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How to start research in a busy Family Practice

How to start research in a busy Family Practice. Doris Young Professor of General Practice University of Melbourne. Conducting Research in General Practice IS NOT easy MISSION IMPOSSIBLE. some would say it is. Glasziou’s triangle.

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How to start research in a busy Family Practice

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  1. How to start research in a busy Family Practice Doris Young Professor of General Practice University of Melbourne

  2. Conducting Research in General Practice IS NOT easyMISSION IMPOSSIBLE some would say it is

  3. Glasziou’s triangle

  4. GPs involvement in and attitudes to research Source: (Askew, D. A. et al. 2002)

  5. Research Participation • Recruit patients • Clinical trials (pharmaceutical) • Interview (social scientists) • Being surveyed (to death) ALL PASSIVE, WHAT ABOUT BEING MORE PRO-ACTIVE

  6. De-MYSTIFY RESEARCH • Simply an organised way of asking and answering questions • Organised curiosity • Improve standards of care • Help other practitioners • Enrich our discipline

  7. Ingredients • Enthusiasm • Energy • Idea • Skills • Support • Funding

  8. Ideas and where to find them • Clinical question • Practice question • Patients generated • Corridor/colleagues • Unexpected outcome • NOT airy –fairy ‘academic ‘questions

  9. Has your question already been answered? • Literature search • Critical appraisal • People • Colleagues with special knowledge • Librarian (HKCFP) • Universities • Publications and Products • Textbooks • Pubmed • Cochrane library

  10. Asking Answerable Questions • P atient / problem (relevant to your Prac) • I ntervention(dressings,drugs,D/tests,eviron) • C omparison intervention (std therapy,no intervention, placebo, alternatives) • O utcomes (pat/problem,study measures) TRACK DOWN THE BEST EVIDENCE Logbook from Centre for EBM http:www.cebm.net/

  11. How to answer your question? • Descriptive • practice audits • Case reports • Surveys • Experimental • Case control • Cohort studies • Randomised control trials (RCTs) • Qualitative

  12. Data analysis • Involve statistician early • Qualitative analysis

  13. Sharing your conclusions • Stimulate others to improve practice • Building block • Showcase to other GPs • Oral presentation • Publication

  14. Skills • Literature review • Types of studies • Types of methodologies • Quantitative • Qualitative • Statistical advice • Ethical approval • Presentation of data

  15. Support • Academic Departments • Masters, MDs, PhDs • College (HKCFP) • grants, scholarships, ethics, library • Government Health Authorities/Health Depts • Infrastructure, grants, fellowships

  16. Practice Support • Medical records • Computers • Medical students • Registrars • Research assistants

  17. FUNDING

  18. Good Luck

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