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Gil Conde M, Costa I, Silvério Serra S, Ramos RC, Ribeiro C, Broeiro-Goncalves P, Penedo CR, Parola V, Nicola P. Strategies for research capacity building by family physicians in primary healthcare: a scoping review protocol. BMJ Open 2024; 14:e077632. [PMID: 38309767 PMCID: PMC10840058 DOI: 10.1136/bmjopen-2023-077632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 01/03/2024] [Indexed: 02/05/2024] Open
Abstract
INTRODUCTION The qualities of primary healthcare (PHC) make it a very relevant environment for research; however, there is still work to be done to enhance the research capabilities of family physicians in healthcare units. Considering there is no ongoing review that specifically addresses this objective, the proposed goal of this scoping review is to determine the depth of the literature on the current strategies that support research capacity building among family physicians in the context of PHC. METHODS AND ANALYSIS The scoping review will include studies from PubMed, Scopus, Web of Science, Cochrane Library and grey literature, published from 2008 to 2023, that address strategies to promote research capacity building among family physicians in the context of PHC. Only studies published in English, Portuguese or Spanish will be considered. All study designs, including quantitative, qualitative and mixed-methods studies, will be eligible for inclusion. The literature search will be performed from January to March of 2024 and data charting will employ a descriptive-analytical method, systematically summarising study objectives, methodologies, findings and implications. This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols and the review will employ the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. ETHICS AND DISSEMINATION This review does not need ethical approval. Peer-reviewed publications, policy summaries, presentations at conferences and involvement with pertinent stakeholders are all part of our outreach approach.
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Affiliation(s)
- Margarida Gil Conde
- USF Jardins da Encarnação, ACeS Lisboa Central/Research and Ethics Committee, ARSLVT, Lisbon, Portugal
- University Clinic of General and Family Medicine, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - Isabel Costa
- Hospital of Egas Moniz, Hospital Centre of West Lisbon Campus, Lisbon, Portugal
| | | | - Raquel Carmona Ramos
- University Clinic of General and Family Medicine, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
- Personalized Healthcare Unit Atlantica, Group of Healthcare Centers of Pinhal Litoral, Group of Healthcare Centers of the Central Region of Portugal, Regional Health Administration of the Center, Coimbra, Portugal
| | - Cristina Ribeiro
- University Clinic of General and Family Medicine, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
- Institute for Preventive Medicine and Public Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
- Department of Quality in Health, Directorate-General of Health, Lisbon, Portugal
| | - Paula Broeiro-Goncalves
- NOVA Medical School, NOVA University Lisbon, Lisbon, Portugal
- School of Health and Human Development at the Évora University, Universidade de Evora, Evora, Portugal
- UCSP Olivais, Group of Healthcare Centers of Central Lisbon, Lisbon, Portugal
| | - Carolina Reis Penedo
- Family Health Unit São Julião-Group of Healthcare Centers of Western Lisbon and Oeiras, ARSLVT, Lisbon, Portugal
| | - Vitor Parola
- Health SciencesResearch Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
- Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence, (PCEBP), Coimbra, Portugal
| | - Paulo Nicola
- Institute for Preventive Medicine and Public Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
- Environmental Health Institute (ISAMB), Faculty of Medicine, University of Lisbon, Lisbon, Portugal
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Abstract
BACKGROUND The American Council of Graduate Medical Education (ACGME) guidelines for scholarly activities by family medicine residents require at least one activity per resident and encourage conference presentations. Meeting these guidelines has traditionally been challenging due to a multitude of factors from lack of time to limited administrative support. Studies have shown that resident participation in research was associated with higher levels of satisfaction with training. We aimed to develop and evaluate the effectiveness of a dedicated research curriculum in achieving ACGME goals for our residents. METHODS We performed a need assessment that identified strengths and obstacles related to research which then guided the actions taken to build the curriculum. Revised curricular elements included a research focused lecture series, a restructured journal club, financial support for presentations and project expenses, a specific timeline for project completion, and the development of a regional research day involving multiple family medicine programs. Dedicated research time was built into the resident schedule and presentations at local, regional and national conferences were encouraged and supported. RESULTS Following implementation of the curriculum there was a marked increase in the number of scholarly projects performed by residents. Prior to implementation there had only been one presentation at a national conference in the previous five years. This increased to an average of four presentations per year in the following five year period. On a regional scale, the initial success of the local research day led to a continued expansion and now includes six family medicine programs. CONCLUSION Implementation of a dedicated multifaceted research curriculum significantly increased the participation of our residents in scholarly activities and led to a near five-fold increase in presentations at regional and national levels. Additionally, resident satisfaction in scholarly activities increased and a far greater number of graduating residents went on to complete fellowships.
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Affiliation(s)
- Vikram Arora
- Department of Family Medicine, Heritage Valley Health System, Beaver, PA, USA
| | - Paul F Bell
- Department of Family Medicine, Heritage Valley Health System, Beaver, PA, USA
| | - Stephen Hagberg
- Department of Family Medicine, Heritage Valley Health System, Beaver, PA, USA
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