Family Physicians Inquiries Network

1. Family Physicians Inquiries Network Translating Research into Practice Partnering with residency programs to develop premier evidence-based medicine curricula

2. The Word is Out FPIN manuscripts are published by family physicians without pharma-based support. They are an opportunity for educational scholarship and improving EBM teaching skills through publication. - Michele Roett, MD, MPH Georgetown University FPIN is a great place to start for anyone who is interested in academic medicine, clinical writing, or clinical research, particularly since there is a wide range of time commitment and depth of research involved. - Sarah Cole, DO St. John’s Mercy

3. Agenda • What is FPIN and What is the Vision? • A Membership Organization • Publications • Implementation Network Resources Available • Evidence Based Medicine Curriculum • Engaging Residents & Students • Faculty Development • Guidelines for Growing a Successful Scholarship Program

4. What is FPIN and What is the Vision?

5. Simply Family Physicians Inquiries Network: • International, academic consortium of 130 family medicine residencies & departments • Self-governing, non-for-profit membership organization • Began as a grant from American Academy of Family Physicians

6. Vision • We envision an international network … engaged in a virtual learning community … asking and answering clinical questions from practice … integrating this content into multiple information systems.

7. Contributing to the Discipline • We’re Raising All Boats in Family Medicine • More than 5000 published articles and topic reviews. • Now, at last, this body of knowledge is being made available to everyone through Mospace. • 575+ Clinical Inquiries • 400+ Evidence Based Practice • 41+ PURLS • 2700+ eMedRef topic reviews (currently being added) (numbers updated summer 2010)

8. Academic Consortium • Academic Departments with University & Community-based Residencies are working together to help each: • Develop a culture of research and scholarly publication • Promote mentoring programs among faculty and to trainees, • Create a supportive environment for translational research, & • Ultimately, raise the level of scholarship throughout the discipline.

9. Network Structure

10. Contributors

11. A Membership Organization

12. Member Benefits • “Guaranteed Publication Opportunity”, as long as an author accepts mentoring throughout the editorial process, they will earn a peer-reviewed publication. • Curricula for learning and teaching EBM principles • Online self-study modules • Subscriptions to Evidence-Based Practice • Implementation calls & ongoing scholarship reports • Discounts for onsite workshops & webinar packages Staff will be available to discuss additional details after the session for those that are interested.

13. Publications

14. Writing Projects eMedRef (PEPID) Fast-track point of care topic reviews HelpDesk Answers (EBP) Concise answers to physicians’ clinical questions Clinical Inquiries (AFP and JFP) Rigorous and comprehensive research project PURLS (JFP) Priority Updates from the ResearchLiterature

15. Manuscript written in bullet point/outline format • Point of care topic reviews • Can be completed in 15 hours over 10 weeks • Ideal for residents and students • Published in PEPID and Evidence-Based Practice

17. 500 word manuscript • Work with Local Editor and Editor-in-Chief • Peer reviewed at another FPIN program • Can be completed in 24 hours over 12 weeks • Ideal for faculty and resident/faculty pairs • Published in Evidence-Based Practice

18. 750 word manuscript • Work with Librarian Co-author, Assistant Editor, and Editor in Chief • Peer reviewed at another FPIN program • Can be completed in 40 hours over 12 months • Ideal for faculty promotion and tenure • Fully indexed and published in The Journal of Family Practice and American Family Physician and Evidence-Based Practice

19. 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 team activity • Published in The Journal of Family Practice

20. EBP is now the FPIN Journal

21. All content provided by FPIN members, and No industry support • Clinical Inquiries • HelpDesk Answers • eMedRef Updates • Diving for PURLs • Musculoskeletal Health • Topics in Maternity Care • Evidence in Nutrition • Geriatrics Care • Spotlight on Pharmacy • Behavioral Health Matters • Drug Effectiveness Review Project • Online CME Tests

22. Implementation Network Resources Available

23. FPIN is a Service Oriented Education Organization Resources include, but are not limited to: • Annual implementation calls and quarterly check-ups • Semi-annual scholarship reports • Podcasts • Conference calls • Presentation consulting • Leadership opportunities • Online Modules and workshops • Etc., etc., etc. What else do you need? We are here to help!

24. FPIN Institute • On-line academic modules • Self-study or group-setting tutorials • Accompanying handout • Evaluation • Links to additional resources • Physician “experts” maintain modules • Useful for teaching EBM and assessing knowledge • Ongoing development of new modules

25. FPIN Institute eMedRef Institute Module 1: Introduction to the eMedRef Project Module 2: Conducting a Smart Search ** Module 3: Evaluating the Research Module 4: eMedRef First Draft Module 5: eMedRef Editorial Process HelpDesk Answers Institute Module 1: Intro to HelpDesk Answers Module 2: Creating a Well Built Question Module 3: Conducting a Smart Search Module 4: Synthesizing the Evidence Module 5: Statistical Evidence Module 6: Write it Right-Get it Organized Module 7: Assigning the SOR Clinical Inquiries Institute Module 1: Intro to Clinical Inquiries Module 2: Creating a Well Built Question Using PICO Module 3: Working with Librarian Co-Authors Module 4: Grading Evidence Module 5: Evidence Tables Module 6: Summarizing Evidence Module 7: Friendly Statistics Module 8: Writing a Clinical Inquiry Module 9: Clinical Inquiry First Draft Module 10: The CI Editorial Process PURLs Institute Module 1: Surveying the Evidence

