promoting primary care research in south carolina · hickory knob state park. hickory knob state...

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Promoting Primary Care Research in South Carolina A Brief History of the State Resident Research Event Peter J. Carek, MD, MS, CAQSM University of Florida Department of Family Medicine, Gainesville FL Matthew Cline, MD AnMed Health Family Medicine Residency, Anderson SC T. Edwin Evans, MD Seneca Lakes Family Medicine Residency, Seneca SC

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Page 1: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

PromotingPrimaryCareResearchinSouthCarolinaABriefHistoryoftheStateResident

ResearchEvent

PeterJ.Carek,MD,MS,CAQSMUniversityofFloridaDepartmentofFamilyMedicine,GainesvilleFLMatthewCline,MDAnMed HealthFamilyMedicineResidency,AndersonSCT.EdwinEvans,MDSenecaLakesFamilyMedicineResidency,SenecaSC

Page 2: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Beginnings

• Ideabroughtupbyseveralfacultyatdifferentresidenciestohaveastatewideresidentresearchgathering• AtAnderson,thelocalchampionwasDr.LibbyBaxley,nowaDeanatECUinNorthCarolina• SheenvisionedaprogramlikeanSTFMresearchafternoonortheFellowshipResearchDayattheUNC-ChapelHillFacultydevelopmentfellowship

• InitiallyplannedtobeinMyrtleBeachinSpring1990• HurricaneHugointhefallof1989changedtheplan• DelayeduntilFall1991

Page 3: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

FirstStatewideResidencyResearchEvent

• Multiplegoals• Gatheringofresidentsfromall7residenciesinthestate• Includedaseriesofworkshopsthatwereresidentfocused• Residentresearchpresentationswereoneworkshop,withuptotwoinvitedtopresentfromeachstate• A“residencyandthemedicalmarriage”wasanotherworkshop

• Theplace?HickoryKnobStatePark

Page 4: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

HickoryKnobStatePark

Page 5: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

ProandConofaStatePark

• Advantages• Lowercost• Multiplelowcostactivities- golf,swimming,boating• Enoughspaceforresidenciestosendlargergroups• Allowedforfocustobeontheworkshopsandgroupactivities

• Disadvantages• Relativelyrustic• Simplefoodwithlittlevariation• Nonearbyshoppingorsociallife(ortown)• Notcentrallylocated• Notgenerallyadesireddestination

Page 6: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Theresearchpresentations?

• Variablewithnorealplanoroversightastowhatcouldbepresented.• Volunteerfacultyfrommultipleresidencieswerejudges• Toptwoprojects:• Weighingresidentlabcoatsbyyearandrotation(includingcontentdetailsofpockets)• StudyofbackpainpatientswithandwithoutPTreferrals

• Wasagoodstart

Page 7: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Nextsteps

• HickoryKnobwasrepeatedfor1moreyear,theninterestdeclined.• Nearly10yearslater,anewgroupoffacultylookedtorevivetheresearchcomponent,thistimelinkingitwithworkshopsthatcenteredonChiefResidenttraining• Amorecentrallocationwaschoseninthestate(WhiteOakConferenceCenter)• Alltheresidencieswereprovidedformforresidentstoproposetheirabstractstoacentralgroupof3evaluators• Top20wereinvitedtopresentinthespringof2002?2003?

Page 8: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

WhiteOakConferenceCenter

Page 9: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Whatelsewasgoingonsimultaneously?

• RC-FMhadaddedarequirementforresidentresearchinlate1990s• Severalofthenow8FMresidenciesinthestatehadstartedtheirown“ResearchDay”wherelocally,2nd and3rd yearresidentspresentedtheirresearch• Forcommentatorsandjudges,therewasoftensharingoffacultyfromoneprogramtoanothertoprovideoutsideexpertise(ortoremoveperceptionofbias)• Afterlocalpresentation,anextstepcouldbetoproposetoaresearchworkshopatSTFM,ortoproposeasaposterpresentationtoastateorregionalmeeting.

• Thus,therewereseveral“ResidentResearchSymposiums”occurringthroughoutthestate,usuallyinthespring.

