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Research Phobia in Family Medicine

Research Phobia in Family Medicine. Dr Franco Del Zotti- Italy National Representative of EGPRW The European General Practice Research Workshop. Topics. Historical reasons Myths feeding the phobia Cognitive Reframing of the myths Behavioral therapy of “research phobia “.

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Research Phobia in Family Medicine

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  1. Research Phobiain Family Medicine Dr Franco Del Zotti- Italy National Representative of EGPRW The European General Practice Research Workshop

  2. Topics • Historical reasons • Myths feeding the phobia • Cognitive Reframing of the myths • Behavioral therapy of “research phobia “

  3. Historical background • In the past decades Family doctors (FDs) were involved in manual practice and were really distant from the Ideas and the Theory of Research

  4. But now… • Frequent Discoveries and Health Authorities are often asking us to change our prescribing behavior • We need to study and to work in group with Research tools :Epidemiology. EBM, Qualitative Research

  5. Myths against Research • It is necessary to change but FDs still resist hard… • We often think • “We are inferior and very practical • “Research is high Theory for academic people” • “We have no time”

  6. THE MYTH We are inferior and Research is for specialist doctors and for Universities REFRAMING There is a lot of evidence for the renaissance of Family Medicine (see WHO Documents) The number of Family Medicine (FM) Departments is increasing The Myth of inferiority

  7. We have a lot of work Research is time-consuming Simple Research using Database or Qualitative Research take only 2-4 hours for each participant and 10-12 hours for the coordinator “No Time” Myth

  8. “We are practical” We use sophisticated and complex theories e.g. decision making, biopsycosocial method Research is also a“practice” and is used in industry (operative research) The “too theoric” Myth

  9. We are just doctors working with people and really far from arid and complex statistics Qualitative research (e.g : focus group) is conducted without complex statistics Powerful descriptive studies in FM do not often need complex calculations The “Too much Statistics” Myth

  10. WE Have NO Tools for research Tools are expensive We normally use PCs with a spreadsheet and another software for clinical records, both very useful for simple statistics and relatively cheap The Poverty Myth

  11. Behavioral Therapy • After the cognitive approach to our research phobia, now we are going to introduce some behavioral strategies • A way of limiting the Punishment against the first heroes.. • A Ladder of small steps towards Research

  12. Avoid punishments ! • Be careful of pursuing High Standards (….Frustrations..) • Mind close contacts with university doctors or research professionals (they are very critical ..)  Try to find a real sympathetic friend among “experts” ( in this case you are lucky! )

  13. First small steps….…The Idea.. Do not be afraid of the white empty page… Start from the richness of FM : Informal ideas,problems and feelings connected to daily practice are the real “steam-engine” of Research

  14. First steps…. • Do a self-audit just for yourself and your practice • Communicate only orally the results to a small number of colleagues • Partecipate “passively” in the research of other family doctors

  15. …..First small steps • Try to do small qualitative research (with patients, with family doctors) • Enter a small group of collagues even by the Net ( so you are not afraid of local judges..) • Publish small articles on local newsletters

  16. Small steps (advanced) • Try to learn the use of “queries” for your clinical record database • Try to learn the use of Epidemiological Software “Epi-info” (it is Free!): • For the “English language phobia” : send posters to the congress ( they are less risky than oral communication)

  17. Conclusion.. • Several reasons are pushing Family Medicine Research but there is a spread out hostility or phobia towards Research • New Development in FM (Group practice, PC, Telematics, not expensive software) can facilitate a change

  18. ..Conclusions We have tried to show that a special form of “cognitive-behavioral” therapy can be useful to break “mental walls” still surviving in our open world

  19. Final Hope Research Institutions must promote any effort for a better osmosis with a hidden scientific capital : the experience and curiosity of family doctors

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