1. CTLC Retreat Building capacity in resident and faculty scholarship
Liz Muggah

2. Objective
Explore ideas for partnerships with AoS to help build resident & faculty capacity in scholarship
EBM, QI, FMRSP (teaching scholarship)
2. Faculty (doing scholarship)

4. …

6. Organizational structure Postgrad EBM/QI/FMRSP
DFM Chair
FMRSP Advisory Committee
MH Chomienne
FMRSP Manager (Ziad)
FMRSP Physician Lead (Liz)
EBM/QI Advisory Committee
Tom, Liz , Eric, Jean R, Sharon J
YR1 Coordinator (Julia Testa)
EBM/QI Unit Champions
Postgrad Director
QI Director
Postgrad curriculum
Clinical QI
QI Scholarship

7. Many roles to play

8. EBM – AoS partnerships Participate in EBM rounds in unit
Offer EBM teaching sessions in unit
Mentorship in unit on use of EBM in patient encounter

9. QI – “EBM at the practice level”
OBJECTIVES:
To develop the knowledge and skills required to lead QI
To develop skills in interprofessional collaboration
To develop leadership skills in improving the quality of care

10. Practice Audit and Practice Improvement
Practice Improvement - PGY1
Identify and plan an improvement
based on gap in care
January to May
Practice Audit – PGY1
Identify gaps in care
formerly “epearls”
July to Dec
FLIP THE MODEL SUCH THAT A GREATER PROPORTION OF TIME AND THOUGHT BE SPENT ON THE LATTER STEPS
SUCH AS STAKEHOLDER ENGAGEMENT, PROCESS IMPROVEMENT, IMPLEMENTATION, HANDOVER AND FUTURE STEPS
RATHER THAN DATA EXTRACTION
FMRSP : Scholarly Project in QI – PGY 2
Further develop improvement idea, DO and evaluate improvement idea
Select a topic/Ask a question
Collect information - review data & survey team members
Identify the root problem
Make recommendations
Select a topic/Ask a question
Collect information - review data & survey team members
Identify the root problem
Make recommendations
Select a topic/Ask a question
Collect information - review data & survey team members
Identify the root problem
Make recommendations

11. QI – other components yet to come
Other ideas (experiential & in unit)
Attend unit Quality Committee
Patient Safety Incident reporting
Morbidity/Mortality Rounds
Panel management (Primrose pilot)

12. QI – Clinician investigators
Bring evidence to the unit to inform QI activities (knowledge to action)
Support QI Scholarship (more on this later)

13. FMRSP OBJECTIVES To build INQUIRY CAPACITY
To INCREASE KNOWLEDGE through primary care research
To develop CLINICAL PRACTICE APPRAISAL SKILLS
To prepare family medicine residents to become COMMUNITY EDUCATOR LEADERS

14. FMRSP – Clinician Investigators
PRESENT ACTIVITIES:
CI: Primary supervisors for 30-40% of “research” FMRSPs (6-10/yr)
Research Advisor offers support to all “research” FMRSP (10-20/yr)
CI: Mentoring to non-research as needed (35-40/yr)
CTLC “consultation” services at $75/hr upto $250
Monthly Tune ups on Academic Days
Leading Fac Dev sessions on FMRSP (low turnout but good feedback)
Evaluate all “research” FMRSPs

15. FMRSP – Clinician Investigators
Clarify the CTLC resources and how to access
“Open hours” for in unit CI consultation
Find small “doable” projects from your research

16. A o S – Teacher/Clinician partnership General ideas
“Open hours” to meet with CI
One-stop-web research resources
Clarify and communicate access to Research Assistants/Consultants
Particularly at the start: methods, ethics, writing/editing
Funding for protected time
Help to build research themes where there is faculty interest
Medical Education , QI, Humanities, Global Health

17. A o S – Building Clinical Scholarship Seize the opportunity!
Scholarship of integration and application (Grigsby Academic Med 2011)
Natural interest/skills in faculty
Tsunami of interest in QI
Think of what happened with educational scholarship!

18. A o S – Building Clinical Scholarship Seize the opportunity!
Support clinical scholarship in the DFM:
Define what it is: (case report, clinical reviews, QI)
Capacity building (what knowledge & skills are needed?)
Make it part of promotion (ie: clinical portfolio)
Increase access to clinical data – PBRN?
Find opportunities for clinical scholarship in AoS research
Use knowledge/ideas from the community

19. QI – a roadmap to scholarship (Naama et al 2012 Academic Medicine, Shojania & Levinson 2009 JAMA, Dhalla 2011 JAMA, )
Research-Clinician collaboration
on QI projects
Academic departments should define and articulate a QI/PS strategy
Develop individual and departmental capacity to lead scholarly QI/PS programs
Streamline and support access to data, share information and improve collaboration
Recognize and elevate academic success in QI/PS. 
Clarify & Streamline ethics
PBRN + shared data
Quality “dossier” part of promotion
QI Leads in DFM – reward

20. Many roles