FPIN Overview 2014-15
Learning Objectives
Participants will be able to –
 Enumerate how scholarly requirements are changing
 Describe how to build a step-wise program of
scholarly education
 Strategize how to increase enthusiasm for
scholarship within their residencies
Why is scholarship so important?
“[Scholarly writing] has become a crucial
component of our curriculum giving
experience in medical information
searching, appraisal, publication, and
application. By giving our residents real
world experience in producing medical
information they have become more
informed consumers of medical
information.”
- Dr. Tom Satre, University of
Minnesota
Steps to Get Going!
Step 1: Understand the Scholarly Requirements
Step 2: Understand Your Options
Step 3: Foster an Atmosphere of Scholarly
Enthusiasm
Step 4: Implement a Scholarly Plan
Step 1: Understand the Scholarly
Requirements
Current FM-RC Requirements
for Faculty Scholarship
All CORE Requirements ~
 Must establish and maintain an environment of inquiry and
scholarship with an active research component
 Must regularly participate in clinical discussions, rounds,
journal clubs, and conferences
 Some should also demonstrate scholarship
 Peer-reviewed funding, publications, presentations,
participation in national committees or organizations
 Should encourage and support residents in scholarly
activities
What’s New for Faculty in the 2014
Requirements?
Core family medicine faculty members must
participate in faculty development programs
designed to enhance the effectiveness of their
teaching, administration, leadership, scholarship,
clinical and behavioral components of faculty
performance.
(Faculty development in scholarship is a new
requirement!)
Current FM-RC Requirements
for Resident Scholarship: Core
The curriculum must advance residents’ knowledge of the
basic principles of research, including how research is
conducted, evaluated, explained to patients, and applied to
patient care.
Residents should participate in scholarly activity.
The sponsoring institution and program should allocate
adequate educational resources to facilitate resident
involvement in scholarly activities.
Current (2007) FM-RC Requirements
for Resident Scholarship: FM Detail
 Residents must have a supervised experience in scholarly
activity (big description follows….)
 Forum must be provided for analyzing scientific evidence
 Must have guided experience in application of emerging
clinical knowledge to own panels
What’s New for Residents in 2014?
Core stays the same but FM Detailed requirement
has been VERY simplified ~
“Residents should complete two
scholarly projects, at least one of
which should be a quality
improvement project.”
Another big change affecting scholarship
Section IV.A.3.a - Regularly Scheduled Didactic
Sessions
The program must provide a regularly scheduled
forum for residents to explore and analyze evidence
pertinent to the practice of family medicine.
How Do the 2012 “Family Medicine
Scholarship Guidelines” Clarify?
•
Scholarship must be peer-reviewed (loosely)
•
Numbers
required
 Faculty:
2 projects/ 5 years

Residents: 1 project/3 years
 Fellows:

•
1 project/fellowship
Fellowship Faculty: 1project/year
Dissemination geography different for faculty and residents
(national/regional vs. regional/local)
Step 2: Understand a Comprehensive Option
Family Physicians Inquiries Network
What is FPIN?
FPIN is a nonprofit, membership organization
offering medical scholarship education to students,
residents, faculty, and fellows in family medicine.
FPIN Mission:
FPIN supports a collaborative learning community for
primary care clinicians, learners, and faculty to
promote and disseminate evidence-based scholarship.
We improve patient care by translating research into
practice.
FPIN
Who?
Currently 140 University & Community-based Residencies
How?
•
•
•
•
•
Supporting Publication Projects
On-line Modules
Journal Clubs
Promoting mentoring programs among faculty and
trainees
Developing a culture of scholarly leadership
Helping develop Scholarly Leadership
“I initially got involved in FPIN because I
really like to ask questions. FPIN supports
family medicine scholarship at its most
fundamental levels: looking at a patient and
asking a question, disseminating evidencebased answers and new evidence, and
providing publication opportunities. FPIN is a
great community of staff and fellow family
doctors looking to advance our field.”
- Dr. Kate Rowland, University of
Chicago
What do Membership Fees Support?
 FPIN is a non-profit organization so your fees
support:





