Longitudinal Projects

MLPR trainees participate in a longitudinal project—a thesis-level study that demonstrates the participant’s aptitude across multiple management-level domains. Often, these projects are eligible for publication in medical literature. Below are sample longitudinal projects and a list of publications that have originated in the MLPR.

Sample projects

  • Framework for the establishment of a multidisciplinary standardize care model for Aortic Dissection patients using the DMAIC principles and statistical tools 
  • Business plans for purchasing capital equipment 
  • Research and analysis of Duke’s opportunities for participation in the CMS bundling initiative 
  • Clinic workflow analyses including role of EMR 
  • Optimizing reporting of patient safety and quality data 
  • Design new models of care delivery and payment 
  • Analysis of 2012 election to project the effects of fiscal cliff, sequestration, Affordable Care Act, etc. on health system priorities 


Trainee Publications

  1. Lehman, EP and Guercio, JR.  The Step 2 Clinical Skills Exam – A Poor Value Proposition.  New England Journal of Medicine 2013;368:889-891. 
  2. Lehman, EP and Guercio, JR.  Correspondence: The Step 2 Clinical Skills Exam.  New England Journal of Medicine 2013;368:2239-2240. 
  3. D’Arrigo, T. “Grooming residents to be hospitalist leaders: Programs increasingly offer business, management training.” ACP Hospitalist, Feb 2013. Available at: http://www.acphospitalist.org/archives/2013/02/residents.htm 
  4. Dolor RJ, Patel MR, Melloni C, Chatterjee R, McBroom AJ, Musty MD, Wing L, Coeytaux RR, Ross AK, Bastian LA, Anderson M, Kosinski AS, Sanders GD. Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women. Comparative Effectiveness Review. (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-2007-10066-I) AHRQ Publication No.  Rockville, MD: Agency for Healthcare Research and Quality. January 2012.