PCPH Seed Grants Research Funding

About Seed Grants

In order to facilitate development of research among Clinician Educators in the division, we now fund up to nine $5,000 grants per year. Application cycles happen three times a year – in the spring, summer and fall quarters. These awards are used to fund pilot research work by faculty looking to develop their research skills and background. Applications for Seed Grants are reviewed and awarded by the faculty leaders of the Evaluation Sciences Unit (ESU). For more information, email Mae Verano, PCPH research admin, at mverano@stanford.edu.

Seed Grant Awardees

The Feasibility and Acceptability of an Online Educational Program on Opioid Tapering for Patients on Chronic Opioids

Korina De Bruyne, MD

Studies are increasibly showing that opioids are no better at controlling pain than other medications or modalities, but are associated with mugh higher risk. Yet, 17% of Americans are still prescribed yearly. Stanford's division of Primary Care and Population Health has 518 patients currently on long term opioids, of which 106 are on doses higher than 90 Morphine Equivalent daily doses -- a dose above which risk for opioid overdose quadruples and the risk of developing opioid use disorder rises. Stanford Primary Care has implemented a new policy that such patients will be tapered over the course of months to years. Dr. De Bruyne will be developing a patient facing opioid tapering video in collaboration with the Stanford CME office to present to patients, and will assess the feasibility and acceptability of the online educaitonal video. She will analyze the effect the video has on patient knowledge of risk vs. benefit of opioid therapy and opioid tapering -- with particular attention to patient facilitators and barriers to tapering.

Assessing the Outcomes of the Geriatrics-Trauma Clinical Pathway

Matthew Mesias, MD

As part of the getriatrics-trauma clinical pathway, the inpatient geriatrics team consultes on all patients over the age of 65 who are admitted to the inpatient trauma service. Consultations focus on delirium prevention/management, fall prevention, osteoporosis evaluation, advance care planning, and discharge planning. This clinical pathway, implemented in 2018, is evaluating for improvements in inpatient outcomes. Dr. Mesias was awarded a PCPH Seed Grant for his study to better understand what happens to patients after discharge from the geriatrics-trauma clinical pathway in hopes of improving overall care and consult recommendations, as well as improving communication with primary care providers. Dr. Mesias will be assessing the patient outcomes of current living situation, number of hospitalizations or ED visits since discharge, adherence to recommendations, evaluation for fall prevention/osteoporosis, and caregiver overall perspective. Through a mixed methods approach, Dr. Mesias hopes this baseline dataset can be the foundation for future geriatric QI initiatives.