Palliative Care and Aging Research Training (T32)

We’re currently accepting applications by May 1, 2020 to begin positions on September 1, 2020.

Dr. Jean Kutner​ directs this T32-supported research training program. Dr. Kutner is a Professor of Medicine in the Divisions of GIM, Geriatrics, and Health Care Policy and Research (HCPR) in the DOM and was, until July 1, 2014, Head of the Division of GIM. She has been​​ developing aging research at the University of Colorado since her research and geriatric fellowship training (1994-1997), joining the UCSOM faculty in 1997. Her career trajectory demonstrates a commitment to: 1) enhancing the evidence base to improve care for older adults with serious illness; 2) mentoring others interested in aging and palliative care research; and 3) developing research, clinical and educational programs and infrastructure aimed at improving care for older persons with serious illness. Dr. Kutner has established a highly successful aging-focused research program addressing fundamental issues in the care of persons with advanced illness, increasing capacity for aging-related research locally and nationally.

Co-Director Information​

Dr. Stacy Fischer Associate Professor of Medicine in the Division of GIM, DOM, UCSOM. Dr. Fischer has been conducting palliative care research for over 15 years with a focus on underserved populations. Dr. Fischer has devoted her academic career to exploring the relationship between poverty and ethnicity and preferences and outcomes in the setting of serious advanced illness. She developed and tested a culturally tailored patient navigator intervention designed to improve palliative care outcomes for Latinos with cancer, conducting a multi-site study across the state of Colorado, representing urban, rural, and mountain communities. Currently, she is testing the intervention in patients with advanced non-cancer medical illness. She has received funding from the National Institute of Aging Research (NIA), American Cancer Society (ACS), and National Institute of Nursing Research (NINR). She received pilot grant funding from the National Palliative Care Research Center (NPCRC). She is serving as the site PI for a PCRC multi-site NINR-funded study (PI: Porter) of a cancer pain management intervention. She serves on the PCRC Investigator Meeting Task Force, has served as a reviewer for PCRC pilot grants and has been working on enhancing PCRC study site recruitment for the past year. Dr. Fischer is also a successful mentor, having mentored a Harold Amos Career Development Awardee. She is mentoring current T32 awardee Dr. Siler and Affiliated Faculty Drs. Kessler and Singh. As a co-director and program faculty, Dr. Fischer mentors T32 trainees interested in palliative care in underserved populations.

Dr. David Bekelman, Associate Professor of Medicine in the Division of GIM, DOM, UCSOM. Dr. Bekelman’s research aims to improve quality of life in adults with chronic and advanced illnesses. He is a practicing palliative care physician who is a board-certified internist and psychiatrist. His current research tests ways to integrate palliative and psychosocial care into the ongoing care of people with heart failure and lung diseases.  He has experience with behavioral/health services intervention trials, outcomes research, and qualitative and mixed methods. He has also investigated spirituality and informal caregiving in chronic illness. He is currently PI on a VA Merit Review award (IIR 14-346) to conduct a multisite clinical trial of early, primary palliative care in COPD and heart failure. He recently completed a R01-funded multisite trial of collaborative care in heart failure (R01-NR014322). Dr. Bekelman is primary mentor for one junior faculty cardiologist, one post-doctoral pulmonologist on the UCSOM pulmonary T32, and is a secondary mentor for T32 awardees Drs. Bickel, Portz, and Siler. He is highly regarded as a mentor, as evidenced by receipt of the UCSOM Dean’s Master’s Mentoring Award in 2017. As a co-director and program faculty, Dr. Bekelman mentors T32 trainees interested in testing palliative care interventions.​

Program Faculty:

Affiliated Faculty:

Advisors:

T32 postdoctoral fellows:

Shauna Siler, PhD ​(2018-2020); The focus of Dr. Siler’s research is on integrating spiritual care into palliative care and implementation of community-based palliative care interventions for minority populations.​

Evan Plys, PhD​ (2018-2020); The focus of Dr. Plys’ research is on quality of life of older adults with physical and/or cognitive limitations due to serious illness in residential care settings.​

