![Medical student Rayan Kaakati, a member of a Bass Connections team, talks with refugees living in Durham.](/sites/default/files/legacy-files/styles/story_hero/public/bcrefugee.jpg?itok=LQcK_za7)
For its first few years, the common response to the mention of was usually, 鈥淚鈥檝e heard of it, but I don鈥檛 really know what it is.鈥
鈥淚t鈥檚 a complicated program,鈥 acknowledges Ed Balleisen, who oversees the program as vice provost for interdisciplinary studies. 鈥淭he core of it is problem-centered, interdisciplinary collaborative inquiry.鈥
Try squishing that into an easy-to-digest sound bite around campus.
But there鈥檚 no murkiness in the magnitude of what this program has achieved since its launch five years ago.
鈥淚t鈥檚 a complicated program. The core of it is problem-centered, interdisciplinary collaborative inquiry.鈥
- Ed Balleisen
More than 2,000 undergraduate and graduate students plus faculty and postdocs have taken part in Bass Connections research projects that tackle societal challenges around the world, ranging from autism therapy in local schools to public health in Peru.
For some, the experience of converting classroom lessons into real-world experiences has set students on a career path they didn鈥檛 even consider before they were accepted to a Bass Connections team.
Junior Kushal Kadakia worked on a Bass Connections research project that provided recommendations to . The public policy and biology major now plans to attend medical school then work in health policy.
鈥淐ollectively, Bass Connections has been the centerpiece of my Duke experience -- providing a common thread to weave together my scientific training and my policy interests into an impact-oriented research experience that is now the foundation for my future career,鈥 says Kadakia. (In April he was named a Truman Scholar.)
During his freshman year, sophomore Pranav Ganapathy looked to apply his economics and global health courses outside the classroom. He was accepted to a Bass Connections project that鈥檚 conducting research on the .
鈥淚 have been applying knowledge in ways I didn鈥檛 expect,鈥 he says. 鈥淚 thought I鈥檇 never use the French I鈥檇 studied in high school, but I just finished a focus group with it; there鈥檚 significant francophone refugees in Durham. To engage in the classroom and then work on this real-world problem was really cool for me.鈥
Launched with a $50 million gift from Anne and Robert Bass, the program鈥檚 five thematic areas guide project teams, courses, summer programs and other collaborative research experiences.
鈥淭he development of solutions for major challenges in the world generally don鈥檛 fit into disciplinary boxes,鈥 Balleisen says. 鈥淭hat kind of endeavor requires teams; it requires multiple kinds of disciplinary perspectives and methods; it requires engagement with stakeholders and decision-makers, and a two-way dialogue.
鈥淭he program has helped expand an interdisciplinary dimension to many courses at Duke, giving students more opportunities to experience collaborative work -- even outside of Bass Connections project teams,鈥 Balleisen says.
There are also affiliated summer research programs now, such as , run by Duke鈥檚 Information Initiative, and , run by the Franklin Humanities Institute.
This year, more than 650 undergraduate and graduate students applied to participate on a Bass Connections project team. Teams typically include faculty leaders, undergraduates from diverse majors and doctoral or professional students. One longstanding Bass Connections team focusing on music therapy to help children with autism in local schools has included students from psychology, music, public policy and education.
Many teams also work with NGOs and other external groups, which adds another layer of real-life research experience.
鈥淚t鈥檚 an opportunity to bring students from so many different disciplines together to solve a common problem, and that problem requires a lot of different expertise,鈥 says Dr. Geri Dawson, director of the Duke Center for Autism and Brain Development. 鈥淎ll those perspectives were brought to bear in developing this (autism) project.鈥
Here are just four examples of how Bass Connections teams have provided real-world solutions:
Autism
In 2014, a Bass Connections co-led by Dawson began working with Durham-based to develop measurement tools for a music therapy program used in special-education elementary classrooms in North Carolina.
The team has been assessing how well the music therapy improves communication and social-emotional learning among students with autism.
Dawson says the work has added measurable results to the program, which has helped boost it as a reliable method for helping elementary-school children with autism build their communication skills.
鈥淢uch of our research often takes place in the lab and under very controlled settings 鈥 ultimately you want to use it in the community,鈥 Dawson says. 鈥淲hen you try to translate things into the community it鈥檚 really hard -- you have teachers and schedules, all the noise in the background.鈥
Yasmine White, founder and CEO of Voices Together, says the Bass Connections projects 鈥渨ere critical in helping us gain positive research data, moving us to an evidence-based model and best practice in NC.鈥
The next step is designing a program that teachers can use in the classroom that will enable schools to serve more children simultaneously, Dawson said.
