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Creating Scholarship from Daily Life at UAMS. Robert H. Hopkins, Jr., MD, FACP, FAAP Professor of Internal Medicine and Pediatrics Director, Division of General Internal Medicine. Maintain a Spirit of Inquiry. Every day brings questions Jot them down Brief sort: weekly-monthly
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Creating Scholarship from Daily Life at UAMS Robert H. Hopkins, Jr., MD, FACP, FAAP Professor of Internal Medicine and Pediatrics Director, Division of General Internal Medicine
Maintain a Spirit of Inquiry • Every day brings questions • Jot them down • Brief sort: weekly-monthly • Look for answers • When an answer is ‘easily obtained’- you’ve learned something • When no easy answer is found- THAT’S an opportunity for scholarship • Interesting Clinical Case= Potential Case Report • Systems Issue= Potential QI project • Educational Challenge= Potential Educational research project • Others???
Use Your Daily Questions • Categorize • Patient Care/Practice-Based Learning • Interesting Clinical Case • Diagnostic Dilemma • Systems/Improvement • Low-hanging fruit • Opportunity for engagement • PDSA • Education • How can we do ‘X’ better? • Who are the local experts? [Regional if not local?] • Research • Clinical data inquiry: EMR, Data Warehouse, TRI??
Don’t Miss the Chance to Take the Next Step • Act on your questions • Work plan • Involve collaborators • Draft a time line • If ‘now is not the time’… • Set a time to act • Define a time line • Hold yourself accountable
Look for Collaborators • Are their trainees involved in this issue? • Are their more junior faculty involved? • ‘External’ collaborators • OED • Library • Other UAMS Colleges • Local Universities • National Organizations
Start Small… Think Big • Use these initial projects as a launching pad • Poster-Presentation-Publication • Pilot for grant • Develop larger projects • Disseminate what you have learned
Examples • Clinical Cases • Collaborated with state IM Organization • Began AR IM Resident/Student Poster competition • Now in 7th year, 35-50 posters annually • 2011 UAMS Poster Won National ACP Associate Research Comp. • Personal Goal: Minimum 1 mentored poster/year • At least 50% Published in Peer Review Journal
Examples • QI Diabetes Care in IM Clinic • Developed model for competitive QI project • Involved junior faculty, residents • Small grant to support project, join learning collaborative • Shared interval outcomes with trainees and GIM Faculty • 2 Posters [National Audience], Publication submitted • Concern about identification of ‘Problem residents’ • Discussion among UAMS Program Directors • Discussed at APDIM National meeting • Invitation to develop survey items for APDIM Survey • Data presentation to national meeting, Published in major IM journal