Emergency Department Research Associate (EDRA) Program. Research associates working in the Emergency Department at Strong Memorial Hospital approached patients and family members to enroll into the University of Rochester Research Participant Registry and for http://ResearchMatch.org. We found that 73% of individuals (574/781) approached agreed to register for either one or both registries. Those who registered were more diverse than individuals who registered through other methods. Overall, using EDRAs to enroll adult patients and their family members is an effective method for growing research participant registries.

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Implementation of an Emergency Medicine Research Associates Program: Sharing 20 Years of Experience

Cited by 12 publications

References 10 publications

Latent Class Analysis of Barriers to Care Among Emergency Department Patients

Latent Class Analysis of Barriers to Care Among Emergency Department Patients

Academic and Professional Outcomes of Participants in an Emergency Department Research Associate Program

Effectiveness and Cost of Recruiting Participants to a Research Registry Using an Emergency Department Research Associate Program

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