1 Scholars in HeAlth Research Program SHARP SHARP Summer Certificate Master in Sciences for Scholars in Health Research Capacity Building in Non-Communicable Diseases At the American University of Beirut NIH Grant Award 5D43TW009118
2 Agenda Scholars in HeAlth Research Program: SHARP Non communicable Diseases (NCDs) worldwide and region SHARP mission Faculty Curriculum Facts about SHARP Demand for SHARP Summer 2013 SHARP Experience Opportunities for collaborative efforts with VMP
3 Agenda Scholars in HeAlth Research Program: SHARP Non communicable Diseases (NCDs) worldwide and region SHARP mission Faculty Curriculum Facts about SHARP Demand for SHARP Summer 2013 SHARP Experience Opportunities for collaborative efforts with VMP
4 The WHO identified Non- Communicable Diseases (NCDs) as the leading cause of death, accounting for 2/3 of all deaths worldwide. These included cardiovascular diseases, diabetes, obesity and cancer. Global urbanization, sedentary lifestyle, and an increase in life expectancy, are projected to increase NCD burden worldwide.
5 SHARP and NCDs More than 36 million people died from NCDs in 2008, mainly cardiovascular diseases (48%), cancers (21%), chronic respiratory diseases (12%) and diabetes (3%). More than 9 million of these deaths occurred before the age of 60 and could have largely been prevented. Premature deaths from NCDs range from 22% among men and 35% among women in low-income countries, and to 8% among men and 10% among women in high-income countries.
7 Proportional Mortality (% of total deaths, all ages)* Communicable, maternal, perinatal and nutritional conditions 7% Injuries 9% Other NCDs 13% CVD 45% Diabetes 2% Respiratory diseases 5% Cancers 19% NCDs are estimated to account for 84% of all deaths * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data. The estimates are based on a combination of country life tables, policy/programme/action plan cause of death models, regional cause of death patterns, and WHO and UNAIDS program estimates for some major causes of death (not including NCDs). World Health Organization - NCD Country Profiles, 2011
8 Need Assessment Despite the high prevalence rates of NCDs, the capacity to conduct the needed research in Lebanon and the region is limited Training in quantitative health research methods, a very successful paradigm in most prestigious academic institutions in the US and Europe, is scarce, and if existent have serious limitations No program in the region offers the comprehensive curriculum to train medical professionals interested in Clinical and Translational research: patient oriented research, clinical trials, and genetic research
9 Need Assessment None of programs available offers a cross-disciplinary structured programmatic program that includes important topics such as responsible conduct of research, library science, grant and manuscript writing, leadership and management skills The proposed Program: Summer Certificate and master degree are modeled on, and in collaboration with faculty from, 2 similar outstanding programs at Harvard University, programs that have graduated leaders in health research in US and worldwide
10 SHARP Mission To provide superior didactic education complemented with state-of-the-art interactive and practical training in health research, with a focus on non-communicable diseases research. It is intended for physicians and other health care professionals, to improve and advance the health care agenda for non-communicable diseases in Lebanon and the region.
11 SHARP Faculty American University of Beirut PI, Co-investigators, TAG American University of Beirut Principal Investigator/Program Director Ghada El-Hajj Fuleihan, MD, MPH, FM Co-investigators/Executive Committee Robert, Habib, PHD, FM Huda Huijer, PhD, HSON Abla Sibai, PhD, FHS Nahla Hwalla, PhD, FAFS Training Advisory Group (TAG) Kamal Badr, MD, FM Ali Abu Alfa, MD, FM Huda Zreik, PhD, FHS US Collaborators Harvard Medical School- Scholars in Clinical Sciences Program: SCIP HMS-NIH US TAG Members Gordon H. Williams, MD. Ellen Seely, MD Harvard School of Public Health Clinical Effectiveness Program: CEP Director-co-directors HSPH Consultants Earl Fran Cook, PhD. John Orav, PhD
12 Advancing the Health Care Agenda for NCDs in MENA Capacity Building at AUB Scholars in HeAlth Research Program: SHARP Hybrid Grant Establish novel curriculum: Summer Certificate and Novel Master of Sciences in Health Research issued jointly FM-FHS Training grant: covers faculty members Training the Trainers and covers the training of 58 Summer certificate trainees and 6 Master degree students over 4 years Modeled on Program in Clinical Effectiveness (PCE) at Harvard School of Public Health (HSPH) and the Scholars in Clinical Sciences Program (SCSP) at Harvard Medical School (HMS) and in collaboration with faculty from both institutions Strong institutional support, Provost Dallal and VP/Dean Sayegh, Dean Nuwayhid, will ensure its long term sustainability Active outreach to MENA region
13 Scholars in Health Research Program Novelty SHARP is a unique multifaceted, novel, and collaborative interfaculty program at multiple levels The only intensive summer training program for research training in region and spans three depths It combines didactic teaching, interactive sessions, and with intensive hands-on research experience through laboratory sessions, and research projects including a mentored thesis project It bridges research and academia, clinical practice management and health policy It provides an ideal vehicle for capacity building in Non Communicable Diseases (NCDs) and promotes health research, and thus health, in Lebanon and the region.
