CONCORD-PBRN is a new pathway for physicians who have been interested in conducting clinical research, but who do not have the training to accomplish the daily activities of clinical research. Historically, the osteopathic profession has struggled with conducting large clinical studies to evaluate the outcomes and mechanisms of osteopathic medical care, including osteopathic manipulative treatment. The Osteopathic Research Center recently completed the OSTEOPATHIC Trial, a randomized, controlled trial that assessed the efficacy of osteopathic manual treatment (OMT) and ultrasound therapy in 455 chronic low back pain subjects. This study is one of the largest clinical trials of OMT to date.
A network of trained physician researchers working in partnership with the ORC would substantially increase the impact of clinical research on developing an evidence base for osteopathic medicine. An example of a major study that could be conducted through the
CONCORD-PBRN would look at how OMT is used in clinical practice to treat patients with chronic low back pain. Over a period of five years, the ORC, working with 24 physician researchers trained through the CONCORD-PBRN, anticipates recruiting and collecting data on more than 5,000 subjects. Having a network of trained physician researchers means that no one practice or individual bears an
unrealistic burden to recruit subjects for a study.
CONCORD-PBRN is a unique approach to developing a practice-based research network for the osteopathic profession
because it focuses on a realistic pathway for training physician researchers.
CONCORD-PBRN uses Extended Weekend Seminars as the foundation of its training component. Each fellow selected for the program commits to attending six Extended Weekend Seminars at the ORC, located on the University of North Texas Health Science Center campus in Fort Worth, Texas. Workshops are held all day Thursday, Friday and Saturday in February, April, June, August, October and December. We anticipate having the next class of fellows start the didactic training in the fall of 2013, pending funding to support the program.
Topics covered during each annual cycle of six Extended Weekend Seminars include:
• Clinical Research Design - 24 hours
• Epidemiology -19 hours
• Biostatistics - 27 hours
• Human Subjects Research - 10 hours
• Critical Analysis of the Biomedical Literature - 20 hours
• Miscellaneous Topics - 46 hours
• Practicum Research Planning - 16 hours
Total Instructional Hours: 162
In addition to the 162 hours of classroom training, the PBRN fellows will work closely with the ORC for at least two years to collect data on patients with chronic low back pain.
The ORC plans to conduct a site visit at each fellow’s practice location during the first year of data collection, and will guide fellows throughout the research and publication process.
The CONCORD-PBRN is coordinated by The Osteopathic Research Center. Directors of the CONCORD-PBRN are:
CONCORD-PBRN Executive Director:
John C. Licciardone, DO, MS, MBA
CONCORD-PBRN Administrative Director:
Cathleen Kearns
CONCORD-PBRN Associate Director:
Hollis H. King, DO, PhD, FAAO
A.T Still University of Health Sciences School of Osteopathic Medicine, Mesa, AZ
Professor, Osteopathic Principles and Practices
CONCORD-PBRN Eastern Regional Director:
Wm. Thomas Crow, DO, FAAO
Florida Hospital East, Orlando, FL
Director, Neuromusculoskeletal Medicine Residency Program
CONCORD-PBRN Western Regional Director:
Michael Seffinger, DO, FAAFP
Western University of Health Sciences-College of Osteopathic Medicine of the Pacific, Pomona, CA
Chair, Neuromusculoskeletal/Osteopathic Manipulative Medicine Department
CONCORD-PBRN Advisory Board:
Members of the advisory board in addition to the CONCORD-PBRN directors listed above include:
Grace Brannan, PhD
Ohio University College of Osteopathic Medicine
COM/OPTI Research Directors Representative
Michael B. Clearfield, DO
Touro University College of Osteopathic Medicine
COM Deans Representative
Stanley Grogg, DO
Oklahoma State University Center for Health Sciences-College of Osteopathic Medicine
COM/OPTI Research Directors Representative
Richard A. Vincent, MBA
Osteopathic Heritage Foundations
Program Advisor
One member from each class of CONCORD-PBRN fellows will also be named to the advisory board. In addition, other members may be named to the board over time. The board will convene three times each year - once in Fort Worth, once at the American Osteopathic Association Osteopathic Medical Conference and Exposition and once by teleconference.
