scholarly journals Sustainable Curriculum to Increase Scholarly Activity in a Family Medicine Residency

2019 ◽  
Vol 51 (3) ◽  
pp. 271-275 ◽  
Author(s):  
Sajeewane Manjula Seales ◽  
Robert P. Lennon ◽  
Kristian Sanchack ◽  
Dustin K. Smith
Keyword(s):  
Family Medicine ◽  
Scholarly Activity ◽  
Future Research ◽  
Point System ◽  
Resident Research ◽  
Family Medicine Residency ◽  
Scholarly Output ◽  
Research Coordinator ◽  
Research Curriculum ◽  
Over Time

Background and Objectives: Scholarly activity (SA) is an Accreditation Council for Graduate Medical Education (ACGME) requirement for family medicine residency programs. Engaging residents in scholarly activity can be challenging. In 2010, the Naval Hospital Jacksonville Family Medicine Residency (NHJ FMR) program pioneered a research curriculum that dramatically increased resident SA output. The purpose of this study was to determine whether this output sustained over time. Methods: A retrospective records review was performed on resident SA at the NHJ FMR program between academic years 2012-2013 to 2016-2017 (N=185). The following research curriculum interventions were implemented over academic years 2010-2012: a faculty research coordinator position, a scholarly activity point system, and a peer-driven resident research coordinator position. SA output was calculated based on total resident projects per year and “quality projects” or peer-reviewed projects per year. Regression analysis and Mann-Whitney U test tested nonparametric group comparisons. Results: The number of quality projects per resident per year increased from 0.34 in 2012-2013 to 1.05 in the 2016-2017 academic year. The quality projects per resident per year demonstrated a statistically significant increase over time (F(1,9)-18.98, P<.005, R2 of 0.6784). When comparing preintervention years to postintervention years the average quality projects per resident was statistically significant (P<.005). Conclusions: This curriculum model emphasizes unique and reliably sustainable interventions to increase scholarly output that can be implemented at any residency program. SA volume and quality increased over 5 postintervention years despite annual resident research coordinator turnover. This research demonstrates a resident-driven culture change that warrants future research on adaptability to other programs.

scholarly journals Increased Scholarly Activity: A Benefit of 4-Year Family Medicine Residencies

2021 ◽  
Author(s):  
John F Sullivan ◽  
James W Keck ◽  
Mark B Stephens ◽  
Tara A O’Connell ◽  
Dustin K Smith ◽  
...  
Keyword(s):  
Family Medicine ◽  
Medical Officer ◽  
Pairwise Comparison ◽  
Pilot Project ◽  
Scholarly Activity ◽  
Program Outcomes ◽  
Family Medicine Residency ◽  
Scholarly Output ◽  
Significant Difference ◽  
The Impact

ABSTRACT Introduction The optimal length of Family Medicine Residency is unknown. As part of the American Board of Family Medicine 4-year Length of Training (LoT) pilot project, Naval Hospital Jacksonville (NHJ) maintained a dual-track 3- and 4-year Family Medicine Residency, graduating seven 4-year residents over consecutive 4 years of the LoT program. One measure of success regarding the impact of 4-year residents on program outcomes is scholarly output during residency. Materials and Methods Cumulative scholarly activity points are tracked for all NHJ residents. Cumulative scholarly activity points, points per year per, and raw percentile USMLE/COMLEX scores from academic years 2016–17 to 2019–20 were compared between PGY3 and PGY4 graduates using one-way ANOVA to 95% confidence with post hoc Tukey honestly significant difference pairwise comparison to evaluate pairwise significance between groups where multi-group differences were found. Results During the 2016–17 through 2019–20 academic years, NHJ had 28 residents complete 3 years of training without interruption (3 Years), 11 residents complete 3 years of training interrupted by general medical officer tours (Resiterns), and 7 residents complete 4 years of training without interruption (4 Years). There were no significant differences in average raw USMLE and COMLEX scores between 3 Year (71%), Resitern (68%), and 4 Year (76%) residents (P = .335). 4-Year residents had significantly more cumulative scholarly points (103) than 3-Year residents (32.6, P < .001) and Resiterns (18.7, P < .001) and also had more cumulative scholarly points per year of residency (27.8) than 3-Year residents (9.8, P < .001) and Resiterns (7.0, P < .001). Conclusions An observed benefit of a 4-year Family Medicine Residency was a marked increase in scholarly output at this program.