14 Scholars in HeAlth Research Program: SHARP Training Options
15 SHARP MS Curriculum SHARP Summer Certificate Courses (Required) Total 12 credits + 2 credits (optional) Fall/Spring Courses (Required) Total 24 credits Fall/Spring Courses (Electives) SHARP 300 SHARP 320 SHARP 310 SHARP 315 SHARP 325 SHARP 330 SHARP 331 EPHD 321 SHARP 321a SHARP/EPHD HMPD 318 MNGT 306 SHARP 340 SHARP 350 SHARP 400 SHARP 395A/395B SHARP 400a EPHD 324C HBED 334 HMPD 300 HMPD 314 PBHL 310 EPHD 312 EPHD 313 SHARP 500 ** ** ** SHARP labeled courses were specifically developed for the SHARP Training Program ** Approved courses offered in the PhD program in Biomedical Sciences at FM Principles of Epidemiology Design & Analysis of Epidemiological Studies Basic Biostatistics Introduction to Research Ethics and RCR Library Science/Informatics Analysis and Reporting of Large Clinical Datasets I Analysis and Reporting of Large Clinical Datasets II (optional) Design and Analysis of Clinical Trials Advanced Topics in Clinical Trials Systematic review and Meta-analysis Policy and Decision Making in Health Care Leadership and Behavior in Organizations Advances in Non-communicable Disease Research Longitudinal Research Seminar Series I/II Research Thesis Comprehensive Exam Directed Health Research Special Topics in Biostatistics Qualitative Health Research Health Care Systems Project Management Research Design Analysis of Continuous Data Analysis of Categorical Data Elective in Research Ethics/ RCR Advanced Genetics Course Methods in Biomedical Research Learning and Teaching in the University Science Classroom 2 credits 3 credits 4 credits 1 credit 0 credit 2 credits 2 credits 2 credits 1 credit 3 credits 3 credits 3 credits 2 credits 4 credits 6 credits 0 credit 3 credits 3 credits 2 credits 3 credits 2 credits 3 credits 3 credits 3 credits 1 credit 1 credit 3 credits 1 credit
16 Schema for SHARP Schedule JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Intensive Summer Program EPI I/EPI II Biostatistics Research Ethics Library Science Required Courses - Fall Clinical/Advanced Trials Advances In NCD Leadership in Organizations Spring Systematic Review & Meta-analysis Policy and Decision Making in Health Care Datasets I & II Longitudinal Seminar Series I Bioethics in clinical research, mock IRB/study section, genetics, career development, progress report Select Research Project Research Thesis
17 Agenda Scholars in HeAlth Research Program: SHARP Non communicable Diseases (NCDs) worldwide and region SHARP mission Faculty Curriculum Facts about SHARP Demand for SHARP Trainees SHARP 2013 Summer 2013 SHARP Experience
18 Demand: the Facts At AUB FM, 20% of each graduating class (15-20 students/yr) for the last few years, have taken a year off to complement their training and further their skills in research conduct Applications received before any advertisements for SHARP occurred Applicants to the SHARP Summer Session 2013 No. of Applicants Accepted AUB Outside AUB (Balamand Univ, Ethiopia) Interest to Apply to the SHARP Master s Degree 6 in process (all from AUB)
19 Summer 2013 Student Body Full time: 13 MD/FM, 2 MScN/HSON, 1BSN/FHS, 1 PhamrB, 1PhD. Of the 13 MDs/FM: all in research or going into research, 1 Ped-Cardiol fellow, 2 endo fellow, 1 junior faculty, 1 Radiation oncology resident, rest fresh graduates, several going for research in US Others : MScN/HSON: one going for a PhD, BSN/FHS going for a MscEpi Part Time: 3 PhD/FM students took Ethics and 1 PhD/ENG took Ethics and Biostats
20 SHARP Summer Schedule July 8 August 23 Course Name Weeks 1-3 Week 4 Weeks 5-6 Week 7 Sessions per Week Sessions per Week Sessions per Week Sessions per Week Lecture Lab Lecture Lab Lecture Lab Lecture Lab EPI/ I 5 1 EPI /II 5 1 BIOSTATS 3 2 Research Ethics 3 - Library Sciences 1 - Large Datasets I 18 Sessions (Week 2 7)
21 SHARP Summer Faculty Epi: Abla Sibai, Monique Shaya, Lillian Ghandour, Elie Akl Biostats: Hani Tamim, Ziyad Mahfoud, Asma Arabi, Zeinab Rouwayhib Large Datasets: Robert Habib, Laila Shaar, Asma Arabi Ethics: Thalia Arawi, ME Sheridan, Mona Nabulsi, May Al Kassar, Rami Mahfoud. Library Science: Aida Farha
22 Summer Experience Epi: 3 homeworks, 2 quizzes, 1 Project and 1 Final. In project they developed and presented a research proposal: crosssectional, longitudinal, survey, clinical trial, etc.. Biostats: 3 homeworks, 2quizzes, 1 Final/Part hands on applied on which they implemented creating new variables, recoding, anova, chi square, linear and logistic regression. Large Datasets: 2 projects using a large Cardiovascular dataset and generated abstract, Methods, Tables, and Figures, Results Ethics: attended mock IRB, project, ethics presentation to illustrate an ethical principle, and exam. In project they developed a patient brochure on clinical research.
