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The eDelphi method was chosen due to the distribution of fellows and their host organizations and academic institutions across Canada. 2000) study was conducted to elicit the perspectives of fellows, host supervisors and academic supervisors regarding: (1) the criteria that each group uses to define a successful fellowship and (2) key contributions fellows have made in their academic and health system organizations. This present study fills a gap in the literature by: (1) identifying the criteria of a successful fellowship as defined by HSI fellows, host supervisors and academic supervisors and (2) elucidating each group's perspectives on key contributions made by fellows to their respective academic and health system organizations after the first year of operation of the HSI Fellowship. Therefore, more evidence is needed from the Canadian context to inform program development, assess the impact of embedded fellows on health systems and facilitate the success of future fellows. Although the review included a wide array of organizations across the world, there was no Canadian representation, an exclusive focus on quality improvement and little emphasis on the training of early-career researchers.
![hsi delphi hsi delphi](https://lirp.cdn-website.com/cadac795/dms3rep/multi/opt/1825x2000_q95-640w.jpg)
To the best of our knowledge, only one narrative review has explored the role embedded researchers could play in quality improvement efforts in healthcare settings (Vindrola-Padros et al. A central facet to this program is the co-mentorship of fellows by high-level, senior leaders in both the academic and the health system setting.Īlthough embedded research training opportunities are gaining popularity, there is limited Canadian research evaluating the preliminary impacts of these fellows within the health system organization. More information about this dynamic program is available in the CIHR funding opportunity (CIHR 2018c). The HSI Fellowship aims to: (1) prepare PhD graduates for a wide variety of careers (both inside and outside of academia) by enriching post-doctoral training with opportunities for "real-world" experience within health system organizations and (2) demonstrate the value of adding PhD-trained researchers to organizations outside traditional academic settings. The HSI Fellowship is a $5.5 million national initiative to train the next generation of embedded researchers to promote health system transformation in Canada (Bornstein et al. In October 2017, the Canadian Institutes of Health Research's Institute of Health Services and Policy Research (CIHR-IHSPR) launched the Health System Impact (HSI) Fellowship. A more rigorous evaluation of the embedded research model is ongoing in the UK (National Institute for Health Research 2017). 2017 Hamelin and Paradis 2018 Paradis et al. According to previously published case studies, embedding academic researchers into health systems is a promising approach to facilitate the integration of evidence- and practice-informed research in policy implementation, build research capacity and meet stakeholder and patient needs (Cheetham et al. A capacity-building initiative gaining international recognition is embedding PhD-trained researchers into health system organizations outside of traditional academic settings (Cheetham et al. Sophisticated research and analytic expertise are critically needed to aid in the design, implementation and evaluation of evidence-based solutions (CIHR 2018c). Health systems of developed countries are facing complex and multifaceted challenges in meeting the needs of patients and providers.
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This work begins to identify specific criteria for success in the fellowship that can be used to improve future iterations of the program. Through an iterative, two-round eDelphi process, perspectives were elicited from three stakeholder groups in the inaugural cohort of the HSI Fellowship: HSI fellows, host supervisors and academic supervisors.ĭiscussion: A consensus was reached on many criteria of success for an embedded research fellowship and on several perceived contributions of the fellows to their host organization and academic institutions. Methods/Design: An electronic Delphi (eDelphi) study was conducted to: (1) identify the criteria used to define success in the program and (2) elucidate the main contributions fellows made to their organizations. Context: The Health System Impact (HSI) Fellowship, an innovative training program developed by the Canadian Institutes of Health Research's Institute of Health Services and Policy Research, provides PhD-trained health researchers with an embedded, experiential learning opportunity within a health system organization.