IHS Injury Prevention Specialist Fellowship Program First class: Began in 1987 First class: Began in 1987 Participants: : 227 Participants: : 227 PDF: 2003,2005,2006: 32 PDF: 2003,2005,2006: 32

FocusData collection and analysis Community- based programs Education Pre-reqs Bachelor’sNone Training & experience Pre-reqs 2 core courses 3 yr. PH, 2 yrs. IP 1 core course 1 yr. IP Epidemiology Program Development

Epi Fellowship Year-long project Year-long project 4 courses: 4 courses: –Project development –U Michigan Summer Epidemiology courses –IP Field course –Oral and written presentations

Program Development Fellowship Year-long project Year-long project 4 courses: 4 courses: –Program development –Coalitions and program evaluation –IP Field skills –Presentations, marketing, and resource development Between course assignments: Between course assignments: –Function of coalitions –Organize and conduct a focus group –Tribal codes and law enforcement

Program Development Fellows (2003,2005, 2006) Many are tribal members (78%) Many are tribal members (78%) Many are employed by tribes (72%) Many are employed by tribes (72%) From all Areas, except Billings (Thank you, Area IP Specialists and TSC members!) From all Areas, except Billings (Thank you, Area IP Specialists and TSC members!) Many are IP coordinators (38%) Many are IP coordinators (38%) Great diversity of occupations, e.g., police, nursing, CHR, EH, health education Great diversity of occupations, e.g., police, nursing, CHR, EH, health education Projects focus on leading injuries Projects focus on leading injuries

PDF Areas: Acceptances Aberdeen 4Alaska 5 Aberdeen 4Alaska 5 Albuquerque 3Bemidji 3 Albuquerque 3Bemidji 3 Billings0California 4 Billings0California 4 Navajo3Nashville 2 Navajo3Nashville 2 Oklahoma3Phoenix 4 Oklahoma3Phoenix 4 Portland1Tucson 4 Portland1Tucson 4

PDF Fellows: Job Titles IP coordinator: 12 IP coordinator: 12 CHR or CHR supervisor: 4 CHR or CHR supervisor: 4 EH Officer/sanitarian: 3 EH Officer/sanitarian: 3 PHN or CHN: 3 PHN or CHN: 3 Tribal health educator: 2 Tribal health educator: 2 Traffic safety officer Traffic safety officer Area Deputy IP Specialist Area Deputy IP Specialist

PDF Fellows: Job Titles Medical or EH secretary Medical or EH secretary IP education specialist IP education specialist Police lieutenant Police lieutenant Injury epidemiologist Injury epidemiologist Office manager Office manager MADD executive director MADD executive director

PDF Projects Motor vehicle 12 Motor vehicle 12 Other unintentional 9 Other unintentional 9 Intentional injuries 7 Intentional injuries 7 All injuries 4 All injuries 4

Long-term Follow-up Survey Response rate = 75% (86/115) Average years since graduation = 9

Long-term Follow-up Survey At least 5% of current work is IP = 71% At least 25% of current work is IP = 48% Working for:   IHS = 59%   Tribes/AN Corps. = 14%   Other Federal agencies (CDC, HRSA, FDA, NIOSH, US Coast Guard) = 15%

Was the fellowship year worth the time and effort you devoted to it? 100% (86/86) = “Yes”

“Best training I ever had in the PHS.” “It changed the way I viewed my job on a daily basis.” “Allowed me to pursue graduate level coursework in epidemiology.” “It was a highlight of my work life thus far.”

Did the Fellowship influence your professional career in any way? 83 % (71/86) = “Yes”

”I stayed in injury prevention when I could have left for a promotion.” “The value of IP had been impressed upon me and it became much more than ‘just a job’…” “I have made it (IP) my career in PHS.” “It presented additional career opportunities through networking, certification, and visibility.”

Yes: 66% No: 20% Not sure: 12% Did your fellowship project lead to some positive results?

“It has provided the justification to offer a degree in injury prevention at a tribal college.” “My project resulted in over $500,000 in roadway improvement for the San Carlos Apache Nation.” “The Native Peoples’ Brain Injury Council has formed with representation from Native regions within the United States.” “The project is still being conducted in Alaska.”

Should the Fellowship be continued? Yes = 83% No = 2% Not sure = 15%

“More work needs to be done on intentional injuries.” “Provide IP topics and projects in alignment with meeting the GPRA indicators.” “Have a training evaluation specific to each fellow and their project.” How might the fellowship be improved?

2007 Epi Fellowship Project development course at CDC Project development course at CDC University of Michigan: more courses: University of Michigan: more courses: –Public health surveillance –GIS for epidemiology –Community-based interventions –Epidemiology of injury and violence –Epi Info NEHA credits NEHA credits Continue sequence of 2 PDF/1 Epi Continue sequence of 2 PDF/1 Epi