Page 10: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Nextsteps:GrowFinancesandInterest• Movetosolidifyfinancialsupport• KeeptheassociationwiththeChiefResidenttrainingworkshop• UtilizeAHECfundingforresidentlodging,meals,andcashawards

• Expandresidentinterest• LinkthecoursetotheSCAFP’ssummerCMEbreakawayatthebeach• Thisincreasedresidentinterestinattendingthevenue,evenifnotcentralinthestate• Allowforposterpresentationsaswell

• Standardizeselectioncriteria• Allresidenciesprovidefacultytoreviewandscoreabstractssubmittedbyresidents• Rotatinggroupof3judgeswithpredefinedscoringatthemeetingforawards(rotatesbetweenthe8FMresidenciesinthestate)

Page 11: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

LitchfieldBeachResortatPawley’sIsland

Page 12: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

LeadershipfromtheFMFaculty• MUSC’sFMresidencyatTridenthadthemostdevelopedresidentresearchcurriculum,alongwithUSC’sProvidenceprogram• Facultyfromthesetwoprogramsworkedonseveraliterationsofscoringandjudgingcriteria,aswellasabstractevaluationforms,thathavebeenimprovedoverthelast10years.• Eachresidencyisreserved1slotforitsnominationof“bestresidentresearchproject”andthenthereare8selectedfromthestateatlarge.• Totalof16podiumpresentations• Symposiumproceedingspublishedaheadoftime• Otherapplicantsareinvitedtobeposterpresentations

Page 13: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Sonesta ResortatHiltonHeadIsland

Page 14: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Ed’sportion:Mechanics/process

Page 15: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

SouthCarolinaAHECResidentScholarshipSymposium• NowhostedattheannualSCAFPAnnualAssembly• BODdesiredinteractionbetweenresidentsandmembers• CMEoffered

• “QualityImprovement”and“BasicResearch”arecategories• Nolongerdoingcasereports…*

• Eachprogramgetstoselectonepresenterforthestatewidesymposium• Eightotherspotsarechosenbyjudgesattheprograms• EligibilityrequiresconfirmationofIRBapproval/exemption

Page 16: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

AHECSponsorship

• $400,$300,$200prizesinbothQIandBasicResearch• Posterpresentationsareencouraged(onewinner,$200)• Allabstractsnotselectedforpodiumpresentationareeligibleforposter• Anyincompleteabstractsareeligibleonlyforposterpresentation

• Allpresenters(podiumandposters)receiveafreeweekendatthebeachfortheirfamily!

Page 17: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

CalendarfortheResearchSymposium

• March/April- abstractssolicited,senttopaneloffacultyreviewersateachresidencyprogram• Reviewersareblindedtotheprogramsourceoftheabstract• Reviewersdonotreviewtheirownresidents’abstracts• ResidentsalsoprovideabriefbiotoaidtheSymposiumDirector• IMRADformat(Intro,Methods,ResultsandDiscussion)

• Mid/lateApril,topeightpresentationsareselectedbyfacultyreviewers• AcceptedproposalsaredesignatedasQIorBasicResearchbythepanel

Page 18: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

CalendarfortheSymposium

• Individualprogramsmayhavetheirown“ResearchDay”,usuallyinAprilorMay.• Programschoosetheirtopprojectforoneoftheguaranteedspots;theseabstractsarenotsubmittedtotheFacultyReviewpanel.• Statewideprogramisinmid-Juneatthebeach

Page 19: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

FacultyReviewersscoresheet

Page 20: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

DayoftheSymposium

• Sixteenpresentationsarebrokenupintooneafternoonandthenextmorning• Residentsrequestedtoremainpresentforallpresentations• 10minutesforpresentation,5forquestions• Threejudges,onedirectortofacilitatediscussions• Prizesareawardedimmediatelyafterthemorningsession,atalunchattendedbythestateacademymembership

Page 21: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Judgesscoresheet

Page 22: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

Lastyear’swinners

• BasicResearch• “SuccessofIn-HospitalCardiopulmonaryResuscitation”Vasagar,Brintha MDMPH;SpartanburgRegionalFMResidencyProgram

