FPIN Overview

Learning Objectives Participants will be able to – Enumerate how scholarly requirements are changing Describe how to build a step-wise program of scholarly education Strategize how to increase enthusiasm for scholarship within their residencies

Why is scholarship so important? “[Scholarly writing] has become a crucial component of our curriculum giving experience in medical information searching, appraisal, publication, and application. By giving our residents real world experience in producing medical information they have become more informed consumers of medical information.” - Dr. Tom Satre, University of Minnesota

Steps to Get Going! Step 1: Understand the Scholarly Requirements Step 2: Understand Your Options Step 3: Foster an Atmosphere of Scholarly Enthusiasm Step 4: Implement a Scholarly Plan

Step 1: Understand the Scholarly Requirements

Current FM-RC Requirements for Faculty Scholarship All CORE Requirements ~  Must establish and maintain an environment of inquiry and scholarship with an active research component  Must regularly participate in clinical discussions, rounds, journal clubs, and conferences  Some should also demonstrate scholarship  Peer-reviewed funding, publications, presentations, participation in national committees or organizations  Should encourage and support residents in scholarly activities

What’s New for Faculty in the 2014 Requirements? Core family medicine faculty members must participate in faculty development programs designed to enhance the effectiveness of their teaching, administration, leadership, scholarship, clinical and behavioral components of faculty performance. (Faculty development in scholarship is a new requirement!)

Current FM-RC Requirements for Resident Scholarship: Core The curriculum must advance residents’ knowledge of the basic principles of research, including how research is conducted, evaluated, explained to patients, and applied to patient care. Residents should participate in scholarly activity. The sponsoring institution and program should allocate adequate educational resources to facilitate resident involvement in scholarly activities.

Current (2007) FM-RC Requirements for Resident Scholarship: FM Detail Residents must have a supervised experience in scholarly activity (big description follows….) Forum must be provided for analyzing scientific evidence Must have guided experience in application of emerging clinical knowledge to own panels

What’s New for Residents in 2014? Core stays the same but FM Detailed requirement has been VERY simplified ~ “Residents should complete two scholarly projects, at least one of which should be a quality improvement project.”

Another big change affecting scholarship Section IV.A.3.a - Regularly Scheduled Didactic Sessions The program must provide a regularly scheduled forum for residents to explore and analyze evidence pertinent to the practice of family medicine.

How Do the 2012 “Family Medicine Scholarship Guidelines” Clarify? Scholarship must be peer-reviewed (loosely) N umbers required  Faculty: 2 projects/ 5 years  Residents: 1 project/3 years  Fellows: 1 project/fellowship  Fellowship Faculty: 1project/year Dissemination geography different for faculty and residents (national/regional vs. regional/local)

Step 2: Understand a Comprehensive Option Family Physicians Inquiries Network

What is FPIN? FPIN is a nonprofit, membership organization offering medical scholarship education to students, residents, faculty, and fellows in family medicine.

FPIN Mission: FPIN supports a collaborative learning community for primary care clinicians, learners, and faculty to promote and disseminate evidence-based scholarship. We improve patient care by translating research into practice.

FPIN Who? Currently 140 University & Community-based Residencies How? Supporting Publication Projects On-line Modules Journal Clubs Promoting mentoring programs among faculty and trainees Developing a culture of scholarly leadership

Helping develop Scholarly Leadership “I initially got involved in FPIN because I really like to ask questions. FPIN supports family medicine scholarship at its most fundamental levels: looking at a patient and asking a question, disseminating evidence- based answers and new evidence, and providing publication opportunities. FPIN is a great community of staff and fellow family doctors looking to advance our field.” - Dr. Kate Rowland, University of Chicago

What do Membership Fees Support? FPIN is a non-profit organization so your fees support:  Editors  Staff  Dissemination of our journal, EBP  Operations  Membership Benefits

Member Benefits 1. Opportunities: A. Writing, Publishing, and Editing B. Peer Review C. Workshops 2. Tangible: A. EBP B. FPIN Institute C. PURLs Journal Club D. PEPID PCP subscription to eMedRef authors & institutional discounts 3. Accreditation

FPIN Publications

Provides quick and comprehensive overviews of topics at physicians’ fingertips Published in PEPID and portions of selected topics are published in Evidence-Based Practice New initiatives include developing a peer review process Can be finalized in 6-7 months

Where are eMedRefs Published?

word manuscript Brief, structured evidence-based answers to clinical questions Work with Local Editor and Editor-in-Chief Peer reviewed at another FPIN program Published in Evidence-Based Practice and PEPID Can be finalized within an academic year

Where are HDAs Published?

