Insights into Family Physicians' Curiosity in FMD RapSDI Program
Qualitative analysis of 45 research questions from the FMD RapSDI program reveals family physicians' keen interest in diverse topics such as improving patient engagement, addressing social determinants of health, and enhancing clinical practices. The program aims to support innovative research that directly impacts family medicine, providing valuable insights into the field's evolving priorities and challenges.
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What are family physicians curious about? A qualitative analysis of 45 research questions posed for the FMD RapSDI program The Family Medicine Discovers Rapid Cycle Scientific Discovery and Innovation (FMD RapSDI) program is designed to build capacity for family medicine scientific discovery and innovation by funding rapid, innovative, high-impact research grants. RapSDI creates infrastructure for addressing clinically-derived research questions that meet the following criteria: 1. Relevant and responsive to the needs of family medicine 2. Address scientific & clinical questions that have high potential impact to advance the knowledge base of the specialty of Family Medicine 3. Bubble up directly from practice 4. Feasible to accomplish within a 12-month timeline and $40k budget Applicants to RapSDI: 1. Can be at any stage of career development post-residency 2. No/little previous research experience needed 3. Receive mentorship to refine question/proposal if selected for the second round of the application process
Fig. 1 Depiction of the FMD RapSDI Program Experience Research Design and Method THE RAPSDI EXPERIENCE Applicants Complete Round 1 Application & Submit Clinic Inspired Question Study Design: Rapid qualitative analysis of Round 1 RapSDI applications, informed by grounded theory. Round 1 Application 1. What clinic-inspired question are you interested in answering? 2. Why is your clinic-inspired question of interest to you? 3. How do you believe other family physicians, their patients, and the discipline of family medicine may benefit from the answer to your proposed question? 4. Please provide a personal statement addressing your interest in participating in FMD RapSDI and how your experience as a FMD RapSDI scholar would assist you in achieving your long-term professional development goals. Setting/Dataset: RapSDI Round 1 Applications (n=45). AAFP NRN staff performed the qualitative analysis. Outcome Measures: Themes from the research questions and applications, settings, and populations (n=45). 4 Finalists are chosen to proceed to Round 2 & are paired with a mentorship team to refine their proposal & complete Round 2 application 2 Scholars are chosen to carry out their 12-month scientific research projects. Selected scholars receive $40,000 & AAFP NRN research support to implement their projects. They also engage in professional development. This investment builds research capacity and advances knowledge and discovery for family medicine.
What the Research Found Table 1 RapSDI Application Analysis 40 applicants submitted 45 applications. Applicants were distributed across career stage early career (0-2 years in practice, n=12, 30%) early to mid-career (3-10 years, n=12, 30%) later career ( 11 years in practice, n=1, 40%) Common and emerging themes of proposed projects included improving uptake of evidence-based recommendations for screening and diagnosis improving patient engagement/education increasing clinician and/or staff knowledge and skills testing new care models addressing social determinants of health Populations of interest varied and consisted of a variety of disadvantaged and/or vulnerable groups. WHAT FAMILY PHYSICIANS ARE CURIOUS ABOUT Career Stage Early Career Early to Mid Career Late Career Years in Practice 0-2 3-10 11+ # (%) Of Applicants 12 (30%) 12 (30%) 16 (40%) Across ALL Career Stages Women's Health/Obstetrics Obesity Clinical Question Themes Tobacco Cessation/ Vaping Hypertension Treatment and Blood Pressure Monitoring and Assessment Across TWO Career Stages Nutrition Telehealth Vaccination Point of Care Ultrasound (POCUS) Patient-Doctor Relationship Minority Health Behavioral/Mental Health Gun Violence Intimate Partner Violence Physician Burnout Social Determinants of Health (SDOH) Administrative Burden Diabetes ONE Career Stage Only
What this means for clinical practice Observations The clinical interests and passions of family physicians are vast! Physicians are interested in studying questions and topics that impact them personally, their patients, and their practice Offering an on-ramp into research helps family physicians overcome common barriers (i.e. mentorship, research support, and a relatively straightforward application process) Future Implications Additional capacity to support family physician research scholarship is needed We can effectively engage family physicians with little to no research experience to lead innovative, real-world research projects Rapid, short-term research projects that bubble-up from family physicians have high potential impact to advance the field of family medicine Further Work RapSDI Program remains ongoing. Currently selecting second set of scholars for 2021 Forthcoming manuscript w/ comprehensive analysis of applicants research questions Acknowledgements: The FMD RapSDI team would like to thank the AAFP Foundation for their financial support of this program and the RapSDI Work Group members for their contributions to the development and establishment of and ongoing contributions to the RapSDI program.
