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PubMed2003

Building capacity for research in family medicine: is the blueprint faulty?

BACKGROUND AND OBJECTIVES: This study compared the training programs and career paths of family medicine graduates in the National Research Service Award (NRSA) Program for Research in Primary Medical Care with general internal medicine and general pediatric peers. METHODS: We mailed a survey to NRSA fellows graduating from 23 programs nationally between 1988-1997. Personal characteristics, fellowship experience, current professional activities, and academic productivity were compared among primary care disciplines. RESULTS: Of 215 NRSA participants, 146 (68%) completed the survey. Of the 131 primary care respondents, 25% were family physicians. During the fellowship, family physician trainees spent significantly less time in hands-on research activity (32% +/- 12%) than internists and pediatricians (39% +/- 17%). Family physician graduates also had less post-fellowship mentoring and were less likely to hold clinician/researcher faculty positions in academic centers. Family physician faculty spent far more time on clinical work and less time on research. Only 12.5% of family physician fellowship graduates published one or more articles per year, compared with 36.5% of their peers, and 30% had published nothing since graduation. CONCLUSIONS: Family physician graduates of this research training program did not achieve academic success comparable to their peers. Family physicians need more protected time for conducting research in their faculty positions and more sustained mentorship.

Biomedical Research↗
PubMed2003

The role of professional education in building capacity for health promotion in the global South: a case study from Norway.

The capacity to train public health professionals is far from sufficient to meet urgent global needs. Foreign aid programs hold much promise to deal with this challenge. A case study from Norway illustrates the possibilities. Since the early 1960s, Norwegian universities have offered English-taught masters and doctoral degree programs, with sufficient financial support that all Third World students have the resources to complete training, regardless of their personal financial circumstances. This facet of the program is its main distinguishing factor, compared to many educational opportunities that are available in other countries. Since the first visiting students were awarded degrees in 1968, almost 10,000 students have participated at more than 25 Norwegian institutions, including many offering public health training. Many eligible applicants have been turned away due to lack of resources, indicating a level of interest that cannot be met with existing resources. Similar programs in more countries could help alleviate the need.

Education, Graduate↗
PubMed2004

Capacity building for research: report on a UNION Strategic Planning Workshop. Report of a workshop held during the International Union Against Tuberculosis and Lung Disease World Conference on Lung Health, Montreal, Canada, 7 October 2002.

The International Union Against Tuberculosis and Lung Disease (UNION) has a decade of experience in conducting short courses on research methods for the promotion of lung health. In a parallel initiative, the UNION has collaborated with the American Thoracic Society (ATS) to develop courses on international respiratory epidemiology that have been expanded by the ATS throughout Latin America. The two initiatives have similar aims, and the courses offered by the two organisations have intentionally been similar in terms of focus and complementary in regions targeted. The target regions of the UNION, drawing on several decades of experience in offering short courses on tuberculosis, have been Africa, the Black Sea Rim, the Middle East and Asia, while the target regions of the ATS have been Central and South America. This workshop aimed first to provide an opportunity for those who have taught on the courses and those who have participated to share their experiences and learn from them, and second to provide a basis on which to develop a strategic plan for future courses. This report summarises the contributions of the workshop participants and the conclusions reached.

Education, Medical, Continuing↗
PubMed2004

Building capacity to provide palliative care in rural and remote communities: does education make a difference?

One strategy for improving access to palliative care services in rural and remote communities is to educate community-based health professionals in the knowledge and skills required to provide end-of-life care. It is, therefore, important to evaluate palliative care educational initiatives. This article provides an evaluation of the interdisciplinary education program at Lakehead University which aims to: improve the knowledge and skills of individual providers; contribute to the development of palliative care programs in rural communities; and develop palliative care trainers to educate their co-workers in the workplace. A survey of 353 providers who participated in the education program was completed after eight years of providing education. Results confirm that the goals of the education program were met, and that rural and remote communities reported a greater capacity to deliver palliative care. Nevertheless, respondents identified a lack of resources, especially home care visits, as an obstacle to improving care.

Analysis of Variance↗