Our Program

 

- One-year non-ACGME fellowship program hosted by the Duke Department of Family Medicine and Community Health, and the Robert J. Margolis, MD, Center for Health Policy in Durham, NC

- We are recruiting the inaugural fellow who will join us in summer 2022

- Open to early career family medicine physicians with strong interest in health equity and health policy

 

Qualifications

 

- Board certified/eligible family medicine physician

- Applicants may apply during the final year of residency

- Strong interest in health equity and health policy

- US Citizen or Permanent Resident

 

Brief Program Summary

 

The fellowship is composed of 50% clinical work and 50% scholarly work. Clinical responsibilities at the Duke Family Medicine Center will include direct patient care and may also include resident precepting. Scholarly work in health equity and health policy will emphasize the fellow’s area of interest in alignment with ongoing health equity priorities at the Margolis Center.

 

Salary and Benefits

 

The fellow will be compensated at the PGY-4 level. Benefits are included. Funding for travel and professional development is also available.

 

Fellowship Directors

 

Brian Antono, MD, MPH, Medical Instructor, Department of Family Medicine and Community Health

Andrea Thoumi, MPP, MSc, Health Equity Policy Fellow, Duke-Margolis Center for Health Policy

 

How to Apply

 

Interested candidates should submit:

- Current Curriculum Vitae

- A personal statement describing your interests and goals for your fellowship experience

- A writing sample (e.g., publication, research paper, blog post)

- One letter of support

 

Selection Criteria:

- Clinical excellence

- Quality of personal statement and writing sample that demonstrate strong interest and commitment to health equity and knowledge of health policy

- Strength of letter of recommendation

- Result of interview(s)

 

Please send application materials or inquiries to the fellowship director:

 

Brian Antono, MD, MPH

Department of Family Medicine and Community Health

2100 Erwin Rd

Durham, NC 27705

919-681-2588

Brian.antono@duke.edu

Health Equity Policy and Primary Healthcare Fellowship

Duke Family Medicine and Community Health and Duke-Margolis Center for Health Policy

 

Structural racism and the unequal distribution of opportunities and resources routinely create systemic barriers to health care for marginalized and minoritized populations and along the lines of gender, immigrant status, and disability. This disenfranchisement is a root cause of disparities in health access, outcomes, and patient experience in the United States and around the world. Health inequities in health policy and research often result from decisions about what research topics are pursued, who is included, and what and how data is collected, analyzed and presented. These decisions can perpetuate or dismantle historic and current health inequities.

As a thought leader in health policy and research, the Robert J. Margolis, MD, Center for Health Policy (Duke-Margolis) conducts research and policy analysis to understand how health policies dismantle or perpetuate health inequities and identify policy solutions to advance health equity. As part of its mission, Duke-Margolis aims to educate and train the next generation of health policy leaders across multi-disciplinary fields of study. As a result, the Duke-Margolis education programs assume a key role in ensuring learners hone the knowledge, skills, and attitudes to understand and address and advance health equity for marginalized and minoritized populations as well as contribute to professional settings that strive to be anti-racist and equitable.

Together with the Duke Department of Family Medicine and Community Health (DFMCH), Duke-Margolis hosts a year-long Health Equity Policy and Primary Healthcare (PHC) Fellowship for a Duke Health Family Medicine and Community Health clinician to gain knowledge and experience in translating the concepts of health equity to health policy to improve their clinical practice. Fellows will learn from leading experts in the fields of medical education, research, public health, health equity, and health care policy. Research findings will provide a foundation for transformational change in primary care at Duke and other health systems. With the support of DFMCH and Duke-Margolis mentors, faculty, researchers, and staff, the PHC Fellows will present at the end of the Fellowship to demonstrate their achievement of the program’s learning objectives.

Margolis Rotation Director: Andrea Thoumi, Duke-Margolis Health Equity Policy Fellow

Family Medicine Rotation Director: Brian Antono, Fellowship Director

Objectives:

  • Collaborate on projects with Duke-Margolis, and multiple faculty and entities within Duke Health, to develop policy recommendations for health care delivery and payment reforms that aim to increase access to and provide more equitable health care, refine recommendations through qualitative and quantitative data analysis, and result in transformational change in primary care
  • Identify how new trends in health equity affect health policy, payment and care delivery practices at the state and regional level, national, or international levels
  • Support Duke Health’s strategic direction and leadership in health equity

 

Location: Duke-Margolis Center for Health Policy, JB Duke, Duke Family Medicine Center

 

 

Fellowship Commitment and Activities:

  • Fellows must make a 12-month commitment to participate in the Fellowship from August. 1st through July 31st
  • With approval from DFMCH chair, fellows are expected to dedicate approximately 50% of their time (~75-80 hours per month) to the Fellowship
  • Fellows will spend the remaining 50% of their time in clinical care within DFMCH
  • Fellows must participate in orientation, learning activities and meet regularly with their mentor, and DFMCH and Duke-Margolis staff via conference calls/webinars and at in-person meetings
  • Attend research project related meetings and strategy sessions
  • Conduct research and data analysis on policies, regulations, and practices
  • Propose health policy recommendations that embed health equity to senior leadership

 

Projects will be determined based on faculty and researcher alignment. Sample projects are described below:

  • Develop a use case to inform a medical home model or an approach that embeds community health workers at Duke University
  • Propose equity-focused considerations for value-based payment models to support longitudinal care management for specialized conditions, especially for conditions that require substantial specialist roles and coordination between specialists and primary care
  • Evaluate the effectiveness of new care delivery and payment approaches to provide flexibility for addressing clinical needs and underlying social determinants of health among historically marginalized populations (e.g., North Carolina’s Healthy Opportunities pilots)
  • Identify actionable policy solutions for state and local policymakers implementing measures for pandemic preparedness and public health infrastructure (e.g., common data elements to apply Social Vulnerability Index and other indices to allocate resources to communities exhibiting the greatest need)
  • Evaluate the effectiveness of value-based payment reforms to reduce health disparities among marginalized and minoritized communities or by rural health care access including an intersectional lens (e.g., gender, immigrant status, disability status)
  • Evaluate existing performance measures that aim to measure equity and develop policy considerations to improve measurement for health equity

 

Criteria of a Successful Rotation:

  • Immersion in and understanding of health equity for health policy and implications for a) providers and health systems; b) increasing access to health care and needed payment reforms; c) communities the policies are intended to serve
  • Demonstrated ability to develop, document, and conduct policy analysis and its implications on advancing health equity
  • Successful participation in the objectives, roles and responsibilities outlined above