Editors
Staff
Dissemination of our journal, EBP
Operations
Membership Benefits
Member Benefits
1. Opportunities:
A.
Writing, Publishing, and Editing
B.
Peer Review
C.
Workshops
2.Tangible:
A.
EBP
B.
FPIN Institute
C.
PURLs Journal Club
D.
PEPID PCP subscription to eMedRef authors &
institutional discounts
3.Accreditation
FPIN Publications
 Provides quick and comprehensive overviews of topics at
physicians’ fingertips
 Published in PEPID and portions of selected topics are
published in Evidence-Based Practice
 New initiatives include developing a peer review process
 Can be finalized in 6-7 months
Where are eMedRefs Published?
 450-600 word manuscript
 Brief, structured evidence-based answers to clinical




questions
Work with Local Editor and Editor-in-Chief
Peer reviewed at another FPIN program
Published in Evidence-Based Practice and PEPID
Can be finalized within an academic year
Where are HDAs Published?
 FPIN’s flagship publication
 Based on the best evidence resulting from a formal
systematic literature search
 Peer-reviewed indexed publication in The Journal
of Family Practice or American Family Physician
 Has undergone a comprehensive restructuring
Where are CIs Published?
 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 high level team
activity
 Published in The Journal of Family Practice and
PEPID
Where are PURLs Published?
PURL Journal Club
 Plug and play comprehensive monthly toolkit available
through FPIN Institute including:
1.
2.
3.
4.
5.
Journal Club Instructions
Speaker Notes including teaching points
Journal Club participant worksheet
Completed review form for reference
Published PURL
 Ideal for programs looking for a structured approach to
journal clubs with little faculty skill or time.
Evidence-Based Practice
 FPIN’s peer-reviewed journal
 Articles are written by FPIN Members
 Residents and faculty
 Provides answers to questions
you experience on a daily basis
FPIN Institute
 Included with your FPIN Membership

Access to Online Learning Catalog
 On-line self-study courses covering FPIN writing projects,
EBM curriculum development, and more:



Accompanying handouts
Comprehension quizzes to assess learning
Ability to generate progress reports for additional accountability
 PURLs Journal Club Toolkits
 EBM Physician Numeracy Curriculum
Step 3: Foster an Atmosphere of Scholarly
Enthusiasm
Common Scholarship Program Barriers
 Faculty barriers:
 Protected time
 Shortage of faculty, resources
 Leaders don’t have enough experience to mentor
 Resident barriers:
 Lack of structured expectations, experiences
 Enthusiasm towards evidence-based medicine
 Shared barriers:
• Fear of statistics
• Difficulty with evidence synthesis
• Procrastination
Build Enthusiasm for Research
 Identify FPIN Champion(s)
 Utilize the PURLs Journal Club Toolkits
 Residents/Faculty propose their own questions
 Post EBP in your preceptor room
Step 4: Implementation
Scholarship Success Plan
 Assess your starting point
 Identify Key Leaders
 Schedule / Prioritize
 Maintain Accountable Processes
Tips for Success
 Assess the skills amongst your faculty and residents
 Identify a faculty development project
 Schedule a hands-on group workshop
 Mandate faculty complete a project first
 Protect time with structured expectations, completion
dates
What Does the First Year of Membership
Look Like?
 Build Critical Appraisal
 Train the Trainer
 Generate Enthusiasm Through Quick Publication
What Does the First Year of Membership
Look Like?
 Build Critical Appraisal
Who: Residents, fellows and faculty
 What: Integrate the PURLs Journal Club into your
residency program curriculum. The journal club includes
instructions, speaker notes, worksheets, the published
PURL and review forms, and are included in a monthly
subscription through the FPIN Institute for our members.
 Why: Involvement in the PURLs project at any level
teaches participants how to critically appraise the
literature.

What Does the First Year of Membership
Look Like?
 Train the Trainer
Who: 1-2 faculty champions
 What: Assign faculty champion(s) to lead the FPIN
activities at your program. We will provide them with all of
the resources they need to answer a clinical question of
interest by publishing a structured
500-word
HelpDesk Answer.
 Why: Learn these skills now, so that you can later
mentor the rest of your program in more advanced forms
of critical appraisal.

What Does the First Year of Membership
Look Like?
 Generate Enthusiasm Through Quick Publication
Who: Residents and remaining faculty members
 What: Give everyone in your program an opportunity to
earn an achievable electronic publication by updating a
point-of-care topic overview.
 Why: While faculty champions are learning more
advanced critical appraisal skills, eMedRef introduces the
rest of the program to the publication process and
provides early wins through publishing.

Why does the FPIN approach work?
• Implementation plans and publication projects are
built for residents and programs to be successful
• Writing projects are ACHIEVABLE for busy
residency programs
• Time frames are achievable to ensure residents
are published while in residency
Follow FPIN on Social Media
Facebook
Twitter
facebook.com/fpinpage
@FPINtweets
Learn More
Email membership@fpin.org
Call 573-256-2066
Visit us at www.fpin.org