Developing and Implementing a Faculty Development Curriculum in a Japanese Family Medicine Residency

2019 ◽  
Author(s):  
Kenya Ie ◽  
Masato Narushima ◽  
Michiko Goto ◽  
Joel Merenstein ◽  
Stephen Wilson ◽  
...  
Keyword(s):  
Family Medicine ◽  
Focus Group ◽  
Faculty Development ◽  
Care Management ◽  
Course Evaluation ◽  
Scholarly Activity ◽  
Japanese Family ◽  
University Of Pittsburgh ◽  
Family Medicine Residency ◽  
Part Time

Abstract Background and Objective Despite the increase in family medicine residency in Japan, there are only a few structured faculty development (FD) programs. The objective of this project was to develop, implement, and evaluate a FD curriculum in Japan. Methods In 2015, a private FD initiative in the Mie University initiated a curriculum development in collaboration with FD fellowship at the University of Pittsburgh. A literature review and subsequent Delphi processes was conducted for competency development. Based on the competency list, we designed a two-year part-time FD curriculum. A course evaluation using pre-post confidence level and a focus group was held during March 2017. Results 28 objectives were defined under five core domains: 1) care management/family medicine principle, 2) leadership/professional development, 3) administrative/management, 4) teaching, and 5) research/scholarly activity. The focus group identified five themes regarding the learning process: foundational soil; seedbed; sowing of seeds; nurture and growth; and reaping the harvest. A pre-post survey revealed significant increase in learner confidence for “care management/family medicine principle”(p=0.03), “teaching”(p<0.01), and “research/scholarly activity”(p<0.01), as well as the total score (p=0.03). Conclusions Further curriculum refinements will be required to see if the curriculum could be used for faculty development in other family medicine residencies.

Rapid exponential increase in neurosurgery departmental scholarly output following an intensive research initiative

2021 ◽  
pp. postgradmedj-2020-139133
Author(s):  
Zafar Karimov ◽  
Syed Faraz Kazim ◽  
Meic Schmidt ◽  
Chirag Gandhi ◽  
Jordan Vanderhooft ◽  
...  
Keyword(s):  
Scholarly Activity ◽  
Time Interval ◽  
Short Time Interval ◽  
Targeted Interventions ◽  
Intensive Research ◽  
Scholarly Output ◽  
Exponential Increase ◽  
Research Initiative ◽  
Research Curriculum ◽  
Support Programmes

There has been extensive research into methods of increasing academic departmental scholarly activity (DSA) through targeted interventions. Residency programmes are responsible for ensuring sufficient scholarly opportunities for residents. We sought to discover the outcomes of an intensive research initiative (IRI) on DSA in our department in a short-time interval. IRI was implemented, consisting of multiple interventions, to rapidly produce an increase in DSA through resident/medical student faculty engagement. We compare pre-IRI (8 years) and post-IRI (2 years) research products (RP), defined as the sum of oral presentations and publications, to evaluate the IRI. The study was performed in 2020. The IRI resulted in an exponential increase in DSA with an annual RP increase of 350% from 2017 (3 RP) to 2018 (14 RP), with another 92% from 2018 (14 RP) to 2019 (27 RP). RP/year exponentially increased from 2.1/year to 10.5/year for residents and 0.5/year to 10/year for medical students, resulting in a 400% and 1900% increase in RP/year, respectively. The common methods in literature to increase DSA included instituting protected research time (23.8%) and research curriculum (21.5%). We share our department’s increase in DSA over a short 2-year period after implementing our IRI. Our goal in reporting our experience is to provide an example for departments that need to rapidly increase their DSA. By reporting the shortest time interval to achieve exponential DSA growth, we hope this example can support programmes in petitioning hospitals and medical colleges for academic support resources.

