Skip to main content
Canadian Family Physician logoLink to Canadian Family Physician
. 2001 Jun;47:1254–1260.

Taking the first steps. Research career program in family medicine.

Y R Talbot 1, W W Rosser 1
PMCID: PMC2018512  PMID: 11421055

Abstract

PROBLEM BEING ADDRESSED: Research is not new to family medicine, yet it is pursued less than in other clinical disciplines. We need to establish a critical mass of family medicine researchers. OBJECTIVE OF PROGRAM: To establish a departmental research organization using a strategy implemented in 1995 by the Department of Family and Community Medicine at the University of Toronto. MAIN COMPONENTS OF PROGRAM: We set out to establish a critical mass of researchers. Applicants were required to complete credible and feasible 3- to 5-year research plans and to have formal support from their clinical chiefs. Once selected, researchers were supported for 40% of their time. Support was provided for 3 years and was renewable according to progress on their research plans. Researchers were expected to publish on average two papers yearly and be involved as principal investigator or co-principal investigator on at least one successful grant after the first 3 years. Since implementation in 1996, funded researchers have become principal investigators in 80% of the grants in which they are involved compared with 20% before the support program. Nine of 15 Medical Research Council grants held by family physicians in Canada have department members as principal investigators. Faculty-supported researchers contributed more than 200 peer-reviewed publications to the literature between 1996 and 2000. CONCLUSION: Four years of experience allows for early assessment of the first step taken to build a thriving family medicine research organization using limited departmental resources.

