FPIN Overview

1. FPIN Overview FAMILY PHYSICIANS INQUIRIES NETWORK Translating Research into Practice Partnering with residency programs to develop premier evidence-based medicine curricula

2. The Buzz… “We wish to extend our most sincere appreciation to you and the FPIN team for the outstanding "FPIN educational experience" you provided the Family Medicine Residents and Faculty. Everyone is still buzzing about the event and the knowledge and skills they gained. In addition we are very clear as to our next steps.” Doug Reich Bronx Hospital FMR “Oh, yeah!!!!!!  So exciting!!!!!!!!!!!!!  Thank you!!!!  Thank you for your help on this article too. It really has motivated me to do more research on questions that I have.” Roxana Mirza MO Research FMR

3. Agenda • What is FPIN and What is the Vision? • A Membership Organization • Scholarly Activity • Publications • Implementation Network Resources Available • Evidence Based Medicine Curriculum • Engaging Residents • Faculty Development • FPIN Implementation

4. What is FPIN and What is the Vision? Family Physicians Inquiries Network

5. What is FPIN? • FPIN is a membership organization offering medical scholarship education to students, residents, faculty, and fellows in family medicine; publication projects are used as a means for teaching Evidence-Based Medicine (EBM) concepts.

6. Other things to know… • Family Physicians Inquiries Network: • International, academic consortium of 135+ family medicine residencies & departments • Self-governing, non-for-profit membership organization • Began as a grant from American Academy of Family Physicians • Now a decade old and growing stronger every year

7. 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. The bottom line…FPIN is committed to translating research into practice

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. A Membership Organization

10. Member Benefits • “Guaranteed Publication Opportunity”, as long as an author accepts mentoring throughout the editorial process, they will earn a peer-reviewed publication. • NEW-1:1 Author Mentoring Calls • Expanding curriculum of online self-study modules for learning and teaching EBM principles (COMING SOON-Live Webinars) • Subscriptions to Evidence-Based Practice • Ongoing scholarship reports with customized feed-back for each manuscript in process • Unlimited support through the FPIN Project Manager Team and Education Department

11. Learn from Other ProgramsThroughout FPIN

12. Publications = Scholarly Activity

13. Common Scholarship Program Barriers • No protected time • Lack of structured expectations • No enthusiasm towards evidence-based medicine • Shortage of faculty • Leaders don’t have enough experience to mentor • Procrastination • Projects warrant a lot of time, but don’t result in a tangible outcome that can be disseminated throughout the discipline • Fear of statistics • Difficulty with evidence synthesis • Scarcity of resources

14. Publications aren’t the goal… • FPIN uses publication projects as a means for teaching • Authors involved in our various writing projects learn to receive and give mentoring • FPIN’s publication projects teach a structured EBM process

15. 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

16. Publications

17. 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

19. 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

20. 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

21. 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

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 • New for 2012-2013: Physician Numeracy Curriculum, and online tutorials for searching & writing, and live streaming interactive sessions.

25. 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. • Optimum solution for expedited implementation for scholarly writing project Note: there is an additional cost for these workshops, but discounts are offered in combination with membership

26. Expedited Timeline with Onsite Workshops Writing Group Completion & Editorial Process The writing groups get together to finish their draft, refine statistics, and format references; the draft is submitted. Faculty/Resident Mentoring By creating a structured plan for mentoring sessions, protected time, and FPIN Institute online module assignments; the residents begin to learn EBM! Workshop Planning Each workshop includes a series of 2 preparation calls to confirm goals, question selection, and define teaching strategy. Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Faculty Preparation & Workshop Materials are provided to introduce the faculty “what to expect”, opportunities are given to participate in literature searching, and the workshop is conducted culminating in a 50%complete first-draft. Pub Que & Resident Launch After 3-6 rounds (on average) of editorial review the manuscript will be approved at which point the system can be replicated for the residents. Resident Publication By using a writing workshop to launch FPIN, programs typically begin to see resident publications within 6 months.

27. Evidence Based Medicine Curriculum

28. 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.

29. 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.

30. Engaging Residents

31. 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

32. 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?

33. Faculty Development

34. 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

35. 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

36. Implementation

37. Scholarship Success Plan • Effectively assess the skills amongst your faculty and residents (One superstar will not be able to change the culture nor meet changing requirements.) • Identify faculty development project (Is an indexed publication the goal? Or, could the faculty simply co-mentor a resident with their writing project?) • REQUIRE a scholarly project for your residents. • Determine when residents will complete their project (Which year? It’s not enough to state, “You are required to complete a project before you graduate”…as it probably won’t work.) • Mandate faculty complete a similar project first to ensure effective mentoring • Protect time with structured expectations for each allotted time period • Schedule a hands-on group workshop to introduce project • Assign at least 2 leaders/champions to create timetable checklists for accountability

38. FPIN Implementation It’s not enough to join FPIN… • You need to actively participate • The good news is that FPIN continually introduces engagement initiatives throughout the year individually and for the network as a whole

39. Step 1: Join FPIN • Schedule 1:1 meeting or consultation conference calls to get questions answered • Update membership application • Submit a list of new faculty and residents for access to our systems and to receive Evidence-Based Practice

40. Step 2: Set Goals & Create Strategy • An implementation call is offered to each FPIN program each year to complete the following: • Set tangible goals (number of publications, engagement percentage by faculty/resident, etc.) • Choose an implementation strategy and determine what assistance is available through FPIN • Make special requests • Select follow-through schedule (calls, webinars, reminders, reports, etc.)

41. Step 3: Train Faculty • Schedule and conduct training workshop (home-grown or FPIN sponsored) • Support faculty throughout the editorial process • Designate 2 FPIN Champions to spearhead the initiative • Lean on the FPIN staff and editors for assistance…there will be stumbles

42. Step 4: Resident/Student Introduction • Schedule and conduct training workshop to introduce FPIN and writing project to your residents/students, multiple sessions are optimal • Schedule regular structured faculty/resident mentoring sessions • Utilize Journal Club • Protect time! • Residents • 4 week timeline example • Structure expectations for each time period allotted • Define what is “done.” • Faculty • Individual author • Co-author / mentor

43. Step 5: Use the FPIN Institute • Become very familiar with the FPIN Institute online modules • Request new modules from the FPIN staff whenever needed • Assign residents homework to complete online modules, read hand-outs, and take comprehension quizzes

44. Step 6: Publish & Follow-Through • Utilize your semi-annual scholarship reports for action needed to support faculty and residents throughout the editorial process • Commit to completing quarterly calls with the FPIN staff to ensure you meet your publication goals and maximize your membership benefits

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. Want to learn more? Contact membership@fpin.org or call 573.256.2066