Family Medicine in the Research Revolution

Abstract

National Institutes of Health (NIH) funding has contributed to improvements in the health of the nation, but the pace of progress, particularly in the war on cancer, has been frustratingly slow. Departments of family medicine receive less NIH funding than all other specialties. Although numerous factors contribute to low family medicine funding levels, persistent undervaluing of primary care plays a paramount role.Fueled by the harsh reality that our nation's health is unconscionably poor, we are entering a new era in our nation's research enterprise, a virtual research revolution. The 3 components of this revolution are the NIH roadmap, personalized medicine, and the Clinical and Translational Science Awards. Each of these elements will contribute to a growing emphasis on translational research. Translational research demands formation of innovative structures in academic health centers (AHCs) to enable them to address questions of vital relevance to improving public health. Service research, funded by the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, and foundations, defines a new approach to research with high potential to improve the health of communities.To be a part of the research revolution, departments must rely on senior researchers to secure funding and provide mentorship for junior investigators. Junior investigators must relentlessly pursue answers to questions of direct relevance to improving health. Finally, department chairs have the obligation to identify research mentors, find ways to fund research gaps, and create a culture of scholarship and investigation. Advocating for AHCs to commit to improving the health of the regions they serve can have a substantial impact on the types of questions that centers choose to study and, ultimately, on the health of the communities they serve.

A Physician Scientist Pathway in Family Medicine Residency Training Programs

“…[1][2][3][4] However, increasingly competitive extramural funding threatens the pipeline of physician-scientists in the United States, 5 particularly for family medicine, which lags behind other specialties in competitive federal funding for investigator-initiated research. …”

Enhancing your scholarship as a family medicine junior faculty member

“…Family medicine is poised to provide significant scholarly contributions as it serves as a conduit connecting the care of communities, population health and the care of individual patients. 3 The specialty of family medicine is also pivotal to providing foundational clinical knowledge to medical students. Yet, there are often significant challenges to faculty engaging in scholarship at an individual level, particularly among junior faculty.…”

“…2 A number of reasons have been proposed for this limited funding, including: lower perceived value of primary care research; the challenges of conducting community-based research; increased competition for limited funds and challenges in finding family medicine research mentors, among others. 3 However, even within the presence of this challenging context, academic family physicians are often expected to conduct scholarly activities. For the sake of this reflection, scholarship will be considered broadly, as described by Boyer, and includes 4 :…”