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K12 Career Dev​elopment Training in T4 Implementation Science and Heart, Lung, Blood, and Sleep (HLBS) Disorders



The IMPACT (IMPlementation to Achieve Clinical Transformation) K12, centered at the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), was a two-year career development program t​​hat prepared a diverse group of post-doctorate scholars for careers in T4 translational research with an emphasis on HLBS disorders. 

Our multifaceted, transdisciplinary center was ideal for training T4 implementation science researchers due to its faculty expertise in implementation science and outcomes research, and our strong record of postgraduate training​ in a variety of adult and child settings addressing HLBS issues. The mixture of didactic and experiential training allowed iterative research-to-practice and practice-to-research experiences. 

An innovative curriculum of courses, seminars, work in progress research meetings, and workshops provided scholars with solid training in both basic T4 and health services research competencies (e.g., pragmatic trials and CER, T4 frameworks, stakeholder engagement, designs and outcomes for implementation science) and cutting edge T4 methods and approaches (e.g., designing for sustainability, adaptations to evidence based programs, as well as practical tools and iterative assessment for community and clinical settings).

Scholars will emerge from the program having received both strong general training, in-depth T4 research experience relevant to HLBS subject areas, and with embedded research experience in multiple, diverse clinical settings​. Particular areas of emphasis were chosen specifically to integrate T4 and HBLS science.

In particular, IMPACT scholars received in depth training in application of T4 frameworks and methods including CFIR, RE-AIM, the Evidence Integration Triangle, Dynamic Sustainability Framework; the 5Rs and other models for relevant, pragmatic research; and interactive T4 science tools.

The program trained 2-4 scholars per year who could commit at least 75% effort and both MD and PhD scholars from a variety of disciplines and backgrounds were encouraged to apply. 

Although the K12 IMPACT Training Program has ended, there are other ACCORDS sponsored training opportunities in D&I science, both comprehensive and less intensive.  During the K12 IMPACT Training Program, ACCORDS worked with the Graduate School and CCTSI to launch a fully-online formal certificate program in D&I science. Further, for post-doctoral scholars interested in a career in primary care research, ACCORDS offers the HRSA-funded ACCORDS Primary Care Research Fellowship (APCRF).  The fellowship has five methodological areas of emphasis: mixed methods/qualitative methods, health equity, community-based participatory research, economic analysis and D&I science. 

In addition, the ACCORDS D&I Science Program continues to provide a variety of brief, less formal training and education opportunities. These include periodic webinars, a robust D&I research consultation program, bi-monthly meetings that include WIPS and journal club discussions, a group mentoring program, and collaboration on the annual Colorado Pragmatic Research Conference (COPRH Con)

Finally, if you would like more information on the history of the K12 IMPACT Training Program or on the ACCORDS Primary Care Research Fellowship, you can also reach out to the Research Training and Mentorship Programs Coordinator, Rebecca Speer, MA, at:

Program Outcomes