Scholarship as a DFM teacher & clinician: Tips (and real life stories) on how to make it happen and still keep it fun Liz Muggah, Doug Archibald, Sharon Johnson, Eric Wooltorton DFM Faculty Retreat Find your spark Deep knowledge Team Building Doing your project

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Outline Find your spark Deep knowledge Team Building Doing your project

Scholarship Redefined (Boyer1990) Discovery of new knowledge (“Research”) Integration of knowledge Teaching of knowledge Application of knowledge

Scholarly output – looking beyond the RCT Journal article* Book chapter/book Editorial or statement of opinion Book (or media) review Letter Conference report Educational materials Reports of teaching practices Curriculum description Simulations (e.g., practice experiences, virtual reality) Simulators (e.g., task trainers, mannequins, computer programs) Web-based tutorials Development, implementation and evaluation of clinical guidelines Contribution to policy development (institutional, provincial) McGaghie Medical Teacher 2009; 31: 574–590 Journal articles can also be: Case reports Letters Literature review Evidence based review of clinical care Clinical practice guidelines Quality Improvement report

Find your Spark What are you passionate about? What is really innovative that you are doing right now? How will you (or can you) evaluate it? Or…what makes you frustrated? sad? scared? wonder? Find your spark Deep knowledge Team Building Doing your project

Find your Spark – How do you improve patient care? “Types” of scholarship common in DFM Medial Education – how we teach & learn in medicine Health Services Research – how organizational structure, personal behaviour and financing affects quality of care Humanities – using social sciences (eg: arts, history, anthropology) to understand and improve medical education & patient care Clinical Guidelines – development/application of guidelines for clinical care Quality Improvement – how to improve quality of care, Plan-do-study-act OTHERS:

Find your spark What worked What didn’t

Deep knowledge Make time to invest in your spark Reading is the cornerstone of scholarship Automatic journal updates in your area Automatic MEDLINE summary of articles in your area Go out for lunch Become a reviewer for a journal in your area Supervise an FMRSP in your area of interest Conferences Additional training/courses Find your spark Deep knowledge Team Building Doing your project

Deep knowledge What worked What didn’t

Build your team People you like to work with Not too big & not too small Clear leadership (you) Partner with clinician investigators & researchers Get residents and med students involved (FMRSP) Hire a summer student Get help from methodologists/statisticians Find your spark Deep knowledge Team Building Doing your project

Build your team What worked What didn’t

Doing your project Deciding on the project Make it small (and then even smaller) FEASIBILITY is important Could this be an FMRSP project? Make it important (the “who cares?” test) But it doesn’t have to change the world -- Kirpatrick’s theory Think in 2-3 year timelines High IQ not associated with productivity but stamina is Plan for ethics Decide on your scholarly output before starting Make it fun! Find your spark Deep knowledge Team Building Doing your project

Kirkpatrick's hierarchy Simulation in clinical teaching and learning. Jennifer M Weller, Debra Nestel, Stuart D Marshall, Peter M Brooks and Jennifer J Conn Med J Aust 2012; 196 (9): 594.

Doing your project Practical things… Block off half or full days for difficult tasks Prepare for failure 80% rejection rate by journals Make it fun! Lee, S. J Clin Oncology (6):

Doing your project What worked What didn’t