scholarly journals Factors Associated With Successful Research Departments

2019 ◽  
Vol 51 (2) ◽  
Author(s):  
Winston Liaw ◽  
Aimee Eden ◽  
Megan Coffman ◽  
Meera Nagaraj ◽  
Andrew Bazemore
Keyword(s):  
Family Medicine ◽  
Interdisciplinary Teams ◽  
Bright Spot ◽  
Snowball Sampling ◽  
Medicine Research ◽  
School Based ◽  
Bright Spots ◽  
Semistructured Interviews ◽  
The Individual ◽  
Faculty Selection

Background and Objectives: Inadequate resources have led to family medicine research divisions at varying stages of development. The purpose of this analysis was to identify the factors that family medicine research “bright spot” departments perceive to be crucial to their success. Methods: In this qualitative analysis, we identified bright spot dimensions and used a snowball sampling approach to identify medical school-based departments considered to be research bright spots. With 16 leaders from eight departments, we conducted semistructured interviews, covering historical events, leadership, partnerships, mentors, faculty selection, and training. We recorded and transcribed interviews and used a template-driven approach to data analysis, iteratively defining and modifying codes. At least two reviewers independently coded each interview, and coding discrepancies were discussed until consensus was reached. Results: We identified the following themes: (1) Leadership was committed to research; (2) Research was built around teams of researchers; (3) Interdisciplinary teams facilitated by partnerships allowed the department to tackle complex problems; (4) The convergence of researchers and clinicians ensured that the research was relevant to family medicine; (5) Departments had cultures that engendered trust, leading to effective collaboration; (6) These teams were composed of intrinsically motivated individuals supported by mentorship and resources; (7) When deciding which questions to pursue, departments balanced the question’s alignment with the individual researcher’s passion, relevance to family medicine, and fundability. Conclusions: A commitment to research from an engaged chair, partnerships, integrating front-line clinicians, and supporting intrinsically motivated individuals were important for bright spots. Applying these concepts may be an important strategy for generating knowledge.

scholarly journals Family Medicine Research “Bright Spots” in Low-Resource Settings

2019 ◽  
Vol 51 (4) ◽  
pp. 364-365
Author(s):  
Christine Broszko ◽  
Kirsten Winnie ◽  
Amy Whittle
Keyword(s):  
Family Medicine ◽  
Low Resource Settings ◽  
Medicine Research ◽  
Low Resource ◽  
Bright Spots

scholarly journals Reply to “Family Medicine Research ‘Bright Spots’ in Low-Resource Settings”

2019 ◽  
Vol 51 (4) ◽  
pp. 365-365
Author(s):  
Winston Liaw ◽  
Aimee Eden ◽  
Megan Coffman ◽  
Meera Nagaraj ◽  
Andrew Bazemore
Keyword(s):  
Family Medicine ◽  
Low Resource Settings ◽  
Medicine Research ◽  
Low Resource ◽  
Bright Spots

Navigating the health care system: perceptions of patients with chronic pain

2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Treatment Compliance ◽  
Care Utilization ◽  
Semistructured Interviews ◽  
The Individual ◽  
Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

scholarly journals Understanding decisions about antibiotic prescribing in ICU: an application of the Necessity Concerns Framework

2021 ◽  
pp. bmjqs-2020-012479
Author(s):  
Alyssa M Pandolfo ◽  
Robert Horne ◽  
Yogini Jani ◽  
Tom W Reader ◽  
Natalie Bidad ◽  
...  
Keyword(s):  
Focus Groups ◽  
Antibiotic Prescribing ◽  
Negative Consequences ◽  
Out Of Hours ◽  
Team Members ◽  
Clinical Vignettes ◽  
Molecular Microbiology ◽  
Semistructured Interviews ◽  
Decision Making Processes ◽  
The Individual

BackgroundAntibiotics are extensively prescribed in intensive care units (ICUs), yet little is known about how antibiotic-related decisions are made in this setting. We explored how beliefs, perceptions and contextual factors influenced ICU clinicians’ antibiotic prescribing.MethodsWe conducted 4 focus groups and 34 semistructured interviews with clinicians involved in antibiotic prescribing in four English ICUs. Focus groups explored factors influencing prescribing, whereas interviews examined decision-making processes using two clinical vignettes. Data were analysed using thematic analysis, applying the Necessity Concerns Framework.ResultsClinicians’ antibiotic decisions were influenced by their judgement of the necessity for prescribing/not prescribing, relative to their concerns about potential adverse consequences. Antibiotic necessity perceptions were strongly influenced by beliefs that antibiotics would protect patients from deterioration and themselves from the ethical and legal consequences of undertreatment. Clinicians also reported concerns about prescribing antibiotics. These generally centred on antimicrobial resistance; however, protecting the individual patient was prioritised over these societal concerns. Few participants identified antibiotic toxicity concerns as a key influencer. Clinical uncertainty often complicated balancing antibiotic necessity against concerns. Decisions to start or continue antibiotics often represented ‘erring on the side of caution’ as a protective response in uncertainty. This approach was reinforced by previous experiences of negative consequences (‘being burnt’) which motivated prescribing ‘just in case’ of an infection. Prescribing decisions were also context-dependent, exemplified by a lower perceived threshold to prescribe antibiotics out-of-hours, input from external team members and local prescribing norms.ConclusionEfforts to improve antibiotic stewardship should consider clinicians’ desire to protect with a prescription. Rapid molecular microbiology, with appropriate communication, may diminish clinicians’ fears of not prescribing or of using narrower-spectrum antibiotics.

