IHS Injury Prevention IHS Injury Prevention SpecialistSpecialist

Fellowship Program Fellowship Program

First class: Began in 1987First class: Began in 1987 Participants: 1987-2006: 227 Participants: 1987-2006: 227 PDF: 2003,2005,2006: 32PDF: 2003,2005,2006: 32

Focus Data collection and analysis

Community-based programs

Education Pre-reqs

Bachelor’s NoneNone

Training & experience

Pre-reqs

2 core courses

3 yr. PH,

2 yrs. IP

1 core course

1 yr. IP

EpidemiologyEpidemiology Program Program DevelopmentDevelopment

Epi FellowshipEpi Fellowship

Year-long projectYear-long project 4 courses:4 courses:

– Project developmentProject development– U Michigan Summer Epidemiology U Michigan Summer Epidemiology

coursescourses– IP Field courseIP Field course– Oral and written presentationsOral and written presentations

Program DevelopmentProgram DevelopmentFellowshipFellowship

Year-long projectYear-long project 4 courses:4 courses:

– Program developmentProgram development– Coalitions and program evaluationCoalitions and program evaluation– IP Field skillsIP Field skills– Presentations, marketing, and resource Presentations, marketing, and resource

developmentdevelopment Between course assignments:Between course assignments:

– Function of coalitionsFunction of coalitions– Organize and conduct a focus groupOrganize and conduct a focus group– Tribal codes and law enforcementTribal codes and law enforcement

Program Development Fellows (2003,2005, 2006)

Many are tribal members (78%)Many are tribal members (78%) Many are employed by tribes (72%)Many are employed by tribes (72%) From all Areas, except Billings From all Areas, except Billings (Thank you, (Thank you,

Area IP Specialists and TSC members!)Area IP Specialists and TSC members!) Many are IP coordinators (38%)Many are IP coordinators (38%) Great diversity of occupations, e.g., police, Great diversity of occupations, e.g., police,

nursing, CHR, EH, health educationnursing, CHR, EH, health education Projects focus on leading injuriesProjects focus on leading injuries

PDF Areas: AcceptancesPDF Areas: Acceptances

Aberdeen Aberdeen 44 AlaskaAlaska 5 5 Albuquerque Albuquerque 33 BemidjiBemidji 3 3 BillingsBillings 00 CaliforniaCalifornia 4 4 NavajoNavajo 33 NashvilleNashville 2 2 OklahomaOklahoma 33 PhoenixPhoenix 4 4 PortlandPortland 11 TucsonTucson 4 4

PDF Fellows: Job TitlesPDF Fellows: Job Titles

IP coordinator: 12IP coordinator: 12 CHR or CHR supervisor: 4CHR or CHR supervisor: 4 EH Officer/sanitarian: 3 EH Officer/sanitarian: 3 PHN or CHN: 3PHN or CHN: 3 Tribal health educator: 2Tribal health educator: 2 Traffic safety officerTraffic safety officer Area Deputy IP SpecialistArea Deputy IP Specialist

PDF Fellows: Job TitlesPDF Fellows: Job Titles

Medical or EH secretaryMedical or EH secretary IP education specialistIP education specialist Police lieutenantPolice lieutenant Injury epidemiologistInjury epidemiologist Office managerOffice manager MADD executive directorMADD executive director

PDF ProjectsPDF Projects

Motor vehicleMotor vehicle 1212 Other unintentionalOther unintentional 9 9 Intentional injuriesIntentional injuries 7 7 All injuriesAll injuries 4 4

Long-term Follow-up Long-term Follow-up SurveySurvey

Response rate = 75% (86/115)

Average years since graduation = 9

Long-term Follow-up Survey

At least 5% of current work is IP = 71%At least 25% of current work is IP = 48%Working for: IHS = 59% Tribes/AN Corps. = 14% Other Federal agencies (CDC,

HRSA, FDA, NIOSH, US Coast Guard) = 15%

Was the fellowship year worth the time and effort you

devoted to it?

100% (86/86) = “Yes”

“Best training I ever had in the PHS.”

“It changed the way I viewed my job on a daily basis.”

“Allowed me to pursue graduate level coursework in epidemiology.”

“It was a highlight of my work life thus far.”

Did the Fellowship influence your

professional career in any way?

83 % (71/86) = “Yes”

”I stayed in injury prevention when I could have left for a promotion.”

“The value of IP had been impressed upon me and it became much more than ‘just a job’…”

“I have made it (IP) my career in PHS.”

“It presented additional career opportunities through networking, certification, and visibility.”

Yes: 66% No: 20%Not sure: 12%

Did your fellowship project lead to some positive results?

“It has provided the justification to offer a degree in injury prevention at a tribal college.”

“My project resulted in over $500,000 in roadway improvement for the San Carlos Apache Nation.”

“The Native Peoples’ Brain Injury Council has formed with representation from Native regions within the United States.”

“The project is still being conducted in Alaska.”

Should the Fellowship be continued?

Yes = 83%No = 2%

Not sure = 15%

“More work needs to be done on intentional injuries.”

“Provide IP topics and projects in alignment with meeting the GPRA indicators.”

“Have a training evaluation specific to each fellow and their project.”

How might the fellowship be improved?

2007 Epi Fellowship Project development course at CDCProject development course at CDC University of Michigan: more University of Michigan: more

courses:courses:– Public health surveillancePublic health surveillance– GIS for epidemiologyGIS for epidemiology– Community-based interventionsCommunity-based interventions– Epidemiology of injury and violenceEpidemiology of injury and violence– Epi InfoEpi Info

NEHA creditsNEHA credits Continue sequence of 2 PDF/1 EpiContinue sequence of 2 PDF/1 Epi