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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 n Pre-Orientation Lectures via NARAP website (www.theNARAP.org) NARAP hospitals around the country NARAP Director and NARAP Chief RAs n 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 n Overview of the RA Program and NARAP n Primary Health Care Screening n Facilitating Primary Health Care Screening through the Emergency Department

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Pre-Orientation Lectures This Semester n 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 n Service: Tobacco Cessation Didactics Results of NARAPs first national, multi-center study

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

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

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Goals Fired Up! Fired Up! n Being an RA Discernment Qualification Development

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

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Research Associates (RAs) RAs 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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n bright, motivated individuals

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

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

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

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

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

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RAs: An Answer for an EM Research Need n bright, motivated individuals n primary responsibility = research n focused experts on the details of the research n on-site, 24/7, in the ED n available in large numbers n 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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n 1 st year of medical school: anatomy, physiology, biochemistry, neuroscience

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

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

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

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

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

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

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

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

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Research Associates Responsibilities

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Responsibilities n participate in training and orientation

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

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

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

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

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Research Associates Responsibilities n participate in training and orientation n volunteer one 4-hour shift / week / semester n 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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Since 1994,

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

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

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

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

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Do RA Programs Work? Since 1994, n > 50,000 participants enrolled n by over 1000 RAs n 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, n 40,000 participants enrolled n by over 1000 RAs n in 22 clinical research studies traditional, e.g., ankle injuries, trauma, CQI screening, e.g., domestic violence, firearms risk, Pap, mammogram, PSA, colon-rectal Pap, mammogram, PSA, colon-rectal

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

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Think of These Numbers

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n > 1/2

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

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

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

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Think of These Numbers n > 1/2 more than half the U.S. population goes to ED every year as a patient or visitor n 4 -average number of hours for an ED visit n 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 hours once a year with half a million college-educated people poised and motivated to ask them questions about their use of the companys products and to encourage them to buy the products they werent using?

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RA Programs Benefits

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Benefits

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Benefits

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Benefits n Research is done effectively

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RA Programs Benefits n Research is done effectively, efficiently,

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

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

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

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

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

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Chief RAs Responsibilities n Program Director's assistants n develop their RA Programs recruiting, personnel management, scheduling, website, database management scheduling, website, database management n 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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n RA programs in multiple hospitals around the U.S.

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National Alliance of Research Associates Programs (NARAP) n RA programs in multiple hospitals around the U.S. n 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) n RA programs in multiple hospitals around the U.S. n clinical research consortium with a focus on the ED as a site to facilitate primary care n 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 Lawrence & Memorial St. Vincents / Quinnipiac St. Vincents / 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 its like; Be a Research Associate in the Emergency Department and know.

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