Family Medicine Research:

1987 ◽  
Vol 10 (3-4) ◽  
pp. 129-164
Author(s):  
Larry Culpepper ◽  
Lorne A. Becker
Keyword(s):  
Family Medicine ◽  
Medicine Research

scholarly journals Sudanese Perspectives on Resettlement in Australia

2010 ◽  
Vol 4 (1) ◽  
pp. 30-43 ◽  
Author(s):  
Kate E. Murray
Keyword(s):  
Snowball Sampling ◽  
Host Countries ◽  
Diverse Backgrounds ◽  
Sociopolitical Context ◽  
Quantitative Sample ◽  
Bonding And Bridging ◽  
Bridging Capital ◽  
The Individual ◽  
Resettlement Programs ◽  
Quantitative And Qualitative Methods

AbstractResettlement programs for people from a refugee background must respond to a variety of concerns as people from diverse backgrounds and often longstanding periods of upheaval and hardship enter their new resettlement communities. Host countries approach the demands of resettlement through varying programs and policies and those differences across countries can profoundly affect the newcomers' experiences. The current study employs quantitative and qualitative methods to examine the individual and contextual factors that influence the resettlement experience for adults from Sudan being resettled in Queensland, Australia. Ninety Sudanese adults were recruited through snowball sampling techniques for the quantitative study, with 10 individuals purposefully selected to complete the semistructured qualitative interview. In the quantitative sample, 25 to 30% of participants reported significant symptoms of psychological distress and frequent experiences of discrimination, and the majority of participants reported integration (identifying with both Australian and Sudanese cultures) as their method of acculturation. Participants reported feeling initially welcomed into Australia, with positive influences including bonding and bridging capital, which helped them in their adaptation, and negative influences including problems with the resettlement programs and experiences of discrimination. The findings underscore the importance of sociopolitical context on refugee experiences of the resettlement process.

scholarly journals Assessing and Documenting the Cognitive Performance of Family Medicine Residents Practicing Outpatient Medicine

2014 ◽  
Vol 6 (3) ◽  
pp. 526-531 ◽  
Author(s):  
Allen F. Shaughnessy ◽  
Katherine T. Chang ◽  
Jennifer Sparks ◽  
Molly Cohen-Osher ◽  
Joseph Gravel
Keyword(s):  
Family Medicine ◽  
Cognitive Performance ◽  
Cognitive Skills ◽  
Medical Knowledge ◽  
Time Consistency ◽  
Faculty Members ◽  
Knowledge Domain ◽  
Ambulatory Medicine ◽  
The Individual ◽  
Over Time

Abstract Background Development of cognitive skills for competent medical practice is a goal of residency education. Cognitive skills must be developed for many different clinical situations. Innovation We developed the Resident Cognitive Skills Documentation (CogDoc) as a method for capturing faculty members' real-time assessment of residents' cognitive performance while they precepted them in a family medicine office. The tool captures 3 dimensions of cognitive skills: medical knowledge, understanding, and its application. This article describes CogDoc development, our experience with its use, and its reliability and feasibility. Methods After development and pilot-testing, we introduced the CogDoc at a single training site, collecting all completed forms for 14 months to determine completion rate, competence development over time, consistency among preceptors, and resident use of the data. Results Thirty-eight faculty members completed 5021 CogDoc forms, documenting 29% of all patient visits by 33 residents. Competency was documented in all entrustable professional activities. Competence was statistically different among residents of different years of training for all 3 dimensions and progressively increased within all residency classes over time. Reliability scores were high: 0.9204 for the medical knowledge domain, 0.9405 for understanding, and 0.9414 for application. Almost every resident reported accessing the individual forms or summaries documenting their performance. Conclusions The CogDoc approach allows for ongoing assessment and documentation of resident competence, and, when compiled over time, depicts a comprehensive assessment of residents' cognitive development and ability to make decisions in ambulatory medicine. This approach meets criteria for an acceptable tool for assessing cognitive skills.

Sign in / Sign up

Export Citation Format

Share Document