1. Culture of Inquiry in Family Medicine Matthew Simpson, MD, MPH Rose Family Medicine Residency Research Fellow, Department of Family Medicine University of Colorado - Denver Rocky Mountain Research Forum

2. Themes My story Context Opportunity Value of Research in Family Medicine Value of Family Medicine in Research Role of Practice-based Research Objective: By the end of the session, everyone will know of at least one actionable step to enhance their participation in Family Medicine research Rocky Mountain Research Forum

3. Ecology of Medical Care

4. Generation and Dissemination of Knowledge (NIH) Grant funding concentrated in 8-10 departments nationally Less than 1% of NIH funding goes to FM research Role of Family Medicine Few journals devoted to original research in FM 477 residency programs 150 departments 215 million office visits per year (59 million more than any other specialty) Family physicians treat one of four patients in the US 17 years!

5. What were you doing in 1999? Rocky Mountain Research Forum

6. Why 17 years? Relevance Time Filtered vs. unfiltered information

7. Value of Family Medicine “Borrowed and adapted knowledge is insufficient to optimize the potential of a comprehensive, integrative, relationship- centered generalist approach to improve the health of individuals, families, and communities.” “The results suggest that there may be a misunderstanding between the producers of knowledge and primary care practitioners with respect to what constitutes ‘evidence’ – knowledge ready for integration into the clinical practice of primary care.” Rocky Mountain Research Forum

8. Practice-based Research Networks “Practice-based research is clearly a central contribution of family medicine research.” Rocky Mountain Research Forum

9. PBRNs: “Blue Highways” on the Translational Sciences Roadmap JAMA. 2007;297(4):403-406. doi:10.1001/jama.297.4.403 Rocky Mountain Research Forum

10. Research is the future: Get involved “Clinical research, properly done and fully and openly reported, is essential to improving the care of patients.” Rocky Mountain Research Forum

11. Opportunities Participate in a PBRN Additional training ◦Practice-based research methods certificate program ◦Research fellowship ◦Grant generating project (GGP) Engaging Communities in Education and Research ◦October 14-16 in Breckenridge SNOCAP convocation NAPCRG Annual Meeting ◦November 12-16 at the Broadmoor Rocky Mountain Research Forum

12. Questions? CONTACT: MATTHEW.SIMPSON@UCDENVER.EDUMATTHEW.SIMPSON@UCDENVER.EDU Rocky Mountain Research Forum

13. References Saultz, J., Fam Med 2010, 42 (7), 462-3. Westfall, J. M.; Mold, J.; Fagnan, L., JAMA 2007, 297 (4), 403-6. Green, L. W.; Ottoson, J. M.; Garcia, C.; Hiatt, R. A., Annu Rev Public Health 2009, 30, 151-74 Laiteerapong, N.; Huang, E. S., J Gen Intern Med 2015, 30 (6), 848-52 McKibbon, K. A.; Wilczynski, N. L.; Haynes, R. B., BMC medicine 2004, 2, 33 Alper, B. S.; Hand, J. A.; Elliott, S. G.; Kinkade, S.; Hauan, M. J.; Onion, D. K.; Sklar, B. M., Journal of the Medical Library Association : JMLA 2004, 92 (4), 429-37 Brownson, R. C.; Jones, E., Prev Med 2009, 49 (4), 313-5 Ebell, M. H.; Barry, H. C.; Slawson, D. C.; Shaughnessy, A. F., J Fam Pract 1999, 48 (5), 350-5 Wise, J., Bmj 2014, 349, g5914 Menear, M.; Grindrod, K.; Clouston, K.; Norton, P.; Legare, F., Canadian family physician Medecin de famille canadien 2012, 58 (6), 623-7, e302-7 Godlee, F., BMJ 2015, 351 Stange, K. C.; Miller, W. L.; McWhinney, I., Fam Med 2001, 33 (4), 286-97 Ewigman, B., J Fam Pract 2001, 50 (7), 586-7 Merenstein, J.; Rao, G.; D'Amico, F., Fam Med 2003, 35 (4), 284-8. Balas EA, Boren SA. Managing clinical knowledge for health care improvement. In: Yearbook of Medical Informatics 2000: Patient-Centered Systems. Stuttgart, Germany: Schattauer; 2000:65–70. Rocky Mountain Research Forum

14. Transition… 1:00-1:40 Oral Presentations I (4 breakouts) 1:45-2:45 Posters 2:50-3:30 Oral Presentations II (4 breakouts) 3:35-3:45 Awards and wrap up 3:50-4:45 Practice meetings Please complete feedback forms Abstracts (posters and oral presentations) available online: http://cofmr.org/RMRF2016abstracts http://cofmr.org/RMRF2016abstracts Rocky Mountain Research Forum