Scholarship

The goals of the scholarship curriculum are to teach fellows to seek, weigh, formulate, reformulate, and communicate knowledge of clinical practice or teaching. This scholarship should be sustained, capable of assessment by peers, and disseminated in the public domain. The scholarship curriculum includes an intensive didactic component that introduces and reinforces essential skills, and an extensive experiential component in which fellows practice, refine, and adapt scholarship skills to the needs of their home programs and learners.

Three aspects of the experiential component span the entire year-long course of the fellowship and provide the setting for the curriculum.

  • FDF Journal Club. Fellows will receive didactic instruction in literature searching, strength of evidence, and assessment of randomized, trials, observational studies, and systematic reviews. Each fellow will organize a journal club at his/her own program, review three articles over the course of the fellowship year, and submit a summary assessment for each. Fellowship faculty will provide constructive feedback on assessments and will publish them on the FDF Journal Club Blog.
  • FDF Case Report/Clinical Review Writing Groups. Fellows will receive didactic instruction in the structure and composition of case reports and focused clinical reviews, as well as writing abstracts and giving and responding to feedback. At the beginning of the fellowship each fellow will identify either a case to report or a clinical question to review. Fellows whose programs are members of the Family Physicians Inquiries Network (FPIN) may choose an available FPIN Clinical Inquiry. By the end of the fellowship year, each fellow will submit a case report or clinical review for publication.
  • FDF Practice Improvement (QI) Collaborative.
    Fellowship collaborative projects are based on the I3 Collaboratives that were developed over the last
    five years to address challenges in practice transformation that are particular to teaching practices,
    including the associated challenges of providing learners in the practice with the knowledge, attitudes,
    and skills they need to participate in practice transformation in both their current and future practices.
    Details of the I3 Collaboratives’ development and outcomes are described in the July-August 2011 issue
    of Family Medicine.
    Fellowship collaborative projects are based on the I3 Collaboratives that were developed over the last five years to address challenges in practice transformation that are particular to teaching practices,including the associated challenges of providing learners in the practice with the knowledge, attitudes,and skills they need to participate in practice transformation in both their current and future practices. Fellows will also receive didactic instruction in fundamentals of the experimental method (common to both QI and educational assessment), basic measurement techniques, and basic statistics. Based on fellows expressed interests and program priorities, collaborative groups will be organized around specific clinical processes, outcomes or educational interventions. Over the course of the fellowship year, collaborative groups will regularly post data on interventions and measures. During monthly phone conferences, group members will share successes, failures, and lessons learned. During the final week of the fellowship, each collaborative will present its project outcomes and lessons learned in a fellows symposium. Formal feedback will be provided, and fellows will be encouraged to submit their project for presentation at an appropriate national meeting and to publish their outcomes.

A sample of the curriculum for the year is below:

June Opening SessionSeptember SessionMarch Session June Closing Session
• Curriculum Overview, Change Mapping, Chronic Care Model
• Fellowship Symposium & Keynote
• Overview of QI and Educational Research/ Intro to clinical reviews and case reports
• Introduction to Learning Collaboratives & Collaborative formation
• Critical Appraisal I: Bias, Chance, and Study Designs and Appraising RCTs
• Critical Appraisal II: Journal clubs, RCT critique practice mock journal clubs
• Critical Appraisal III: Systematic reviews, FPINs
Writing: How & What
• Scholarship Next Steps/Collaborative Breakout Session

• Collaborative Breakout Update
• Basic Statistics & Data Management
• Critical Appraisal IV: Cohort Studies 
• Collaborative Breakout

• Collaborative Breakout
• Writing Abstracts, Responding to reviewers, Critical Appraisal- cross sectional designs
• Collaborative Breakout
  • Collaborative Breakout/ Symposium Preparation
  • Case Controls, Letters to the Editor & Wrap-Up
  • Presentation Practice
  • Fellowship Symposium Scholarship with Keynote