TDI is an exceptional resource composed of scientists and clinician-scholars from Dartmouth's medical and graduate schools who conduct cutting-edge research on critical medical and health issues with the goal of measuring, organizing, and improving the health care system.
This is a new program, funded by a National Research Service Award training grant, and one of which we are very proud. Courses in epidemiology, biostatistics, economics, decision-analysis, continuous improvement strategies, and health promotion and disease prevention prepare the orthopaedic surgeon to assess and improve the medical care provided to patients. During this year, they will learn the fundamentals of clinical research, and will begin to design their own study.
Sources for data are limitless, and include some of the richest in orthopaedics. One is the Spine Patient Outcomes Research Trial (SPORT), the largest study ever funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) at the NIH. This is a randomized trial comparing surgical and non-surgical treatments for three common spinal conditions for which surgery is often performed. Dartmouth-Hitchcock's Department of Orthopaedics was also the only orthopaedic department in the country awarded a Multidisciplinary Clinical Research Center grant (also through NIAMS). This funding has provided a wealth of assistance for resident research, from statistical consultations to grant writing and publication support.