scholarly journals Residency Scholarship Within Practice-based Research Networks

2020 ◽  
Vol 52 (2) ◽  
pp. 91-96
Author(s):  
Amanda Weidner ◽  
Ryan Gilles ◽  
Dean A. Seehusen
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Residency Program ◽  
Full Range ◽  
Scholarly Activity ◽  
Research Networks ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Research Activities ◽  
Practice Based Research

Background and Objectives: Finding scholarship opportunities is a common struggle for family medicine residency programs, especially community-based programs. Participation in practice-based research networks (PBRNs) has been suggested as one option, but little is known about resident engagement in PBRNs. This study explores how PBRNs are currently involving family medicine residency programs and whether there are additional opportunities for engagement. Methods: We conducted a cross-sectional survey of 126 primary care PBRN directors regarding residency program involvement in PBRN governance and scholarly activity. We used descriptive statistics to characterize our sample and bivariate analyses to assess association between involvement of residency programs in PBRNs and PBRN characteristics. Results: Most responding PBRNs (N=56, 44.4% response rate) included at least one residency program (80%) and many had residency faculty involved in projects (67.3%), though involvement of residents was less common (52.7%). When involved, residents were part of fewer projects but participated in the full range of research activities. Few PBRNs had deeper engagement with residencies such as written goals specifying their inclusion in projects (23.6%) or residency faculty participation in the PBRN’s governing body (45.5%). Most PBRNs not currently involving residents are interested in doing so (73.9%), and half of these have the resources to do this. Conclusions: Most family medicine and primary care PBRNs have some involvement with residency programs, usually at the faculty level. Building on current PBRN involvement and making connections between local PBRNs and residency programs where none exist represents an excellent opportunity for education and for growing the research capacity of the discipline.

scholarly journals Opioid Prescribing Habits in a Family Medicine Residency Program for the Management of Non-Cancer Pain

2019 ◽  
Vol 10 (2) ◽  
pp. 10
Author(s):  
Anne Marie Thibodeaux ◽  
Keith Foster ◽  
Jessica W Skelley ◽  
Marion Sims
Keyword(s):  
Chronic Pain ◽  
Family Medicine ◽  
Cancer Pain ◽  
Residency Program ◽  
Chronic Back Pain ◽  
Future Research ◽  
Prescribe Medication ◽  
Opioid Overdose ◽  
Prescribing Habits ◽  
Family Medicine Residency

Objectives: 1. List components of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain, 2. Describe the prescribing habits of medical residents and attending physicians within a family medicine residency program, 3. Discuss the direction of future research Methods: A report was generated for all patients with opioids listed as a medication at Christ Health Center family medicine clinic from July 2016 to June 2017. A total of 153 patients were identified with prescriptions written for chronic non-cancer pain indications. Clinical management via a retrospective chart review was completed utilizing a standardized data collection form centered around four of twelve recommendations within the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain: (1) Avoid concurrent opioid and benzodiazepine prescribing; (2) evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy; (3) perform urine drug testing before starting opioids and consider at least annually; and (4) offer/prescribe medication for opioid use disorder for all patients taking chronic opioids. Results: A total of 153 prescriptions were written for chronic indications. The most common indications were chronic back pain (32.0%), unspecified chronic pain (31.4%), and osteoarthritis (9.8%). Average duration of therapy was 26.6 months. Forty-two (27.5%) patients were concurrently receiving benzodiazepine therapy. Eighteen (11.8%) patients performed a drug test before or during therapy. Twenty-two (14.4%) patients had documented discussion with their prescriber evaluating the benefits and harms of their opioid regimens. No patients were prescribed medication for opioid overdose. Conclusion: Prescribing habits did not align with the four-guideline recommendations evaluated. The need for provider-focused education on current pain management practice guidelines was identified.   Article Type: Student Project

scholarly journals A Curriculum to Increase Resident Scholarly Activity

2020 ◽  
Vol 52 (8) ◽  
Author(s):  
Robert P. Lennon ◽  
Roselyn W. Clemente Fuentes ◽  
Christine Broszko ◽  
John J. Koch ◽  
Kristian Sanchack ◽  
...  
Keyword(s):  
Family Medicine ◽  
Scholarly Activity ◽  
Resident Attitudes ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Sample Test ◽  
Naval Hospital ◽  
Curricular Interventions ◽  
Sustained Increase ◽  
Peer Leader

