1a. Based on your experience and familiarity with the fellows and the programs, what did we really accomplish? What were the most important contributions?
Among the main things is that we have developed an integrated program across three or four sites that involves a wide range of people from fresh graduate students to fairly senior career people. We have placed those people into various settings ranging from the university to major health policy kinds of settings. The fellows are doing a great job. We have also established three programs that are likely to survive past Pew.
1b. What is the Pew "legacy" in terms of:
It is hard to identify specific health policies that have changed one way or the other as a result of the Pew program per se. I am not clever enough to picture an alternative universe in which there was not a Pew program and what would have been different. But I do have the sense that some of the fellows have been doing very exciting things that are having an impact on the way that the health care system is changing and the way that health policy is being formulated. That probably would not have happened had those people not gone through the Pew program.
education (doctoral, postdoctoral, or midcareer programs)?
I suspect at UCSF (University of California, San Francisco) that we would have not had a postdoctoral program had there not been the Pew funds to get it started. We would not have had the AHCPR (Agency for Health Care Policy and Research) training grant because that built on our experiences with Pew. And, I suspect that there would not have been as nearly as strong an application from Berkeley and UCSF for the Robert Wood Johnson Health Policy Scholars. I suspect the same thing would have been true for Michigan. All these things can be linked back to the Pew program. It is hard for me to say what would have happened at Brandeis or Michigan without the Pew program, but I can say that at UCSF, without that sort of core training program, our postdoctoral program probably would not have gotten started.