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History

Emergency Department Research Associate (EDRA) Program Beau Abar, PhD & Nancy Wood, MPA, MS Department of Emergency Medicine EMResearch@urmc.rochester.edu (585) 275-1198. History.

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History

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  1. Emergency Department Research Associate (EDRA) ProgramBeau Abar, PhD & Nancy Wood, MPA, MSDepartment of Emergency MedicineEMResearch@urmc.rochester.edu(585) 275-1198

  2. History • In the mid-90s, influential EM researchers pioneered the use of undergraduate, pre-health profession students to enroll subjects into investigator-initiated research studies. • Led to significant expansion of the scope of research performed in emergency medicine. • URMC was a very early adopter of this model (1996).

  3. History • In the past 10 years alone, over 20,000 study participants have been enrolled by the EDRA program into a wide variety of research studies. • Been responsible for URMC being among the top enrolling institutions in many of the recent multi-center ED studies in which we participate.

  4. So who are we…

  5. What do we do, and how do we do it? • Our EDRA program is a university service center, with funding received from investigators • Costs consist primarily of administrative effort, EDRA hourly wages, and training expenses, resulting in a fixed hourly rate for program utilization • Our EDRAs are able to use the URMC EMR track-board to monitor characteristics of patients presenting to the ED • Each login is monitored by hospital administration for appropriate usage

  6. What do we do, and how do we do it? • EDRAs use this tool to initially screen patients for eligibility • EDRA sometimes contact a PI/coordinator to alert them of a potentially eligible patient • Other times the EDRA to approach those patients who meet the inclusion criteria • Introduce themselves/the study, answer any questions, determine capacity, and obtain document informed consent

  7. What do we do, and how do we do it? • Responsibilities of our EDRAs following consent are highly variable. • Contact the contracted study team to hand off the consented patient • Perform study procedures • Administer surveys • Obtain specimens (e.g., nasal swabs, saliva, blood) • Perform brief interventions (e.g., brief motivational interviewing, referral to treatment).

  8. So…are we any good? • During same time period, program actively enrolled for an average of 8.98 studies at a time (range = 7 - 12). • Importantly, across the wide variety of studies, we have demonstrated an average 3:1 ratio of enrollments to refusals.

  9. So… what is this gonna cost me? • Our program does cost more than volunteers  • Relative to hiring research staff, we tend to be quite cost effective • 16 hours a day/7 days a week • 2.8 FTEs of enrollment • Already trained and monitored • Able to sign a contract and enroll within a week • Umbrella RSRB approval

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