1 RA Program and NARAP Overview

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Everything in the Program has some direct relevance to what RAs will do either as an health professional student or clinician.

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Traditionally, who did researchers get to fill this role?

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We asked ourselves …

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We asked ourselves …

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We asked ourselves …

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We asked ourselves …

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We asked ourselves …

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We asked ourselves …

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We asked ourselves …

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When you are going on your health professional school interview, think of these 3 numbers

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What would Coca-Cola pay …

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What would Coca-Cola pay …

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National Alliance of Research Associates Programs (NARAP) Keith Bradley, MD Stephanie Carro-Kowalcyk, BA Ryan King, BSEE William Keefe, BS

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Process Pre-Orientation Lectures via NARAP website (www.theNARAP.org) NARAP hospitals around the country NARAP Director and NARAP Chief RAs Orientation meet Program Directors and Chief RAs practice how to enroll participants in the study(ies) get > 500 RAs around the country to enroll study participants the same way, every time over the course of the study

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Pre-Orientation Lectures NARAP Overview of the RA Program and NARAP Primary Health Care Screening Facilitating Primary Health Care Screening through the Emergency Department

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Pre-Orientation Lectures This Semester Research: Cervical and Breast Cancer Didactics Pilot studies on RAs facilitating cervical and breast cancer screening among ED patients and visitors → current NARAP national, multi-center study Service: Tobacco Cessation Didactics Results of NARAP’s first national, multi-center study

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Pre-Orientation Lectures Practicals REDCap Demonstration Best Practices and Pitfalls of being an RA

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Pre-Orientation Lectures Site Specific Day in the Life Ethics of Research: Confidentiality Informed Consent Safety

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Goals Fired Up! Being an RA Discernment Qualification Development

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Goals Fired Up! NARAP Clinical research that efficiently enrolls unprecedented numbers of participants in short time frames New way to facilitate primary health care for a large percentage of the US population Evaluated, significant clinical experience as one of the determining factors for health professional school admission

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Goals Fired Up! You are each an essential part of this new, exciting national effort!

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Research Associates (RAs) RA’s are pre-health professional students who volunteer in the emergency department (ED) as participant identifiers and data collectors in clinical research.

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RAs: An Answer for an EM Research Need

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RAs: An Answer for an EM Research Need bright, motivated individuals

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research focused experts on the details of the research

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers “free” = willing to be paid in a commodity not money

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RAs: An Answer for an EM Research Need bright, motivated individuals primary responsibility = research focused experts on the details of the research on-site, 24/7, in the ED available in large numbers “free” = willing to be paid in a commodity not money Traditionally, = Medical Students!

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Difference between MS1 and Pre-Med?

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Difference between MS1 and Pre-Med? 1st year of medical school: anatomy, physiology, biochemistry, neuroscience

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Difference between MS1 and Pre-Med? 1st year of medical school: anatomy, physiology, biochemistry, neuroscience clinical skills?

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Difference between MS1 and Pre-Med? 1st year of medical school: anatomy, physiology, biochemistry, neuroscience clinical skills? Not so much until MS 3,4

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Difference between MS1 and Pre-Med? 1st year of medical school: anatomy, physiology, biochemistry, neuroscience clinical skills? Not so much until MS 3,4 So … why not ? applicants/seniors

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Difference between MS1 and Pre-Med? 1st year of medical school: anatomy, physiology, biochemistry, neuroscience clinical skills? Not so much until MS 3,4 So … why not ? applicants/seniors juniors, sophomores, 2nd semester first years

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Research Associates Pre-health professional students who want:

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Research Associates Pre-health professional students who want: significant clinical exposure

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Research Associates Pre-health professional students who want: significant clinical exposure significant research experience

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Research Associates Pre-health professional students who want: significant clinical exposure significant research experience a specific role in the ED

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Research Associates Pre-health professional students who want: significant clinical exposure significant research experience a specific role in the ED (vs. just shadowing)

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Research Associates Pre-health professional students who want: significant clinical exposure significant research experience a specific role in the ED (vs. just shadowing) work with a diverse patient population

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Research Associates Pre-health professional students who want: significant clinical exposure significant research experience a specific role in the ED (vs. just shadowing) work with a diverse patient population an evaluated patient-care experience

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Research Associates Responsibilities

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Research Associates Responsibilities participate in training and orientation

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Research Associates Responsibilities participate in training and orientation volunteer one 4-hour shift / week / semester

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Research Associates Responsibilities participate in training and orientation volunteer one 4-hour shift / week / semester receive evaluations by RA Program staff

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Research Associates Responsibilities participate in training and orientation volunteer one 4-hour shift / week / semester receive evaluations by RA Program staff patient interaction skills

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Research Associates Responsibilities participate in training and orientation volunteer one 4-hour shift / week / semester receive evaluations by RA Program staff patient interaction skills follow research protocol

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Research Associates Responsibilities participate in training and orientation volunteer one 4-hour shift / week / semester receive evaluations by RA Program staff patient interaction skills follow research protocol accurate data collection

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Do RA Programs Work?