Full Text

The Full Text of this article is available as a PDF (52.0 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ariyan S. Restructuring academic departments of surgery at university medical centers. Am J Surg. 1997 Apr;173(4):351–357. doi: 10.1016/S0002-9610(96)00385-6. [DOI] [PubMed] [Google Scholar]
  2. Baldwin C. D., Goldblum R. M., Rassin D. K., Levine H. G. Facilitating faculty development and research through critical review of grant proposals and articles. Acad Med. 1994 Jan;69(1):62–64. doi: 10.1097/00001888-199401000-00018. [DOI] [PubMed] [Google Scholar]
  3. Baldwin C. D., Levine H. G., McCormick D. P. Meeting the faculty development needs of generalist physicians in academia. Acad Med. 1995 Jan;70(1 Suppl):S97–103. doi: 10.1097/00001888-199501000-00032. [DOI] [PubMed] [Google Scholar]
  4. Bland C. J., Ruffin M. T., 4th Characteristics of a productive research environment: literature review. Acad Med. 1992 Jun;67(6):385–397. doi: 10.1097/00001888-199206000-00010. [DOI] [PubMed] [Google Scholar]
  5. Bland C. J., Schmitz C. C. Characteristics of the successful researcher and implications for faculty development. J Med Educ. 1986 Jan;61(1):22–31. doi: 10.1097/00001888-198601000-00003. [DOI] [PubMed] [Google Scholar]
  6. Block S. D., Clark-Chiarelli N., Peters A. S., Singer J. D. Academia's chilly climate for primary care. JAMA. 1996 Sep 4;276(9):677–682. [PubMed] [Google Scholar]
  7. Britt H., Miles D. A., Bridges-Webb C., Neary S., Charles J., Traynor V. A comparison of country and metropolitan general practice. Med J Aust. 1993 Nov 1;159 (Suppl):S9–64. [PubMed] [Google Scholar]
  8. Chard T. Management of a research group. Biomed Sci. 1991;2(4):331–338. [PubMed] [Google Scholar]
  9. Chodak G. W., Thisted R. A., Gerber G. S., Johansson J. E., Adolfsson J., Jones G. W., Chisholm G. D., Moskovitz B., Livne P. M., Warner J. Results of conservative management of clinically localized prostate cancer. N Engl J Med. 1994 Jan 27;330(4):242–248. doi: 10.1056/NEJM199401273300403. [DOI] [PubMed] [Google Scholar]
  10. Curtis P., Reid A., Newton W. The primary care research fellowship: an early assessment. Fam Med. 1992 Nov-Dec;24(8):586–590. [PubMed] [Google Scholar]
  11. DeWitt D. E., Curtis J. R., Burke W. What influences career choices among graduates of a primary care training program? J Gen Intern Med. 1998 Apr;13(4):257–261. doi: 10.1046/j.1525-1497.1998.00076.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Dor A., Holahan J. Urban-rural differences in Medicare physician expenditures. Inquiry. 1990 Winter;27(4):307–318. [PubMed] [Google Scholar]
  13. Flynn T. C., Gerrity M. S., Berkowitz L. R. What do applicants look for when selecting internal medicine residency programs? A comparison of rating scale and open-ended responses. J Gen Intern Med. 1993 May;8(5):249–254. doi: 10.1007/BF02600091. [DOI] [PubMed] [Google Scholar]
  14. Giveon S., Kahan E., Kitai E. Factors associated with family physicians' involvement in research in Israel. Acad Med. 1997 May;72(5):388–390. doi: 10.1097/00001888-199705000-00020. [DOI] [PubMed] [Google Scholar]
  15. Gjerde C. Where are articles by candidates for academic promotion published? J Fam Pract. 1992 Apr;34(4):449–453. [PubMed] [Google Scholar]
  16. Green L. A., Murata P. J., Lynch W. D., Puffer J. C. A characterization of the imminent leadership transition in academic family medicine. Acad Med. 1991 Mar;66(3):154–158. doi: 10.1097/00001888-199103000-00006. [DOI] [PubMed] [Google Scholar]
  17. Hillman B. J., Nash K. D., Witzke D. B., Fajardo L. L., Davis D. The RSNA-AUR-ARRS introduction to research program for 2nd year radiology residents: effect on career choice and early academic performance. Radiological Society of North America. Association of University Radiologists. American Roentgen Ray Society. Radiology. 1998 Nov;209(2):323–326. doi: 10.1148/radiology.209.2.9807554. [DOI] [PubMed] [Google Scholar]
  18. Holloway R. L., Marbella A. M., Townsend J. M., Tudor J. M., Tollison J. W., Saultz J. W., Sherwood R. A. Defining the need for faculty in family medicine: results of a national survey. Fam Med. 1995 Feb;27(2):98–102. [PubMed] [Google Scholar]
  19. Hueston W. J. Factors associated with research efforts of academic family physicians. J Fam Pract. 1993 Jul;37(1):44–48. [PubMed] [Google Scholar]
  20. Hueston W. J., Mainous A. G., 3rd Family medicine research in the community setting: what can we learn from successful researchers? J Fam Pract. 1996 Aug;43(2):171–176. [PubMed] [Google Scholar]
  21. Johnson S. K., Halm M. A., Titler M. G., Craft M., Kleiber C., Montgomery L. A., Nicholson A., Buckwalter K., Cram E. Group functioning of a collaborative family research team. Clin Nurse Spec. 1993 Jul;7(4):184–191. doi: 10.1097/00002800-199307000-00007. [DOI] [PubMed] [Google Scholar]
  22. McWhinney I. R. William Pickles Lecture 1996. The importance of being different. Br J Gen Pract. 1996 Jul;46(408):433–436. [PMC free article] [PubMed] [Google Scholar]
  23. Morzinski J. A., Diehr S., Bower D. J., Simpson D. E. A descriptive, cross-sectional study of formal mentoring for faculty. Fam Med. 1996 Jun;28(6):434–438. [PubMed] [Google Scholar]
  24. Nutting P. A. Practice-based research networks: building the infrastructure of primary care research. J Fam Pract. 1996 Feb;42(2):199–203. [PubMed] [Google Scholar]
  25. Oeffinger K. C., Roaten S. P., Jr, Ader D. N., Buchanan R. J. Support and rewards for scholarly activity in family medicine: a national survey. Fam Med. 1997 Jul-Aug;29(7):508–512. [PubMed] [Google Scholar]
  26. Rodnick J. E. Research fellowships: a road less traveled. Fam Med. 1999 Jun;31(6):438–439. [PubMed] [Google Scholar]
  27. Rosser W. W. Application of evidence from randomised controlled trials to general practice. Lancet. 1999 Feb 20;353(9153):661–664. doi: 10.1016/S0140-6736(98)09103-X. [DOI] [PubMed] [Google Scholar]
  28. Rosser W. W., Palmer W. H. Dissemination of guidelines on cholesterol. Effect on patterns of practice of general practitioners and family physicians in Ontario. Ontario Task Force on the Use and Provision of Medical Services. Can Fam Physician. 1993 Feb;39:280–284. [PMC free article] [PubMed] [Google Scholar]
  29. Roush W., Pennisi E. Growing pains: evo-devo researchers straddle cultures. Science. 1997 Jul 4;277(5322):38–39. doi: 10.1126/science.277.5322.38. [DOI] [PubMed] [Google Scholar]
  30. Salive M. E., Stein D. H. Predictors and correlates of prevention research careers: a national study of residency graduates. Prev Med. 1999 Apr;28(4):430–436. doi: 10.1006/pmed.1998.0449. [DOI] [PubMed] [Google Scholar]
  31. Starfield B. A framework for primary care research. J Fam Pract. 1996 Feb;42(2):181–185. [PubMed] [Google Scholar]
  32. Tepper J. Internal schisms are bad medicine. Can Fam Physician. 1999 Mar;45:558-9, 568-9. [PMC free article] [PubMed] [Google Scholar]
  33. WHITE K. L., WILLIAMS T. F., GREENBERG B. G. The ecology of medical care. N Engl J Med. 1961 Nov 2;265:885–892. doi: 10.1056/NEJM196111022651805. [DOI] [PubMed] [Google Scholar]
  34. Waller K. V., Wyatt D., Karni K. R. Research productivity and activities of clinical laboratory science faculty: a follow-up study. J Allied Health. 1998 Fall;27(3):142–149. [PubMed] [Google Scholar]
  35. Williams G. C., Saizow R., Ross L., Deci E. L. Motivation underlying career choice for internal medicine and surgery. Soc Sci Med. 1997 Dec;45(11):1705–1713. doi: 10.1016/s0277-9536(97)00103-2. [DOI] [PubMed] [Google Scholar]
  36. Williams R. L., Zyzanski S. J., Flocke S. A., Kelly R. B., Acheson L. S. Critical success factors for promotion and tenure in family medicine departments. Acad Med. 1998 Mar;73(3):333–335. doi: 10.1097/00001888-199803000-00023. [DOI] [PubMed] [Google Scholar]
  37. Zyzanski S. J., Williams R. L., Flocke S. A., Acheson L. S., Kelly R. B. Academic achievement of successful candidates for tenure and promotion to associate professor. Fam Med. 1996 May;28(5):358–363. [PubMed] [Google Scholar]
  38. el-Guebaly N., Atkinson M. Research training and productivity among faculty: the Canadian Association of Professors of Psychiatry and the Canadian Psychiatric Association Survey. Can J Psychiatry. 1996 Apr;41(3):144–149. doi: 10.1177/070674379604100303. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

RESOURCES