Skip to Content
Skip to Navigation

VA Advanced Fellowship in Health Services Research & Development

General Information

The Northwest Center for Outcomes Research in Older Adults, a VA Health Services Research and Development (HSR&D) Center of Excellence at VA Puget Sound Health Care System, offers a fellowship program in health services for physicians who have completed residency training. The program focuses on preparing physicians for successful careers in academic medicine as independent researchers and trains physicians pursuing a wide variety of research and clinical interests, including General Internal Medicine and its specialties. The program operates in conjunction with the University of Washington (UW) Division of General Internal Medicine and the UW Department of Health Services.

Fellowship Curriculum Overview

The two-year fellowship is designed to have physicians develop and apply their research skills by completing a publishable research project. Emphasis is placed on one-on-one mentorship and peer interaction. The curriculum fundamentals include orientation to VA, general research methodology,and written and oral communication skills. The shared emphasis of education, research, and mentorship allows fellows to hone their skills in biostatistics, clinical epidemiology, clinical trial design, medical decision making, health care organizations and delivery, financing of health care, ethical issues related to research, health policy, medical informatics, meta-analytic techniques, qualitative research methods, survey design, grant preparation, and project administration. Additional training in content areas such as quality improvement methods, patient safety investigations and other areas of significant interest to VA is available. Fellows are given the opportunity to pursue intensive training in their particular areas of interest.

Fellowship Requirements


Fellows will spend approximately 75 percent of their time in research and education activities. Fellows are expected to develop and carry out a research project, submit at least one manuscript to a peer-reviewed journal, present at a national meeting, participate in grant writing, learn and use the latest technology in teaching, and participate in and lead inter-professional project teams.

Clinical Care

Fellows shall spend approximately 25 percent of their time in clinical care.  Typically fellows hold clinic one ½ day per week at the Seattle Division in their respective department (Internal Medicine, Cardiology, etc.). 


  1. MPH/MS Degree:  Fellows are required to earn a master’s degree in Health Services (MPH) or Epidemiology (MS) from the UW School of Public Health, unless the degree was obtained previously (Please note these programs have separate applications processes and deadlines from the fellowship).
  2. Work-in-Progress (WIP) Seminars:  All fellows are expected to attend the weekly WIP presentations held throughout the year. This seminar is held in conjunction with the UW National Research Service Award (NRSA) Primary Care Fellowship program and allows fellows to contribute to and benefit from the experiences and knowledge of the larger group of fellows and mentors.

Eligibility Requirements

To be eligible, candidates must:

  1. Have graduated from an Accreditation Council for Graduate Medical Education (ACGME) accredited residency program (Please Note: International medical graduates must also have an Educational Commission for Foreign Medical Graduates (ECFMG) certificate that is valid indefinitely)
  2. Be board certified or board eligible
  3. Be a United States citizen
  4. Have an active, full and unrestricted license to practice in the United States

Additional Selection Criteria

Candidates who meet the eligibility requirements will be selected based on their:

  • Interest – candidate desires to lead and shepherd health services research in rapidly changing health care settings and demonstrates special interest in the focus of research at the Seattle HSR&D Center
  • Potential – candidate demonstrates likelihood of ability to succeed in a career incorporating health services research for US Veterans
  • Match – with available mentors.  A list of the current Investigators at the Seattle HSR&D Center can be found here.