Background and Objectives: Scholarly activity (SA) is an Accreditation Council of Graduate Medical Education (ACGME) requirement for family medicine residents. Engaging residents in scholarly activity can be challenging. Naval Hospital Jacksonville Family Medicine Residency (NHJ) pioneered a curriculum that led to a dramatic, sustained increase in resident SA. We sought to implement the curriculum in other family medicine residency programs. Methods: The curriculum was implemented at two additional family medicine residencies. Three curricular interventions were identified: a 3-hour case report workshop, a written practical guide to scholarly activity, and a resident peer research leader. One program implemented all three elements. The other implemented the workshop and written guide, but did not identify a resident peer leader. SA was measured using the annual ACGME program director report and compared the intervention year to the previous 3 years of SA using a 2-sample test for equality of proportions with continuity correction. We used pre- and postintervention surveys to evaluate resident attitudes about SA. Results: The program implementing all three interventions increased residents’ conference presentation 302% (n=34, P&lt;.001). The program that did not identify a resident peer leader had no significant change in SA as reported to the ACGME. Conclusions: The curriculum was implemented in two additional residencies with promising results. We recommend further implementation across multiple sites to determine the extent to which the results are generalizable.

scholarly journals Restructuring the Orthopedic Resident Research Curriculum to Increase Scholarly Activity

2013 ◽  
Vol 5 (4) ◽  
pp. 646-651 ◽  
Author(s):  
Laura Robbins ◽  
Mathias Bostrom ◽  
Robert Marx ◽  
Timothy Roberts ◽  
Thomas P. Sculco
Keyword(s):  
Medical Center ◽  
Academic Research ◽  
Scholarly Activity ◽  
Research Quality ◽  
Full Time ◽  
Full Time Equivalent ◽  
Resident Research ◽  
Protected Time ◽  
Skills Laboratory ◽  
Research Curriculum

Abstract Background Limited time and funding are challenges to meeting the research requirement of the orthopedic residency curriculum. Objective We report a reorganized research curriculum that increases research quality and productivity at our academic orthopedic medical center. Methods Changes made to the curriculum, which began in 2006 and were fully phased in by 2008, included research milestones for each training year, a built-in support structure, use of an accredited bio-skills laboratory, mentoring by National Institutes of Health–funded scientists, and protected time to engage in required research and prepare scholarly peer-reviewed publications. Results Total grant funding of resident research increased substantially, from $15,000 in 2007 (8 graduates) to $380,000 in 2010 (9 graduates), and the number of publications also increased. The 12 residents who graduated in 2005 published 16 papers from 2000 to 2006, compared to 84 papers published by the 9 residents who graduated in 2010. The approximate costs per year included $19,000 (0.3 full-time equivalent) for an academic research coordinator; $16,000 for resident travel to professional meetings; reimbursement for 213 faculty hours; and funding for resident salaries while on the research rotation, paid through the general hospital budget. Conclusions The number of grants and peer-reviewed publications increased considerably after our residency research curriculum was reorganized to allow dedicated research time and improved mentoring and infrastructure.

scholarly journals Six Years’ Experience Using Specialty National Residency Index: An Early Dashboard to Document Change Over Time

2021 ◽  
Vol 53 (1) ◽  
pp. 39-47
Author(s):  
Grant S. Hoekzema ◽  
Walter Mills ◽  
Lisa Maxwell ◽  
Joseph W. Gravel ◽  
James David Honeycutt
Keyword(s):  
Quality Improvement ◽  
Family Medicine ◽  
Linear Regression Analysis ◽  
National Level ◽  
Lessons Learned ◽  
Scope Of Practice ◽  
Aggregated Data ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Over Time

