Raising the Bar How to Facilitate Resident Participation

Raising the Bar: How to Facilitate Resident Participation in Scholarly Activities Heather Paladine, MD Stephen Bennett, MD June 9, 2009

Overview • • • Why encourage resident scholarship Barriers General lessons Residency program examples Resources

Why encourage resident research/scholarship? • RC requirements for scholarly activity (fourth most common citation) • Clinical research can benefit patients • Will encourage faculty scholarship/research • Appeal to applicants • Opportunities to present

Barriers to resident research Lack of: • Curriculum time • Faculty training • Faculty time • Research infrastructure

General lessons • Build on strengths of your program • Develop faculty skills first • Requires PD support and a research “champion” • Dedicated curriculum time • Residents need teaching of research principles • Consider working in groups • Consider a point system for resident scholarship

Examples from other programs Columbia/NY Presbyterian • All residents currently do a COPC project • Research component added this year • COPC month and longitudinal curriculum time • Support from IRB

Examples (cont) Advocate Christ Hospital FMR • Community hosp program in Hometown, IL • Residents give CME presentations to the medical staff, each with a faculty mentor • PD has joined the hospital IRB

Examples (cont. ) University of Michigan • Each resident presents a scholarly project • Can choose from curriculum, QI, clinical, COPC, or research project

Examples (cont. ) University of Virginia: • Dedicated “Essentials of FM” month in each year • QA project started in first year • Evaluation of project in years 2 and 3

Examples (cont. ) St. Joseph Regional Medical Center • All residents undergo IRB training • Member of the AAFP National Research Network Residency Branch • Residents choose between a PI project or PBRN research project • Timeline through all three years

Examples (cont. ) Residency Research Network of Texas: • Network on community and universitybased residency programs joined to form a PBRN

Examples (cont. ) New Hanover Regional Medical Center (South Carolina): • FPIN Clinical Inquiry in R 2 year • Practice-based Learning and Improvement Project in R 3 year • Scoring system to award one R 3 with the research award

FPIN • Faculty development and resident research curriculum • Various opportunities to publish evidence-based reviews • 134 member programs, about 25 have residents as co-authors • $2000 -$5000, depending on program size

Small Grants and Awards • Small grants and awards: AAFP Foundation Research Stimulation Grants: http: //www. aafpfoundation. org/online/foundation/home/a wards-and-grants/individuals/rsgrants. html AAFP Foundation Resident Research Grants: http: //www. aafpfoundation. org/online/foundation/home/a wards-and-grants/individuals/rrgrants. html • AMA Foundation Seed Grant Research Program: http: //www. amaassn. org/ama/pub/about-ama/our-people/affiliated-groups/amafoundation/our-programs/research/seed-grant-research. shtml

Opportunities to present AAFP Scientific Assembly* AAFP Resident and Student Conference* STFM Annual Conference* STFM Pre-doctoral Conference STFM Conference on Practice Improvement NAPCRG Annual Meeting* STFM NE Region Meeting* State AFP chapter meetings • *These conferences have presentation opportunities specifically designed for residents/students

Resources for faculty FMDRL: Presentations on the following: – Developing Faculty Skills to Support Residents in Scholarly Activities – Resident Research Education Powerpoint Presentations – Research Design in Five Easy Lessons – Research in Residency: Using QI Projects to Teach Research Skills – Research Award Scoring Rubric Family Medicine Research wiki (on FMDRL) STFM Group on Teaching Research in Residency NAPCRG Group on Residency-based Research and Scholarly Activity AAFP National Research Network Residency Branch (PBRN)