Kathleen Bickel, MD, MPhil, MS​, (2017-2019); Dr. Bickel is examining the hypothesis that patients with a diagnosis of PTSD are more likely to have increased acute health care utilization at the end-of-life, using a retrospective cohort study of chronically ill Veterans receiving VA health care benefits dying between 2010-2015. Using multivariate regression, Dr. Bickel will determine if PTSD is associated with increased end-of-life health care utilization. Dr. Bickel also hypothesizes that the effect of PTSD on end-of-life will vary depending on the primary chronic illness, it will be important to accurately characterize a veteran’s primary chronic illness at time of death. These findings will provide baseline information about the scope of this problem so that appropriate interventions can be developed.

​Sean M. Reed, PhD, APN, ACNS-BC, ACHPN,​ (2017-2019); The focus of Dr. Reed’s research is on the design and testing of economic and predictive models aimed to improve the delivery of care for the seriously ill.​

​Jennifer Dickman Portz, PhD, MSW, (2016-2018); Dr. Portz’s mission is to advance social work research in geriatric palliative care by developing digital health interventions that can be used by older adults with advanced illnesses, their caregivers, and family to effectively improve patient-family centered outcomes. To achieve this goal, her current research is focused in three related areas: 1) identification of outcomes and needs important to patients with chronic disease and adva​nced illness 2) creation, study, and dissemination of digital health for older adult users, and 3) chronic disease self-management.​​

Nicole Amoyal Pensak, PhD (2015- 2016); Dr. Amoyal Pensak’s research focuses on improving distress management in patients and caregivers of adults with serious illnesses.​

Tim Sannes, PhD​ (2015- 2017); ​Dr. Sannes’ research aims to develop new and improved support mechanisms for patients and their family members facing serious illness. Specifically, he seeks to determine if stress marker data can be translated into meaningful strategies for patients and their caregivers and investigate if emerging biomarker data influences decision-making and behavior.​

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Goals and Objectives Curriculum

Coursework: As a T32 trainee, you will be required to take the following courses or equivalent (or demonstrate equivalent prior training):

As required by the NIH, you must complete 8 hours of training in the responsible conduct of research.  This requirement may be fulfilled by taking the CLSC courses 7150 (Ethics) and 7151 (Responsible Conduct of Human Research), the PHCL course 7605 (Ethics in Research) or the BIOS course 7605 (Ethics: Computational Bioscience Research) or via the seminar series offered by University of Colorado Clinical research Support Center http://www.ucdenver.edu/research/ORC/RI/Pages/rcrt.aspx .  This requirement must be completed in Year 1 of the award.​

Minimum Expectations for ALL T32 Trainees 

• Attend and present in twice monthly research in progress sessions and actively participate in providing feedback to colleagues through peer mentorship.
• Present research to a topic-relevant research seminar (as agreed to with mentors) at least once per year.
• Develop andconduct at least 1 research project with their mentor(s), including agreed upon timelines and productivity benchmarks as part of a written Individual Career Development Plan.
• Participate in weekly meetings with primary mentor (or senior/junior mentorship dyad) and with entire Mentorship Committee (at least twice yearly).
• Attend other relevant conferences (e.g. University of Colorado Palliative Care Conference (UC-PCC), Geriatrics Grand Rounds).
• Present at Palliative Care Journal Club as assigned and at the UC-PCC at least twice each year.
• Completion of required courses and other didactic training as determined by the needs assessment delineated in the Individualized Career Development Plan.
• Submission of required review materials to document progress (twice yearly).
• Presentation of abstracts at relevant national professional meetings (submit 2 abstracts per award year).
• Publication of peer-reviewed manuscripts (submit 3 manuscripts per award year).
• Application for pilot grant funding (internal or external) during year 1.
• Submission of an individual research career development award application prior to completion of the T32 training period.
• Maintain contact with the T32 following training for collection of data on presentations, publications, grants, degrees and academic positions.​