ADAPTABLE – The Aspirin Study

March 2017 – The Sheps Center is partnering with the School of Medicine and TraCS to recruit patients for a pragmatic clinical trial comparing low dose (81mg) aspirin to regular strength (325mg) aspirin among patients with known heart disease.  We are recruiting UNC HealthCare patients across the state.  UNC is one of nearly 30 sites across the US enrolling… Read more »

DocFlows: Mapping GME Location and Practice Location by Specialty (2016-17)

Investigators: Erin Fraher, PhD, MPP; Evan Galloway, MPS; Erica Richman, PhD, MSW; Andy Knapton, MSc. Specific Aims: We developed the DocFlows App, a web-based, interactive data visualization tool, to understand the diffusion of physicians from the state where they completed residency training to their practice location state, and the diffusion of all practicing physicians from… Read more »

Toward a Better Understanding of Social Workers on Integrated Care Delivery Teams

This project is is supported by University of Michigan Behavioral Health Workforce Research Center and is being completed in collaboration with the University of North Carolina.  Investigators: Lisa de Saxe Zerden, PhD, MSW; Erica Richman, PhD, MSW; Brian Perron, PhD, MSW; Brianna Lombardi, MSW Background: Social workers are recognized as having a key role in the successful… Read more »

Integration of Rehabilitation Care from the Acute to Community Setting: The Role of Physician Referral

Investigators: Janet Freburger, PT, PhD (no longer at The Sheps Center) Background Physical therapy is effective in the treatment of many musculoskeletal and neurologic conditions.(1-5) Medicare, some state Medicaid programs, and some private insurers require a physician referral for patients to receive care from a physical therapist in outpatient or ambulatory settings. New care delivery… Read more »

Exploring the Magnitude and Timing of Physician Specialty Changes

Investigators: Erin Fraher PhD MPP, Andy Knapton MSc Background/Study Purpose:  Congressional proposals to expand Graduate Medical Education have set a goal of funding 3,000 new PGY1 slots for five years for a total of 15,000 new residency positions.  The Resident Physician Shortage Reduction Act of 2015 (S.1148), its companion bill in the House (H.R. 2124)… Read more »

Diffusion of Physicians and Access to Primary Care: The Role of Person, Program, and Place (2014-15)

  Author: Thomas C. Ricketts, PhD, MPH Background: Federal and state policies try to influence physician location choices using a combination of programmatic or extrinsic factors (e.g. bonus payments, subsidized loans) and personal or intrinsic factors (e.g. promoting volunteerism, orienting trainees to underserved populations and selecting motivated students) to encourage physicians to practice in communities where the… Read more »

Making Use of Workforce Projections to Inform the Graduate Medical Education Policy Debate in the United States (2014-15)

Investigators: Erin P. Fraher PhD MPP, Andy Knapton MSc Background: There is intense policy debate over whether the nation should expand graduate medical education (GME) or redistribute existing slots to high-need specialties and geographies.  The recently released Institute of Medicine (IOM) report recommends creating a GME Policy Council to use data and workforce projections to… Read more »