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Do RA Programs Work? Since 1994,

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled by over 1000 RAs

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled by over 1000 RAs in 23 clinical research studies

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled by over 1000 RAs in 23 clinical research studies traditional, e.g., ankle injuries, trauma, CQI

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled by over 1000 RAs in 23 clinical research studies traditional, e.g., ankle injuries, trauma, CQI screening, e.g., domestic violence, firearms risk,

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Do RA Programs Work? Since 1994, ≈ 40,000 participants enrolled by over 1000 RAs in 22 clinical research studies traditional, e.g., ankle injuries, trauma, CQI screening, e.g., domestic violence, firearms risk, Pap, mammogram, PSA, colon-rectal

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Do RA Programs Work? Since 1994, > 50,000 participants enrolled by over 1000 RAs in 23 clinical research studies traditional, e.g., ankle injuries, trauma, CQI screening, e.g., domestic violence, firearms risk, Pap, mammogram, PSA, colon-rectal tobacco cessation

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Think of These Numbers

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Think of These Numbers > 1/2

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Think of These Numbers > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor

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Think of These Numbers > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor 4

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Think of These Numbers > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor 4 average number of hours for an ED visit

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Think of These Numbers > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor 4 average number of hours for an ED visit  500,000

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Think of These Numbers > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor 4 average number of hours for an ED visit  500,000 college students and post-bacs consider medical school

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Think of These Numbers What would a Fortune 500 company pay to have half the U.S. population sit in a room for 3 ½ hours once a year with half a million college-educated people poised and motivated to ask them questions about their use of the company’s products and to encourage them to buy the products they weren’t using?

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RA Programs Benefits

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RA Programs Benefits

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RA Programs Benefits

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RA Programs Benefits Research is done effectively

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RA Programs Benefits Research is done effectively, efficiently,

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RA Programs Benefits Research is done effectively, efficiently, while minimizing impact on clinical care

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RA Programs Benefits Research is done effectively, efficiently, while minimizing impact on clinical care RAs get clinical exposure and research experience

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RA Programs Benefits Research is done effectively, efficiently, while minimizing impact on clinical care RAs get clinical exposure and research experience Advisers have a guaranteed evaluated clinical experience for their students

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RA Programs Benefits Research is done effectively, efficiently, while minimizing impact on clinical care RAs get clinical exposure and research experience Advisers have a guaranteed evaluated clinical experience for their students Participants and future patients benefit most

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RA Programs Benefits Research is done effectively, efficiently, while minimizing impact on clinical care RAs get clinical exposure and research experience Advisers have a guaranteed evaluated clinical experience for their students Participants and future patients benefit most Win-Win-Win-Win

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Chief RAs Responsibilities Program Director's assistants develop their RA Program’s recruiting, personnel management, scheduling, website, database management “first port of call” for line-RAs' on-shift issues

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National Alliance of Research Associates Programs (NARAP)

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National Alliance of Research Associates Programs (NARAP) RA programs in multiple hospitals around the U.S.

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National Alliance of Research Associates Programs (NARAP) RA programs in multiple hospitals around the U.S. clinical research consortium with a focus on the ED as a site to facilitate primary care

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National Alliance of Research Associates Programs (NARAP) RA programs in multiple hospitals around the U.S. clinical research consortium with a focus on the ED as a site to facilitate primary care tens of thousands of participants enrolled in clinical studies over short time periods

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NARAP Member Institutions CT Hartford Hospital/UConn Lawrence & Memorial St. Vincent’s / Quinnipiac DC Georgetown MA UMass MO St. Louis University NJ Hackensack University Medical Center NY University of Rochester NV University of Nevada PA Jefferson TX Seton / U Texas, Austin VT UVM WA Pullman Regional

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Watch “ER” on TV and guess what it’s like; Be a Research Associate in the Emergency Department and know.

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Quiz complete the RA Program Overview quiz found on the www.theNARAP.org website save as YourLastName,YourFirstName-RAProgramOverview send to your Chief RA for Recruiting

Summary: This talk gives new RAs an overall picture of the Program

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