FPIN’s flagship publication Based on the best evidence resulting from a formal systematic literature search Peer-reviewed indexed publication in The Journal of Family Practice or American Family Physician Has undergone a comprehensive restructuring

Where are CIs Published?

Relevant, valid, practice-changing, and immediately-applicable recommendations Drawn from literature surveillance system Work with team to review literature or author manuscript Ideal for programs looking for a high level team activity Published in The Journal of Family Practice and PEPID

Where are PURLs Published?

PURL Journal Club Plug and play comprehensive monthly toolkit available through FPIN Institute including: 1. Journal Club Instructions 2. Speaker Notes including teaching points 3. Journal Club participant worksheet 4. Completed review form for reference 5. Published PURL Ideal for programs looking for a structured approach to journal clubs with little faculty skill or time.

Evidence-Based Practice FPIN’s peer-reviewed journal Articles are written by FPIN Members  Residents and faculty  Provides answers to questions you experience on a daily basis

FPIN Institute Included with your FPIN Membership  Access to Online Learning Catalog On-line self-study courses covering FPIN writing projects, EBM curriculum development, and more:  Accompanying handouts  Comprehension quizzes to assess learning  Ability to generate progress reports for additional accountability PURLs Journal Club Toolkits EBM Physician Numeracy Curriculum

Step 3: Foster an Atmosphere of Scholarly Enthusiasm

Common Scholarship Program Barriers Faculty barriers:  Protected time  Shortage of faculty, resources  Leaders don’t have enough experience to mentor Resident barriers:  Lack of structured expectations, experiences  Enthusiasm towards evidence-based medicine Shared barriers: Fear of statistics Difficulty with evidence synthesis Procrastination

Build Enthusiasm for Research Identify FPIN Champion(s) Utilize the PURLs Journal Club Toolkits Residents/Faculty propose their own questions Post EBP in your preceptor room

Step 4: Implementation

Scholarship Success Plan Assess your starting point Identify Key Leaders Schedule / Prioritize Maintain Accountable Processes

Tips for Success Assess the skills amongst your faculty and residents Identify a faculty development project Schedule a hands-on group workshop Mandate faculty complete a project first Protect time with structured expectations, completion dates

What Does the First Year of Membership Look Like? Build Critical Appraisal Train the Trainer Generate Enthusiasm Through Quick Publication

What Does the First Year of Membership Look Like? Build Critical Appraisal  Who: Residents, fellows and faculty  What: Integrate the PURLs Journal Club into your residency program curriculum. The journal club includes instructions, speaker notes, worksheets, the published PURL and review forms, and are included in a monthly subscription through the FPIN Institute for our members.  Why: Involvement in the PURLs project at any level teaches participants how to critically appraise the literature.

What Does the First Year of Membership Look Like? Train the Trainer  Who: 1-2 faculty champions  What: Assign faculty champion(s) to lead the FPIN activities at your program. We will provide them with all of the resources they need to answer a clinical question of interest by publishing a structured 500-word HelpDesk Answer.  Why: Learn these skills now, so that you can later mentor the rest of your program in more advanced forms of critical appraisal.

What Does the First Year of Membership Look Like? Generate Enthusiasm Through Quick Publication  Who: Residents and remaining faculty members  What: Give everyone in your program an opportunity to earn an achievable electronic publication by updating a point-of-care topic overview.  Why: While faculty champions are learning more advanced critical appraisal skills, eMedRef introduces the rest of the program to the publication process and provides early wins through publishing.

Why does the FPIN approach work? Implementation plans and publication projects are built for residents and programs to be successful Writing projects are ACHIEVABLE for busy residency programs Time frames are achievable to ensure residents are published while in residency

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