Dawson also led a second Bass Connections focused on autism, which led to the development of a in partnership with Apple that works as a possible screening tool for autism and other developmental disorders. Last fall, Dawson and colleagues received a $12.5 million, five-year to study connections between autism and attention deficit and hyperactivity disorder (ADHD).
Opioid Addiction
In 2016, a Bass Connections came together to address the opioid epidemic, starting in Durham.
The team partnered with Durham County鈥檚 Crisis Intervention Team (CIT) Collaborative, a group of first-responders who work to divert residents facing mental health and/or substance-use crises from jail and into treatment. And they鈥檝e worked with the Duke Hospital Emergency Department to establish a program in which providers give the opiate-overdose-reversal drug Naloxone free to at-risk patients, followed by an evaluation period.
The team鈥檚 research on heroin use across the state, which is set to appear in the May edition of the North Carolina Medical Journal, shows that the number of opioid overdose deaths in the state increased by nearly 800 percent between 1999 and 2016.
Before 2010, more than two-thirds of opioid deaths were the result of prescription opioids. Since 2013, however, that category has dropped to less than 45 percent of opioid overdose deaths, and opioid deaths by illicit drug use have increased dramatically, according to the report.
Team member became interested in the Bass Connections project after learning that a friend at Duke had struggled with opioid addiction while in high school. In college the friend refused to take pain medications for a broken rib for fear of rekindling her addiction.
In an April , Kanter, a senior majoring in neuroscience, lists 10 of her team鈥檚 achievements. These include assembling hundreds of naloxone kits and successfully lobbying the state legislature to legalize syringe exchange programs.
Public Health in Peru
Since the first year of Bass Connections, a team has traveled to the each summer where students apply what they鈥檝e learned about topics such as field epidemiology and bench-to-field science. Their focus has included understanding human health impacts from ongoing environmental change because of gold mining, road construction and heavy metal exposure.
The team鈥檚 work has already made a difference.
The Peruvian government used the team鈥檚 findings of high levels of mercury in hundreds of samples to determine which communities should receive emergency aid. The journal Nature covered the team鈥檚 work in a , and NASA awarded a $1 million grant to faculty team leader , assistant professor of global environmental health, to develop an early warning system for vector-borne diseases in the Amazon.
Luiza Perez, a junior majoring in sociology and global health with a minor in chemistry, has been involved with Bass Connections since her freshman year. In Peru she has studied the efficacy of insecticide-treated bed nets in protecting against malaria and conducted several surveys to better understand risk factors for leishmaniasis among the population. She has also received a grant to conduct independent research that stemmed from her Bass Connections experience.
鈥淚 think that the most special thing about the program is that you get to be involved in a project that is multidisciplinary in every sense of the word,鈥 Perez says. 鈥淭eam members have different education backgrounds, levels and experiences. Nevertheless, everyone's voice is equally valued and heard.鈥
Refugees in Durham
Often buried by the headlines about immigration policy and border walls, resettled refugees need help with life鈥檚 basics as they adapt to a new world.
From July 2015 to June 2016, Durham received roughly 14 percent of the 3,000 refugee families resettled to North Carolina.
Dr. Emily Esmaili, a pediatrician who leads a working with local refugees, says the influx overwhelmed local health providers. In response, the team has been surveying local refugees and aid agencies to help the team develop a culturally appropriate health care model to reduce health disparities among refugees.
The team鈥檚 work also includes producing a brochure in multiple languages that provides important information about resources for refugee families.
Often, they simply need help with the basics.
鈥淭his includes people not knowing they can go to a pharmacy to purchase their own medicine, like Tylenol and Motrin,鈥 says faculty team member Deborah Reisinger, an assistant professor in Romance Studies and affiliate faculty in the Duke Global Health Institute.
Specifically, the group has focused on:
- What are the most significant health needs of Durham鈥檚 refugee children, as perceived by their families and themselves, as well as by the medical community?
- What barriers to accessing care currently perpetuate these health disparities?
- How can these barriers be overcome?
鈥淭hey are very willing to participate, I think they are very grateful,鈥 sophomore sociology major Maram Elnagheeb says of local refugees. 鈥淚 think they鈥檝e faced greater challenges before.鈥
Like other students on Bass Connections teams, Elnagheeb says she appreciates the opportunity to do research that aims to 鈥渟olve issues.鈥
鈥淚 gained skills I probably would not get in the classroom.鈥