SHORE

SHORE aims to advance surgical outcomes science based on the real-world experiences of patients. This approach furnishes essential insights that not only elevate institutional protocols but also provide valuable information to shape healthcare practices and policies at the local, regional, and national levels.

Importantly, our unwavering commitment lies in fostering the development of upcoming surgeon investigators and leaders. We provide them with cutting-edge methodologies, immersive research exposure, seminars, grant writing assistance, mentoring, and the seamless integration of a master's curriculum throughout the research years. In the past decade, research fellows from SHORE have collectively authored close to 150 manuscripts spanning diverse fields such as perioperative care, surgical techniques and their outcomes, epidemiology and population health, health economics, cost-effectiveness, and beyond.

Our multidisciplinary team is committed to addressing disparities in surgical outcomes and developing effective interventions to alleviate these disparities. As established by the National Institute of Minority Health and Disparities Director Eliseo J. PĂ©rez-Stable, M.D. “Disparities in surgical care can result in poorer functional outcomes, prolonged rehabilitation, recovery and lower quality of life, particularly for disadvantaged population groups”.1 addressing disparities in surgical outcomes work is grounded in a Community-Based Participatory Research (CPBR) approach that involves community members, leaders, public officials, patients, healthcare providers, and caregivers across all phases of research. We rely on our community partners from establishing a research question to the dissemination of findings to multiple audiences. It is imperative that we work alongside the communities that are disproportionately impacted by the social determinants of health underlying disparities in surgical outcomes. Informing the development of culturally sensitive interventions and shared decision tools we rely on mixed-methods, biopsychosocial models, behavioral change theories, user-centered design, and social determinants of health framework 2 .

Our team maintains an extensive compilation of significant national and state-level datasets pertaining to public health research, emphasizing surgical outcomes and equity. We currently possess large datasets from CMS, NCDB, NSQIP, SPARCS, HCUP, NHANES, NAMCS, NHAMCS, NHDS, NNHS, NHHCS, and BRFSS, among others. We employ electronic medical records for the examination of our local institutional patients and the integration of our research discoveries into Electronic Health Records (EHR) as practice guidelines to help clinicians make informed decisions about patient care. 

These endeavors underscore our commitment to pushing the boundaries of medical knowledge and crafting tangible clinical practice guidelines that serve to propel the standards of patient care forward following inclusive and equitable principles.