26. FPIN ONSITE On behalf of our entire residency faculty, I want to thank you for the outstanding workshop you presented for our residency program. Informal feedback to me afterwards was very positive, and I am very much looking forward to our new resident rotation and the opportunity for our program to become regular contributors to the HelpDesk Answers. David Holub, MD, FAAFP Program Director NorthShore University Health Systems

27. Onsite Workshops • 4 hour faculty or residents workshops at your program’s facility. • Afternoon curriculum renders a 50-75% first draft for each writing group in preparation for publication. • Customized agenda to meet your program’s distinctive needs • 30% discount when purchased with annual FPIN membership.

28. Evidence Based Medicine Curriculum

29. How does FPIN membership help? • First, it will assist your program in defining your unique EBM curricular goals. • Second, it will partner with your program to achieve those goals through implementation assistance, editorial mentorship, and writing project management.

30. Expand upon what you are doing now • Utilize FPIN membership to build on your current curriculum. • Learn to apply skills at the next level; FPIN provides an avenue to put EBM skills to work. • Employ EBM skills that have been taught.

31. Ask a clinical question. • Search the literature. • Synthesize the evidence. • Apply the evidence to “answer the question” or provide an evidence based summary of a medical condition. Evidence-Based Medicine EBM Structured Process

32. Engaging Residents & Students

33. Rewarding for Students “I am thrilled to be working with EBP, and the students love it!  It is completely intoxicating to them to see their names as authors of these pieces.  Thanks for your help!” Jose E. Rodriguez, MD, HDA Local Editor Florida State University Department of Family Medicine

34. My eMedRef experience has been significantly rewarding. It has served to enhance my interaction with our students, provide an academic activity for our faculty to support future promotion, and facilitate a publication in a format that requires a reasonable time commitment, in an otherwise very busy schedule. - Mike Engaging Students Successes at Penn State

35. Engaging Students Each month third year medical students rotate through Penn State’s Primary Care program. Students were previously required to report on primary care topics during this rotation; transitioning to another research-oriented project with a strong potential for publication was a great way to build on this foundation.

36. Engaging Residents START WITH A PLAN! At Research FMR, Corey begins by helping both faculty and resident authors to set realistic goals. Once these goals are achieved, as HDA Champion, he assists with finishing touches. • Building a successful HDA writing • program begins with a plan! • Corey’s plan includes: • Set realistic goals • Schedule protected time • Review author instructions, search strategy, • and other tools • Schedule and keep regular follow up

37. Use EBP for Journal Club • Use HelpDesk Answer or Feature article • Resident looks up all references OR • Each residents looks up one reference • Focused on clinical question or specific topic • Are the statistics correct? • Do residents draw same conclusion?

38. Faculty Development

39. Rewarding for Faculty “FPIN has been a wonderful opportunity for professional growth. The Network provides an extremely supportive atmosphere for physicians to grow both as writers and as editors. It is an opportunity to practice critical appraisal of the literature and gain expertise in selected topics. I would highly recommend the FPIN network for anyone interested in expanding their editorial experience.” Christina Gillespie, MD, MPH, FAAFP Georgetown University/Providence Hospital

40. Rewarding for Faculty • Achieve publication • AAFP awards CME credit for participation • Faculty/resident authoring teams fosters mentorship • Develop editorial skills • Consortium leadership openings • National conference speaking opportunities

41. Guidelines for Growing a Successful Scholarship Program

42. Structuring Your Scholarship Program • Leaders begin writing • Understand the experience first-hand • Before you can teach it, you need to do it • Create a system that will work for your program • Assess needs and interests • Determine goals • Generate enthusiasm • Schedule protected time • Devise a strategy for successful launch • Stay on top of it

43. Successful Launch • Meet with FPIN staff • Implementation plan / timeline / hard and fast tangible goals • Schedule workshop, webinar, or follow-up calls to ensure progress • Update curriculum manual • Introduce FPIN goals during seminar • Get moving! • Conduct workshop to get faculty published (FPIN led or homegrown) • Protect and structure time for mentoring (planning is the key) • Use the FPIN Institute (no need to reinvent the wheel) • Ask for help! • Review scholarship reports-schedule follow-up

44. Protected Time • For residents • 4 week timeline example • What is “done”? • For faculty • Individual author • Co-author / mentor • FPIN Institute

45. Why does the FPIN approach work? • Publication projects are build for residents and programs to be successful. • Writing projects are ACHIEVABLE for busy residency programs. • Time frames are short to ensure residents get published while in residency.

46. We appreciate the support!

47. Questions? Contact our Director of Membership & Education, LuShawna Romeo membership@fpin.org Updated 6/16/2011