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. 2019 Oct;15(SP):34–48. doi: 10.12927/hcpol.2019.25981

Table 1.

Comparison of key features of the Canadian and US embedded fellowships

Program feature AcademyHealth Delivery System Science Fellowship CIHR-IHSPR Health System Impact Fellowship
Eligibility Post-doctoral – multiple disciplines (e.g., PhD, MD, DrPH) Doctoral trainees and post-doctoral fellows (PhD only or MD + PhD)
Host site mandate and eligibility Host sites are US health service delivery organizations and integrated delivery systems and other sites with a mandate to deliver care (e.g., healthcare, dental care), identified and deemed eligible by AcademyHealth Canadian health system and related organizations (public, private, not-for-profit) with a health-related mandate that are not universities or university-based research institutes, identified by CIHR or the applicant
Examples of host sites Atrius Health; Geisinger Health System; Kaiser Permanente Northwest; US Department of Veterans Affairs; additional examples available at: https://www.academyhealth.org/dssf. Ministries of health; regional health authorities; hospitals; health charities; health-focused consulting firms; additional examples available at: http://www.cihr-irsc.gc.ca/e/50612.html.
Duration 1 year minimum (may be longer, as determined by host site)

  • Doctoral: 1 year

  • Post-doctoral: 2 years
% time embedded 100%

  • Doctoral: 60% (minimum)

  • Post-doctoral: 70% (minimum)

  • The balance of time, if any, is protected for academic research with the fellow's academic supervisor.
Supervision Senior leader of host health system organization Co-supervised by a senior leader in host health system organization and an academic at a Canadian graduate training program
Mentorship Formal mentoring and professional development training plan created jointly by supervisor and fellow, discussed and reviewed regularly Formal mentoring and professional development training plan jointly created by co-supervisors and fellow, discussed and reviewed regularly
University involvement Not required Required. Fellow must have a formal affiliation (as a registered post-doctoral fellow with a Canadian university) and an academic supervisor who has an academic appointment with a university-based graduate training program and has expertise in HSPR or a related field. Fellows may protect up to 40% of their time for academic work.
Professional development Program level (through AcademyHealth) and host site level Program level (through CIHR), fellowship level (dedicated training allowance) and host site level
Program seminars Annual meeting and AcademyHealth-organized webinars Annual National Cohort Retreat and quarterly CIHR-organized webinars
Amount Determined by host site but must meet the National Research Service Awards' stipend minimum (as of January 2019, min. US$50,004§)

  • Doctoral: $45,000 stipend + $5,000 training allowance

  • Post-doctoral: $70,000 stipend (per year) + $7,500 training allowance (per year)
Funder Host site (100%) Co-funded by CIHR and provincial funders (together provide 70% of each award's funds) + host partner organization (provides 30% of the award's funds)
Number of host sites* 21 62
Number of funded fellows* 34 95
*

as of December 2018