23 Summer 2013 Experience Evaluation by Scholars Quality of Lectures/Projects/Critique of literature/computer labs/office hours: all ranked 6-7 (scale 1-7) To what extent did your SHARP summer experience meet your expectations? Not at all Not well Adequately Well Met Fully Met Support received during summer program Poor Fair Adequate Good Superior Would you recommend SHARP to colleague? Disagree Neutral Agree Strongly agree
24 Summer 2013 Experience Evaluation by Scholars Course Specific ratings: EPI/BIOSTATS/ETHICS/LIBRARY Science/LDS Quality of Slides and Lecture content: Not clear/not helpful Clear/Helpful Very clear/very helpful The teaching faculty and instructors were: Fair Good Very Good Outstanding
25 Summer 2013 Experience Evaluation by Scholars Program was extremely helpful to reach my goals to conduct research Now I understand the three words of the SHARP Flyer Very Helpful: met its motto- Acquire/Engage/Advance Program was very well prepared Content is great Enthusiastic Faculty and motivated class Very dedicated faculty with much appreciated support The cohesion of the group/dr Habib s fatherly figure
26 Summer 2013 Experience Evaluation by Scholars My research now will be more oriented Improved my analytical skills and provided basic skills to conduct res I learned too much Helped me how to think of a research project More than I expected Very Interactive Great Biostats, Projects, Large Datasets
29 Agenda Scholars in HeAlth Research Program: SHARP Non communicable Diseases (NCDs) worldwide and region SHARP mission Faculty Curriculum Facts about SHARP Demand for SHARP Summer 2013 SHARP Experience Opportunities for collaborative efforts with VMP
30 WHO identified Challenges hindering the impact of health research Eleventh General Program of Work Medium-Term Strategic Plan Inadequacy of resources (financial and institutional) allocated to research in general, and especially health research Lack of conducive and supportive research environments Insufficient networking and partnerships among the various sectors to conduct and utilize research for health Low recognition of research as a priority at the country level Low political commitment to research as an important contributor to economic and health development Poor identification of priorities in line with the changing health scene in the Region (social, demographic, political and economic); Insufficient preparedness (based on research-evidence) to respond to immediate emergencies and needs. Fragmented and weak management, collaboration and coordination of research for health, within and between countries AUB is addressing these very same issues and both SHARP and VMO capitalize on institutional Research culture and available infrastructure
31 SHARP and VMP Future Initiatives Common goals and Perspectives SHARP Mission /Motto To provide superior didactic education complemented with stateof-the-art interactive and practical training in health research, with a focus on non-communicable diseases research. Acquire: Essential skills to conduct research Engage: a diverse pool of students from relevant disciplines Advance: health care agenda for Non-Communicable Diseases VMP Goals..... Develop basic, translational, clinical, and population-based research programs among participant entities Advocate for policy changes which promote vascular health
32 SHARP and VMP Future Initiatives Shared Features Discipline Based: Multidisciplinary ( across departments and faculties FAFS, FHS, FM/OSB---ENG) Skill Based: Acquire Quantitive Skills to conduct Clinical and Translational Research Curriculum based/capacity Building: MSc and may be PhD NIH D43 grant Advance Health Care Agenda: Research provides data for prevention-guidelines-treatment protocols
33 SHARP and VMP Future Initiatives Capacity Building Proposal Planned D-43 proposal: to support the training of a number of doctorate level researchers in vascular diseases through a Fogarty International Training Award (D43) 1. Identify the leading research priorities for Lebanon and the MENA region in vascular disease; 2. Determine the type (basic versus clinical ) of research expertise needed to address these priorities; 3. Assure the academic and infrastructure requirements for training of doctoral level individuals in the CVD-VMP priority areas* 4. Write the grant application for the D43 Award cited above with a submission date target of April * Provided by SHARP
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