Penn Medicine

The T-GAPP Program

The Transforming the Generation and Adoption of PCOR in Practice (T‐GAPP) program is designed to advance the nation’s leadership capacity in deploying patient-centered outcomes research within learning health systems (LHS). The program aims to support junior faculty who seek academic careers as independent investigators in LHS/PCOR through training in the generation, adoption and implementation of evidence that improves health care quality and safety.

The T-GAPP program provides training through didactic and experiential learning. All scholars will complete four courses in PCOR research and implementation science. Scholars will develop and complete a research project in PCOR/LHS under the direction of a mentorship team that includes a research scientist, quantitative expert, and a health system administrator.


  • Development and completion of a research project in PCOR/LHS under the direction of the mentorship team
  • Stakeholder engagement through the PSOM Community Engagement and Research (CEAR) Core
  • A practicum within Penn Medicine’s Center for Health Care Innovation
  • Guided development of at least one grant proposal, such as a K-series or R-series award
  • Present or participate in at least one national meeting of PCOR and LHS research

Successful completion of:

  • EPID 624: Methods in Patient-Centered Outcomes and Effectiveness Research
  • HPR 611: Implementation Science in Health and Health Care
  • HQS 602: Learning Health System Seminar Series
  • HQS 612: Principles and Practices of Health Care Quality Improvement

Scholars will receive two years of support, including $80,000 in salary support plus research funds up to $25,000 for each year of the program. They must devote at least 75 percent effort to research career development activities associated with this award over the two years.

Scholars may choose to enroll in one of three degree programs: Master of Science in Clinical Epidemiology (MSCE), Master of Science in Health Policy Research (MSHP), or Master of Health Care Innovation (MCHI).


The T-GAPP program is led by Meghan Lane-Fall, MD, MSHP and David Asch, MD, MBA. Dr. Lane-Fall is the David E. Longnecker Associate Professor of Anesthesiology and Critical Care and Epidemiology and Vice Chair of Inclusion, Diversity, and Equity at the Perelman School of Medicine. Dr. Asch is the John Morgan Professor of Medicine and Medical Ethics and Health Policy and Executive Director of the Penn Medicine Center for Health Care Innovation.

Information about other training faculty and their disciplines can be found here.


The T-GAPP program is co-sponsored by the Agency for Healthcare Research and Quality (AHRQ) and the Patient-Centered Outcomes Research Institute (PCORI).


To be eligible to apply to the T-GAPP program, candidates must:

  • Be clinicians (e.g., physicians, nurses, pharmacists, clinical psychologists)
  • Be early assistant professor rank (within two years of appointment at the time of application) or instructors with plans to be appointed to the rank of assistant professor appointment by the second year of K12 support
  • Have a guarantee of full-time appointment from their primary department for two years
  • Devote at least 75 percent effort to the K12 training
  • Seek careers as independent investigators in LHS/PCOR
  • Be U.S. citizens, non-citizen U.S. nationals, or be lawfully admitted to the U.S. for permanent residence
  • Not have been a principal investigator on an R01 or R21 award, on a component of a program project (P01), center grant (P50, P60, or U54), mentored career development grant (K-series), or other equivalent research awards, or peer-reviewed non-federal research grants/contracts/cooperative agreements over $100,000 direct costs per year

Full eligibility criteria can be found here.

Application requirements

The program accepts applications on an annual basis from July to September. Required components include:

  • Personal statement (no more than one page)
  • Research proposal with explicit aims (one page) including how the proposal will incorporate stakeholders
  • CV, academic transcripts from all degree-granting institutions
  • Three letters of recommendation (one letter should be from Division Chief/Department Chair and include a commitment to faculty position)

Please check back in July to access the online application for the next class of the program.

Anish Agarwal, MD, MPH, MSHP Assistant Professor of Emergency Medicine

Anish Agarwal completed his medical and public health training at Tufts University School of Medicine. He completed his emergency medicine residency and a health services research fellowship at the Hospital of the University of Pennsylvania. He holds a master's degree in public health from Tufts University and a master's degree in health policy research from the University of Pennsylvania. Dr. Agarwal's research interests lay at the intersection of health care delivery, innovation, and digital health. He seeks to utilize advancements in mobile health to understand patient perspectives and inform learning health systems. His work has specifically been applied to the opioid epidemic, health workforce well-being, and patient experience.

George Anesi, MD, MSCE, MBE Instructor of Medicine

George Anesi received his medical degree from Case Western Reserve University School of Medicine. He completed his internal medicine residency at Massachusetts General Hospital and his fellowship in pulmonary and critical care medicine at the Hospital of the University of Pennsylvania. He holds a master's degree in clinical epidemiology from the University of Pennsylvania and a master's degree in bioethics from Case Western Reserve University. Dr. Anesi's research interests focus on the evaluation of critical and acute care resources during times of strain to the system, including situations of dynamic strain (i.e., random variation in demand, seasonal trends, epidemics, and disasters) and fixed strain (i.e., critical illness in resource-limited settings domestically and globally).

Krisda Chaiyachati, MD, MPH, MSHP Assistant Professor of Medicine

Krisda Chaiyachati completed his medical degree at the University of Michigan School of Medicine. He completed internal medicine training in Yale's Primary Care Residency Program. He holds a master's degree in public health from the Harvard School of Public Health and a master's degree in health policy research from the University of Pennsylvania. Dr. Chaiyachati designs, studies, and implements innovative strategies for addressing social barriers to care and improving the accessibility of health care, so population health goals are achieved. A major theme of his research is understanding how health outcomes for low-income and minority populations are affected by improving access to social services or redesigning more accessible health care. He fundamentally believes that health care delivered solely through conventional face-to-face visits will be unscalable, inaccessible, and perpetuate historic disparities facing low-income and minority patients.

Elinore Kaufman, MD, MSHP Assistant Professor of Surgery

Elinore Kaufman is a graduate of Harvard Medical School.  She completed a general surgery residency at NewYork-Presbyterian/Weill Cornell Medical Center and a fellowship in surgical critical care and trauma at the Hospital of the University of Pennsylvania. She also holds a master's degree in health policy research from the University of Pennsylvania. Dr. Kaufman's research focuses on reducing the harmful impacts of traumatic injuries on individuals and communities. She studies both injury prevention and the role of clinical care in patients' physical and psychosocial recovery from injury. She has used quantitative, qualitative, and geospatial methods to evaluate the impact of public policy on injury and injury-related mortality, as well as to study the quality and outcomes of care for traumatic injuries.

Daniel Lee, MD, MS Assistant Professor of Urology in Surgery

Daniel Lee is a graduate of SUNY Stony Brook Medical School.  He completed his surgery internship and residency in urology at NewYork-Presbyterian/Weill Cornell Medical Center. He subsequently completed a clinical fellowship in urology and oncology at Vanderbilt University Medical Center and earned a master's degree in applied clinical informatics at Vanderbilt University. Dr. Lee's research interests are in early evaluation of novel technological applications and patient-centered data to influence healthy behaviors and enhance decision support for patients and providers.

T-GAPP Contact Us

Questions about the program or application process? Complete and submit the form below, and we'll get back to you as soon as possible.