• QualityImprovement• “DocumentationandInterventiononPediatricObesityataPrimaryCareClinic”Neary,BrandenMD;Trident/MUSCFMResidencyProgram

• PosterSession• “PhysicianPerceptionsofanAccountableCareUnitafterImplementation”Quinn,JustinMDandMichaelPlachta MD

Page 23: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

InfluenceBeyondSouthCarolina

• Symposiumhasbeenpresentedinseveralpublications• PromotingScholarlyActivityinFamilyMedicineResidencyPrograms:What’stheReward?• FromtheAssociationofFamilyMedicineResidencyDirectors• AnnFamMed2004;2:520-521

• Ables AZ,Carek PJ,DickersonLM,AbercrombieS,Hanlin RB.Promotingresidentscholarshipthroughastate-widesymposium.FamMed2010;42(6):440-3.

Page 24: Promoting Primary Care Research in South Carolina · Hickory Knob State Park. Hickory Knob State Park. Pro and Con of a State Park •Advantages •Lower cost •Multiple low cost

PromotingResidentScholarship ThroughaStatewideSymposiumAdrienneZ.Ables,PharmD;PeterJ.Carek,MD,MS;LoriM.Dickerson,PharmD;StoneyAbercrombie,MD;RobertB.Hanlin,MDBackgroundandObjectives:Literatureonintegrationandassessmentofaresearchcurriculumintofamilymedicineresidencytrainingprogramsislimited.Theobjectivesofthispaperaretodescribethedevelopment,implementation,andevaluationofastate-wideresidentscholarshipsymposium.Methods:In2003,theSouthCarolinaAreaHealthEducationConsortium(SCAHEC)andresidencyprogramdirectorsdevelopedanannualresidentscholarshipsymposium.Abstractsaresubmittedinthecategoriesofcasepresentation,qualityimprovement,orclinicalresearch.Subsequently,twohalfdaysaredevotedtoresidents’presentationoftheirresearch,whichisevaluatedbyapanelofthreejudges,andawardsaregivenineachcategory.Results:Atotalof238residentshavepresented176researchprojects.FifteenprojectshavebeenpresentedduringtheAnnualSpringConferenceoftheSocietyofTeachersofFamilyMedicine(STFM),sevenprojectshavebeenpresentedduringtheAnnualMeetingoftheNorthAmericanPrimaryCareResearchGroup(NAPCRG),andnineprojectshavebeenpublishedinpeer-reviewedjournals.Residentevaluationshaveratedtheconferenceoverallasgoodtooutstanding.Conclusions:Astate-widesymposiumhasprovidedfamilymedicineresidentsanopportunitytopresenttheirscholarlyworkstoalargeraudienceandisassociatedwithresidentprojectsthathavebeenpresentedorpublishedonanationallevel.(FamMed2010;42(6):440-3.)FromtheSpartanburgFamilyMedicineResidencyProgram,Spartanburg,SC(Dr Ables);Trident/MedicalUniversityofSouthCarolinaFamilyMedicineResidencyProgram(Drs Carek andDickerson);AndersonFamilyMedicineResidencyProgram,Anderson,SC(Dr Abercrombie);andGreenvilleFamilyMedicineResidencyProgram,Greenville,SC(Dr Hanlin).

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OtherState/RegionalResearchSymposiaRegionalFamilyMedicineResident

ResearchSymposiumMay20,201709:30AM– May20,2017

04:00PMLocation: Galveston,Texas

Address: PrimaryCarePavilion,400Harborside Drive

CAMPLEJEUNEREGIONALMEDICALRESEARCHSYMPOSIUMTheCampLejeuneFamilyMedicineResidencyiscallingforabstractsforthe7thAnnualCampLejeuneRegionalMedicalResearchCompetitionandSymposium.

Therewillbepodiumandposterpresentations.

May25-262017:RegionalResearchSymposium

MichiganFamilyMedicineResearchDay

Thursday,May26,2016TheJohnsonCenteratClearyUniversity

3725ClearyDriveHowell,MI48843