Update on the Doctoral HSR Core Competencies JAMES F. BURGESS, JR., - - PowerPoint PPT Presentation

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Feb 23, 2024 46 likes •169 views

Update on the Doctoral HSR Core Competencies JAMES F. BURGESS, JR., PH.D. PROFESSOR OF HEALTH LAW, POLICY AND MANAGEMENT, BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH SENIOR INVESTIGATOR, CENTER FOR HEALTHCARE ORGANIZATION AND IMPLEMENTATION

SLIDE 1

Update on the Doctoral HSR Core Competencies

JAMES F. BURGESS, JR., PH.D. PROFESSOR OF HEALTH LAW, POLICY AND MANAGEMENT, BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH SENIOR INVESTIGATOR, CENTER FOR HEALTHCARE ORGANIZATION AND IMPLEMENTATION RESEARCH, VA BOSTON HEALTHCARE SYSTEM CHAIR, ACADEMYHEALTH METHODS COUNCIL

SLIDE 2

Brief History of HSR Core Competency Development

Chris Forrest and Diane Martin, with AHRQ funding, held a series of

meetings to develop Version 1 of these Core Competencies about 15 years ago

Diane Martin updated the Core Competencies into Version 2 in 2008
The AcademyHealth HSR Methods Council has taken over the effort to

continue development and implementation of the Core Competencies – we now propose Version 3 of the Core Competencies

This effort retains the structure of the Version 2 competencies, with

updates focused on Methods as a result

Additional detail is provided on the relative prevalence of HSR Methods

that could be considered as sub-competencies

SLIDE 3

HSR High Level Core Competencies

Foundational Knowledge Conceptual Knowledge Relevant and important HSR question development Conceptual models and

perational methods

Study designs Data collection Research study conduct management Data analysis Professional development Effective communication Knowledge transfer

SLIDE 4

HSR High Level Core Competencies: Domains— Foundational and Conceptual

Foundational Knowledge:

Health and biology Cost & financing of health care Organization of health care Health policy Access and use Quality of care Health/clinical informatics Outcomes and effectiveness Resource allocation Health behavior Social determinants of health Cross-cultural and global perspectives Relevant and important HSR question development Conceptual models and operational methods Study designs

Conceptual Knowledge:

Variable depending on the discipline or interdisciplinary area of specialization:

Economics Epidemiology Psychology Sociology Anthropology Management and Organizations Demography Operations Research Political Science Complexity Theory Multi-Disciplinary Theory Construction

SLIDE 5

HSR High Level Core Competencies: Domains—HSR Question Development & Conceptual Models & Operational Methods

HSR Question Development:

Scientific method and theory
Proposal development
Conceptual framework development
Health policy application
Questions leading to solutions to

health problems

Conceptual Models & Operational Methods:

Scientific method and theory
Measurement and variables
Concept models
Qualitative research methods
Quantitative research methods
Big data and data mining techniques
Implementation science
Causal inference methods

SLIDE 6

HSR High Level Core Competencies: Domains— Study Designs and Data Collection

Study Designs:

Study design
Survey research
Qualitative designs
Quantitative designs
Mixed method designs
Intervention research
Community based participatory

research

Evaluation research
Quality improvement

Data Collection:

Survey research
Qualitative research
Operations research
Data acquisition
Big data and data mining methods
File creation and database

management

Quality control
Sampling
Health/clinical informatics
Population measures

SLIDE 7

HSR High Level Core Competencies: Domains—Research Study Conduct Management and Data Analysis

Research Study Conduct Management:

Responsible conduct of research
Ethics
Human subjects/IRBs
HIPAA
Contracts and DUAs
Quantitative research
Qualitative research
Data acquisition
Quality control & DMBs
Research study management
Organizations as subjects
Health care law and risk management

Data Analysis:

Advanced HSR data analytic

methods

Economic evaluation
CEA/CBA
Statistics
Measure development
Decision sciences
Sampling
Qualitative analytic methods
Quantitative analytic methods

SLIDE 8

HSR High Level Core Competencies: Domains— Professional Development and Effective Communications

Professional Development:

Teamwork
Leadership
Team management
Conflict resolution
Knowledge management
Project management
Stakeholder collaboration and involvement
Negotiation
Teaching
Mentoring
Cross-cultural and global perspectives
Life-long learning
Patient engagement skills integrating with research

Effective Communications:

Proposal development
Dissemination
Communication skills
Marketing and persuasion

techniques

Writing skills
Cultural sensitivity
Cross-cultural and global

perspectives

SLIDE 9

HSR High Level Core Competencies: Domains— Knowledge Transfer

Knowledge Transfer:

Evidence based practice
Evidence based policy
Human factors research
Complexity science
Change management
Operations research
Health marketing
Implementation science
Translational research
Tacit knowledge

SLIDE 10

Challenges of Qualitative/Quantitative/ Mixed Methods

As HSR Research Teams Continue to Diversify in Methods and Multi-Disciplinary

Frameworks, Education Programs and Individuals in Lifelong Learning Struggle to Prioritize Sub-Competencies in Methods

Using a Google Search Algorithm We Also Have a List of Sub-Competencies in

Methods That PhD Programs and Lifelong HSR Learners Can Use to Choose From, Some Examples:

SLIDE 11

Examples from New Table 4 of Relative Prevalence

Competency or Skill Type # of Google Scholar Hits Core Level

(Essential, Intermediate, Familiar, Optional)

Community Based Participatory Research Mixed 400,000 Essential Intensive Longitudinal Study Quantitative 300,000 Essential Pragmatic Clinical Trial Mixed 120,000 Essential Ordinary Least Squares Regression Quantitative 100,000 Essential Significance Testing Quantitative 95,000 Essential Analysis of Randomized Control Data Quantitative 92,000 Essential Sample Selection Models Quantitative 81,000 Essential Sampling Mixed 65,000 Essential Randomized Control Trial Design Quantitative 57,000 Essential Competency or Skill Type # of Google Scholar Hits Core Level

(Essential, Intermediate, Familiar, Optional)

Variance Estimation Quantitative 1,000 Familiar Survey Analysis Mixed 1,000 Familiar Cognitive Interviews Qualitative 850 Optional Bayesian Analysis Quantitative 850 Optional Latent Class Analysis Quantitative 700 Optional Statistical Process Control Quantitative 650 Optional Regression Discontinuity Analysis Quantitative 500 Optional Quantile Regression Quantitative 500 Optional Narrative Summary Qualitative 500 Optional Structured Literature Reviews Mixed 400 Optional

SLIDE 12

Steps Moving Forward to Keep Dialogue Engaged

The Timeline for Continuing Discussion of the Core Competencies may take

Longer than for the Other Pieces in this Presentation

Solicited Feedback from Training Directors and Employer/ Workforce Experts

in late Fall 2016-2017 with good Input

Phone Conference in January 2017 to Review this Feedback
Focus on Finalizing a Version 3 of the Core Competencies at the 2017

AcademyHealth ARM in New Orleans With Domain Examples and Sub- Competency Methods