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Research for all of us
Transcript of Research for all of us
The systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions. University Based Clincally Based/Practice Based Research Networks Non-IRB run research done on small scale in clinical offices McCord G, Pendleton BF, Labuda Schrop S, Weiss L, Stockton L, Hamrich LM.
Assessing the impact on patient-physician interaction when physicians use personal digital assistants: A Northeastern Ohio Network (NEON) Study.
J Am Board Fam Med 2009;22:353-9. McCord G, Khan Ahmed, Labuda Schrop S, Stover A.
How do family physicians manage chronic pain patients? Lear A, McCord G.
Levels of methicillin-resistant Staphylococcus Aureus colonization, and infection in high school football players in Northeastern Ohio. 3 ways of thinking about it What you can do on your own resident research http://neomediaweb.neoucom.edu/mediasite/Viewer/?peid=a5a1ceeb-f47f-439a-84be-d7bacd561060 Well-designed, nonrandomized clinical trials, case-control or cohort study Consensus viewpoint, usual practice or expert opinion. randomized controlled trial or meta-analysis. How to bring it all together? How can you be involved in all of this in your practice setting? PhD's working in labs Patients selected to fit specific criteria Levels of Evidence NEOMED The Family Practice Center Diabetes: foot exams, eye exams Pediatrics: vaccination compliance in your own office http://www.aafp.org/online/en/home/cme/selfstudy/metric.html disease-oriented outcomes or consistent and good-quality patient-oriented evidence. Level A Level C Disease (physiologic) oriented evidence Level B inconsistent or limited quality patient oriented evidence Patient Oriented : Outcomes that Matter to Patients Disease Oriented: Measures endpoints that may not reflect improvements in patient outcomes. http://pbrn.ahrq.gov/portal/server.pt/community/practice_based_research_networks_%28pbrn%29__home_page/851 Continous Practice Improvement Maintainance of Certification PQRI/NCQA Patient Centered Medical Home Geriatrics : falls, advanced directives "Pay for Performance" Physician Quality Reporting Initiative National Committee for Quality Assurance http://www.abim.org/moc/earning-points.aspx http://home.absurgery.org/default.jsp?exam-mocpa http://www.ascp.org/FunctionalNavigation/education/MOC/What-You-Need-To-Do.aspx http://emergency.cdc.gov/socialmedia/zombies_blog.asp