FPIN Overview 2014-15

Learning Objectives

Participants will be able to –Enumerate how scholarly requirements are

changingDescribe 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)

• Numbers 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 EditingB. Peer ReviewC. Workshops

2.Tangible:A. EBPB. FPIN InstituteC. PURLs Journal ClubD. 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?

450-600 word manuscriptBrief, structured evidence-based answers to clinical

questionsWork with Local Editor and Editor-in-ChiefPeer reviewed at another FPIN programPublished in Evidence-Based Practice and PEPIDCan 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 searchPeer-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 systemWork with team to review literature or

author manuscriptIdeal for programs looking for a high level

team activityPublished 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 Instructions2. Speaker Notes including teaching points3. Journal Club participant worksheet4. Completed review form for reference5. 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 journalArticles 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 ToolkitsEBM 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 ToolkitsResidents/Faculty propose their own

questions Post EBP in your preceptor room

Step 4: Implementation

Scholarship Success Plan

Assess your starting pointIdentify Key LeadersSchedule / PrioritizeMaintain 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 firstProtect 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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Learn More

Email membership@fpin.org Call 573-256-2066

Visit us at www.fpin.org