This presentation focuses on "Epidemiology and Implementation Science: Targeting Chronic Respiratory Diseases in Developing Countries"

1. Global Health: The What, Where,
and Why in the 21st Century
Epidemiology and Implementation Science:
Targeting Chronic Respiratory Diseases in
Developing Countries
Cecilia M Patino, MD MEd PhD
Keck School of Medicine
Department of Preventive Medicine
University of Southern California

2. Disclosures
• None

3. The Goal
To highlight the importance of training early
stage researchers from low & middle income
countries and building capacity in the methods
and process of conducting epidemiological,
clinical and operational research.

4. Theoretical Success Model for Clinician Scientists
Improving
Human Health
Rubio D. et al.Research Culture

5. Research Culture
Definition: Development, implementation,
uptake of research related activities and
repeated by the members of an organization.
 Fully Developed
 In development
 Underdeveloped

6. Research Training Portfolio Quality
1. Research Methodology
2. Research Career Development
 Conducting research
 Writing
• Scientific: Protocols, Abstracts, Posters, Papers, Grants
• Non-Scientific: CV, Personal Statements, Letters to the Editor
 Professional Speaking
 Networking
 Digital Scholarship: blogging, tweeting, crowdsourcing,
video recording to disseminate research

7. Drivers of a Successful Clinician Researcher
Curious
Motivated
Grit
Engaged Mentor
Trained
Attends Scientific
Meetings
Reads the Literature
Culture of Research
Supportive and Nurturing
Committed to a
research career path
Aware of Funding
Opportunities
Mindful Clinician

8. Case Study
Research Question
Is exercise induced
Asthma characterized by
early and delayed
responses in an adult
underserved population
in LA?Hospital Nacional de Clínicas
Córdoba, Argentina

9. Drivers of a Successful Clinician Researcher
Curious
Motivated
Grit
Engaged Mentor
Trained
Attends Scientific
Meetings
Reads the Literature
Culture of Research
Supportive and Nurturing
Committed to a
research career path
Aware of Funding
Opportunities
Mindful Clinician

10. 1
4 5 6
7
2
3

11. 22 years old
Organized by 8 Countries
Gone from 0% Latin American Faculty in 1994 to 100% + Sonia in 2015
64% Faculty are MECOR Alumni
761 Graduates, 19 Countries, 67% Brasil-Argentina, 55% Female,
4 Levels of Research Methodology Annually during 6 days
Course Outcomes: Research Protocol, MOP, Data Analysis, Oral Presentation
MECOR Latin American Program in a Nutshell

12. Turns ON your Research Switch!
Oh my goodness….
This course is so good!
Faculty are so helpful, generous, nurturing…
We have been doing things sooo wrong!
So much to learn……. Study design, stats, bias uugghh
I want to learn more and do things right!
I don’t have institutional support… what do I do?
Trial and error….
Network, find help, get trained
I have no money to do this….no time…
I neeeeeeeeed to find a way….

13. MECORGlobalCourse
2011-14OutcomeData
50% published
40% are in the process
10% will not publish

14. Describing the Burden of Disease
Phenotypes and
Risk Factors
*
*

15. Recommendations for Latin America
study of stress-reducing interventions on asthma
strategies to reduce open-fire cooking and asthma
symptoms.
Multipronged approaches to asthma management are needed.
Such strategies must include adequate access to medications,
patient education and monitoring asthma control.
In this region there has been no:
adequate clinical trial of weight loss and asthma

16. The MECOR Community on Facebook

18. Turning on the Switch is Not Enough
 We are in the process of creating an online research
repository of research methodology and career
development resource for self-paced long life learning.
 We need to start systematically tracking and
evaluating the alumni to assess productivity,
sustained careers in research, impact on health.
 More importantly, how do we start thinking of
strengthening home institutions’ research culture?

19. I Look Forward to the Future….
Thank You!