Nevertheless, for the foreseeable future, count on policy wonks to pursue system change, using HSR as a major tool. Although they may succeed in the long term, in the short term expect more disruption, fragmentation, documentation, and duplication in negotiating the system that often seems at odds with providing excellent patient care.
The Robert Wood Johnson Clinical Scholars Program
The Robert Wood Johnson Clinical Scholars Program (http://rwjcsp.stanford.edu ) has fostered the development of physicians interested in health systems research in academic medicine, public health and other venues. In existence for more than 30 years, the program-which offers two years of graduate level study at one of four universities: the University of California at Los Angeles, University of Pennsylvania, Yale University, and the University of Michigan-has produced more than 1000 physicians who are leaders in health services research.
Iris Litt, MD, Program Director of the RWJ Clinical Scholars Program, says that the program encourages physicians to conduct research that will improve health care. They are change agents and visible role models who help us identify what needs to be changed, and how can it be changed to make things better.