Background and Objectives: A decade ago, the Association of Family Medicine Residency Directors developed the Residency Performance Index (RPI) as a novel dashboard of metrics to support residency programs’ quality improvement efforts. Although the RPI has since been discontinued, we sought to identify lessons learned from an analysis of 6 years of data collected while the RPI was in use to inform future quality and accreditation efforts implemented at the national level. Methods: The RPI collected data from 2012-2017 for nearly 250 distinct family medicine residency programs, identifying strengths and areas for improvement. Eighty-two programs provided data for 3 or more years of measures allowing analysis of improvement trends. Results: For participating programs, aggregate data over 6 years indicated the majority had stable leadership and accreditation. Total family medicine center (FMC) visits by graduates and resident visit demographics were robust. Graduate scope of practice was consistent with nationally publicized trends. Programs hit most aspirational targets more than 40% of the time. However, analysis for those programs with 3 or more years of data revealed that the tool did not result in significant changes for most metrics. Linear regression analysis showed improvements in total patient visits, visits under 10 years of age, and certain procedural competencies for those programs with 3 or more years of data. Conclusions: The RPI was the first and only nationally utilized family medicine graduate medical education quality improvement tool. Individual programs did not show substantial change in quantifiable metrics over time despite limited evidence of select programmatic improvements. Nationally, aggregated data provided insight into scope of practice and other areas of interest in residency training. Further efforts in provision of residency improvement tools are important to support programs given the increasing complexity and high stakes of family medicine residency education.

scholarly journals Attitudes and opinions of US neurosurgical residents toward research and scholarship: a national survey

2019 ◽  
Vol 131 (1) ◽  
pp. 252-263 ◽  
Author(s):  
Michael Karsy ◽  
Fraser Henderson ◽  
Steven Tenny ◽  
Jian Guan ◽  
Jeremy W. Amps ◽  
...  
Keyword(s):  
Online Survey ◽  
Research Training ◽  
Case Reports ◽  
National Level ◽  
Limiting Factors ◽  
Future Research ◽  
Free Text ◽  
Resident Research ◽  
Scholarly Output ◽  
Interest In Research

OBJECTIVEThe analysis of resident research productivity in neurosurgery has gained significant recent interest. Resident scholarly output affects departmental productivity, recruitment of future residents, and likelihood of future research careers. To maintain and improve opportunities for resident research, the authors evaluated factors that affect resident attitudes toward neurosurgical research on a national level.METHODSAn online survey was distributed to all US neurosurgical residents. Questions assessed interest in research, perceived departmental support of research, and resident-perceived limitations in pursuing research. Residents were stratified based on number of publications above the median (AM; ≥ 14) or below the median (BM; < 14) for evaluation of factors influencing productivity.RESULTSA total of 278 resident responses from 82 US residency programs in 30 states were included (a 20% overall response rate). Residents predominantly desired future academic positions (53.2%), followed by private practice with some research (40.3%). Residents reported a mean ± SD of 11 ± 14 publications, which increased with postgraduate year level. The most common type of research involved retrospective cohort studies (24%) followed by laboratory/benchtop (19%) and case reports (18%). Residents as a group spent on average 14.1 ± 18.5 hours (median 7.0 hours) a week on research. Most residents (53.6%) had ≥ 12 months of protected research time. Mentorship (92.4%), research exposure (89.9%), and early interest in science (78.4%) had the greatest impact on interest in research while the most limiting factors were time (91.0%), call scheduling (47.1%), and funding/grants (37.1%). AM residents cited research exposure (p = 0.003), neurosurgery conference exposure (p = 0.02), formal research training prior to residency (p = 0.03), internal funding sources (p = 0.05), and software support (p = 0.02) as most important for their productivity. Moreover, more productive residents applied and received a higher number of < $10,000 and ≥ $10,000 grants (p < 0.05). A majority of residents (82.4%) agreed or strongly agreed with pursuing research throughout their professional careers. Overall, about half of residents (49.6%) were encouraged toward continued neurosurgical research, while the rest were neutral (36.7%) or discouraged (13.7%). Free-text responses helped to identify solutions on a departmental, regional, and national level that could increase interest in neurosurgical research.CONCLUSIONSThis survey evaluates various factors affecting resident views toward research, which may also be seen in other specialties. Residents remain enthusiastic about neurosurgical research and offer several solutions to the ever-scarce commodities of time and funding within academic medicine.

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