Delivery Science Fellowship Emailer - A quarterly digest with news, information, and activities to help you in your daily work to deliver on our mission.
Being Kaiser Permanente in Northern California

A Note from Our Directors

Dear readers, we hope you are settling into what promises to be an interesting year. This newsletter provides news updates and program highlights from the Kaiser Permanente Northern California (KPNC) Delivery Science Fellowship (DSF). Training postdoctoral research fellows since 2012, the DSF supports research to identify and overcome barriers to effective health care at multiple levels (e.g., patient/clinician, delivery setting, health policy). We have wrapped up this year’s selection process for the DSF and hope to introduce you to our incoming fellows in a future newsletter. You can learn more about our decade training Delivery Science Fellows in our 2024 article from Learning Health Systems and you can keep tabs on our next application cycle on our website. You can always drop us a line at DOR-Fellowship@kp.org.

Richard

Richard W. Grant, MD, MPH
DSF Director

Richard

Esti Iturralde, PhD
DSF Associate Director

Read on about the work of some of our DSF fellows and alumni.

Alumni Update:
Alison Fohner, PhD

We caught up with former DSF fellow, Alison Fohner, PhD, to learn about her career path and how she applies her delivery science training to work today as a genetic epidemiologist.

Tell us about yourself.

I am an Assistant Professor in the Department of Epidemiology and Associate Director of the Institute for Public Health Genetics at the University of Washington. I am currently working on several projects that are using large scale omics (proteomics, epigenomics, metabolomics in addition to genomics) to answer questions related to healthy aging and using precision medicine approaches to improving health outcomes. I spend about half of my time leading training programs for the next generation of researchers and practitioners translating genomics into public health initiatives, which requires broad interdisciplinary knowledge.

What have you been up to since completing the Delivery Science Fellowship?

I moved to Seattle, Washington to begin my faculty position at the UW. I work with many students who are studying the use of genetics in research and public health applications. I’ve also been doing a lot of coding in R. Really, though, I spend most of my time writing grants and papers. One of my favorite parts of the job is inviting speakers on the latest breakthroughs, ideas, or methods in genomics to speak to my class.

How do you think about delivery science in your current work if at all?

Much of my research lately has been extremely upstream of any clinical translation, but the delivery science perspective still affects how I frame research questions and prioritize research based on translational utility. My current role in public health genetics draws from delivery science a lot because of a need to engage with stakeholders and interface across interdisciplinary teams. Delivery science skills come up often as I help students study the use of genomics in healthcare and public health. Many students now seek out skills in delivery science, and I am better able to advise them because of the DSF curriculum and research training. We are currently redoing our curriculum for our program. Delivery science was highlighted as a crucial field for our students to understand regardless of a future profession in research or practice.

What are 1 or 2 things you learned during your fellowship that you still think about or find helpful?

Many things! A few generalizable ones include: 1) Be very clear about what analysis you want and what output you want from analysts working with you. I am still working on making my communication more precise, but when I use this approach, I get the results I want faster and with less wasted analyst time. 2)  In developing prediction models, consider clinical utility and decision thresholds. I work with many students who throw predictive models at everything, but they don’t consider how probabilities translate to action and how population frequencies can affect results. For hot topics like prediction, it has been very useful to have foundational knowledge on how to interpret the output and apply it in useful ways.

What do you like to do outside of work?

Hiking, camping, and art projects with my two little kids aged 1 and 4.

What advice would you offer early-stage investigators who want their work to meaningfully impact care delivery?

Connect with a team of established researchers at your institution or nearby with whom you like to work and with whom you have complementary skills. They will help you develop better ideas and can provide both a community and safety net to help you succeed.

Fellow Spotlight:
Understanding the double burden of social risk and medical complexity

Emma Tucher, PhD studied a large group of medically complex patients who also face financial strain, housing instability, food insecurity, or other social risks. They had higher hospitalization and emergency department use compared to similar patients without social risks.

Read more about this study here.

DSF Graduate Highlight:
The role of telemedicine in pediatric primary care

Recent DSF Fellow and current Kaiser Permanente emergency medicine physician Scott Casey, MD completed the largest study to date of telemedicine visits among children in primary care.

Learn more about this research here.

Other Delivery Science Fellowship Links

Learn more about our postdoctoral research training environment

Read about DSF fellows and other postdoctoral trainees at the KPNC Division of Research.

Does helping housing-insecure people pay rental deposits lead to lower healthcare use?

Research published by DSF fellow Dr. Margae Knox in JAMA Health Forum was spotlighted by UC Berkeley's School of Public Health.

Meeting the health and social needs of adults with multiple chronic conditions

Listen to DSF Director Dr. Richard Grant discuss how to help patients who are struggling with food, housing, financial, and other social needs.

Upcoming Scientific Meeting: Conference on Retroviruses and Opportunistic Infections (CROI) 

Fellows share their work at national meetings, including CROI, which takes place in San Francisco March 9th to 12th.

Keep posted on the next DSF deadline in Fall 2025

Learn about next steps to apply to the Delivery Science Fellowship.

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