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Providence VA Medical Center, Rhode Island


VA Advanced Fellowship in Health Services Research and Development

              Amal Trivedi, MD, MPH                                                            Kerry LaPlante, Pharm.D.                                                                                                                                              
         Amal Trivedi, MD, MPH, Co-Director                                      Kerry LaPlante, Pharm.D., FCCP, Co-Director

In collaboration with VHA Office of Academic Affiliations (OAA), the Health Services Research and Development (HSR&D) service sponsors post-doctoral and post-residency training programs for fellowship in health services research. The COIN-LTSS vision is to stimulate and develop partnered health services research that will enhance access, quality and value of LTSS for Veterans with medical and/or psychosocial vulnerabilities and facilitate the implementation of programs to support the mission of VA's GEC service in maximizing Veterans' social participation and quality of life in the least restrictive setting possible.  The primary goal of the COIN-LTSS is to advance the science in LTSS for Veteran and other populations with medical and/or psychosocial vulnerabilities.

Led by Amal Trivedi, MD, MPH and Kerry LaPlante, Pharm.D., FCCP and supported by James Rudolph, MD (COIN-Director), David Dosa, MD, MPH (COIN Associate Director) and Vincent Mor, PhD, the VA Advanced Fellowship in Health Services aims to train both physician and non-physician researchers to become successful independent investigators in health services research and health system improvement, to give trainees didactic as well as "hands-on" supervised experience in health services research, and to teach health services research methods as well as content material relevant to gerontology, long term care, and chronic disease management.  Post-doctoral fellows will have the opportunities to participate in on-going research in one or more substantive areas, including chronic disease management, long-term care, quality of care, community-based systems of care, organization of health care delivery, health care disparities, and methodological approaches to compareative effectiveness research.

For more information about the program or information about applying for a HSR&D advanced fellowship please contact:

Dawn Mello at or 401-273-7100 Extension 6222.

Current Fellowship Awardees:

Keith Corl, MD, FACEP, is an attending physician in the Division of Pulmonary Critical Care and Department of Emergency Medicine at Brown Medical School.  His interest focus is on the resuscitation of critically ill patients both in the emergency department and the intensive care unit (ICU).  He has published work evaluating non-invasive means of detecting fluid responsiveness and their ability to tailor resuscitation.  His interests include the use of point of care ultrasound in critically ill patients, novel resuscitation strategies for patients with septic shock, and the equity of care delivered in the ICU.

Cynthia Holle, DNP, MBA, RN, is a post-doctoral Advanced Health Services Research Fellow at the Providence VA Medical Center's Center of Innovation in Long Term Services and Supports (LTSS COIN). Her professional experience includes health care administration in acute, post-acute, and managed care settings. Her current area of focus involves engaging nurses in applying evidence-based practice and systems thinking to care for older adults at risk for or experiencing delirium. Her DNP scholarly project examined barriers, incentives, and beliefs about academic advancement for directors of nursing in skilled nursing facilities. She co-authored an on-line education unit on population health for nursing students, faculty, and practicing nurses supported by a grant from the Robert Wood Johnson Foundation. Her areas of interest include population health, healthcare policy and advocacy, and leadership development for nurses.  She is a volunteer disaster nurse for the American Red Cross.  Dr. Holle received her DNP from MGH Institute of Health Professions in 2016, and her MBA from Western New England University in Springfield, MA.

Megan Luther, Pharm. D. began conducting research at the Providence Veterans Affairs Medical Center in 2012.  She has a background in infectious diseases in vitro laboratory research.  Her current work is focused on antibiotic-associated acute kidney injury.  One of her main interests is determining risk factors for acute kidney injury in the Veteran population receiving vancomycin therapy.  Projects in progress include a multidisciplinary quality assurance project on vancomycin monitoring with one of the nursing residents and the antimicrobial stewardship team at the Providence VAMC, as well as a retrospective chart review of patients receiving vancomycin.  She is involved in qualitative interviewing of antimicrobial stewardship members throughout VISN1 (New England).  She is also conducting a systematic review and meta-analysis of acute kidney injury with vancomycin combination therapy.

Andrew R. Zullo, PharmD, ScM, PhD is a nursing home / long-term care pharmacoepidemiologist and health services researcher. Andrew's main research interest is in the study of prescription drug effects, particularly in geriatric individuals and nursing home residents. He applies comparative effectiveness and safety methodologies to patient-centered outcomes research topics in diabetes, cardiovascular disease, fractures/osteoporosis, nephrology, and more. His other interests include 1) the quality and determinants of medication use, 2) personal prescription drug importation, and 3) new models of pharmaceutical care delivery and medication management.