Fellows in the inaugural CONCORD-PBRN class, the institutions they represent and their board certifications are:
The ORC had initially sought to accept eight fellows into the inaugural 2011 class. Based on the quality and number of applicants to the CONCORD-PBRN training program, 14 fellows were accepted for the 2011 class.
Reem Abu-Sbaih, DO
New York College of Osteopathic Medicine at the New York Institute of Technology
Neuromusculoskeletal Medicine
Murray Berkowitz, DO, MA, MS, MPH
Philadelphia College of Osteopathic Medicine-Georgia Campus
Neuromusculoskeletal Medicine and Preventive Medicine
D’Arcie Chitwood, DO, MPH
University of North Texas Health Science Center -Texas College of Osteopathic Medicine
Geriatric Fellow/Internal Medicine
William Devine, DO1
Midwestern University-Arizona College of Osteopathic Medicine
Family Practice and Neuromusculoskeletal Medicine
Robin Dyer, DO1
Oklahoma State University College of Osteopathic Medicine
Family Practice and Neuromusculoskeletal Medicine
Marcel Fraix, DO
Western University of Health Sciences-College of Osteopathic Medicine of the Pacific
Physical Medicine and Rehabilitation
Deborah Heath, DO
A.T. Still University of Health Sciences-School of Osteopathic Medicine, Mesa
Family Practice and Neuromusculoskeletal Medicine
Amber Heck, PhD
Rocky Vista University College of Osteopathic Medicine
Molecular Biology
Stephen Miller, DO, MPH
Lincoln Memorial University-DeBusk College of Osteopathic Medicine
Family Practice
Natalie Nevins, DO, MSHPE2
Downey Regional Medical Center, Downey, Calif.
Family Practice and Neuromusculoskeletal Medicine
Mark Sanders, DO, MPH, JD1
Midwestern University-Chicago College of Osteopathic Medicine
Family Practice
Kevin Treffer, DO1
Kansas City University of Medicine and Biosciences-College of Osteopathic Medicine
Family Practice and Neuromusculoskeletal Medicine
University of North Texas Health Science Center -Texas College of Osteopathic Medicine
Psychiatry
Peter Zajac, DO
Pikeville College School of Osteopathic Medicine
Family Practice
1 Department Chair
2 Director of Medical Education and Residency Program Director
The CONCORD-PBRN fellows represent 12 colleges of osteopathic medicine and one hospital, the CONCORD-PBRN directors represent two colleges of osteopathic medicine and one hospital, and the CONCORD-PBRN Advisory Board members represent three colleges of osteopathic medicine and one foundation. In total, 14 different colleges of osteopathic medicine, two hospitals and one foundation are represented in the CONCORD-PBRN.
There are no definitive plans to start a new training class in 2012, as this year will be used to implement the practicum phase of training for the 2011 class of fellows. The earliest start date for the next Patient-Oriented Research Training sessions is October 2013 so the full training cycle will fall in one academic year. Watch this site for more information about applications for the 2013 class.
CONCORD-PBRN is registered with the Agency for Heathcare Research and Quality as a primary care practice-based research network. Click here to view certificate.
For more information about CONCORD-PBRN, please contact:
Cathleen Kearns
Administrative Director
The Osteopathic Research Center
UNT Health Science Center
3500 Camp Bowie Boulevard, CBH 413
Fort Worth, TX 76107-2699
Phone: 817.735.0515
John C. Licciardone, DO, MS, MBA
Executive Director
The Osteopathic Research Center
UNT Health Science Center
3500 Camp Bowie Boulevard, CBH 413
Fort Worth, TX 76107-2699
Phone: 817.735.2028
E-Mail: CONCORD-PBRN@unthsc.edu
More About CONCORD-PBRN
Dr. Licciardone and Ms. Kearns had the opportunity to update participants at the American Association of Colleges of Osteopathic Medicine Annual Meeting, held April 7-10 in Bethesda, Md., on the CONCORD-PBRN. Participants received information through a 20-minute brief presentation and a poster.
Additional information about the CONCORD-PBRN was included in the ORC's Second and Third Quarters 2010, First Quarter 2010, Fourth Quarter 2009 and Second Quarter 2009 newsletters.
The need for a practice-based research network in the osteopathic profession was discussed by Dr. Licciardone in his editorial in Osteopathic Medicine and Primary Care titled, "Time for the Osteopathic Profession to Take the Lead in Musculoskeletal Research."



