Workshop on Practice-Based Research (PBR) and Pragmatic Studies

Saturday, Dec. 5, 2015 | 7:30 a.m. - 4:15 p.m.

Medical Education & Telemedicine Building / Learning Centers – UC San Diego, La Jolla, CA

In this experiential workshop, clinicians will learn how practice-based research can be a powerful tool in clinical practice. As an attendee, you will have the opportunity to vet your research idea and network with experts in the field. This workshop is intended for clinicians, researchers, and students/residents in fields related to medicine and research.

The National Institutes of Health (NIH) is emphasizing the importance of Practice-Based Research (PBR) as a more practical and real-world approach to advancing clinical research. Few physicians have training in the importance of and how to implement PBR. This one-day workshop will inform clinical faculty how to conduct PBR within their clinics, and this help advance this important clinical research initiative.

Upon completion of this activity, participants should be able to:

·  Enhance motivation and ability of clinical faculty to direct/conduct funded Practice-Based Research

·  Identify resources, structures, and processes needed to assist faculty further in conducting PBR research

·  Create initial questions and action items for multiple PBR projects that maximize involvement of clinical faculty

Accreditation:

The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA: The University of California, San Diego School of Medicine designates this live activity for a maximum of7.25AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Cultural and Linguistic Competency:This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient's primary language. Cultural and linguistic competency was incorporated into the planning of this activity. Additional resources can be found atcme.ucsd.edu.

Program Agenda:

7:30 - 8:15 a.m. / Breakfast and Registration
8:15 - 8:30 a.m. / Rusty Kallenberg, MD, UC San Diego
Welcome, Introductions, and Orientation to the Day
8:30 - 9:15 a.m. / Keynote: Wilson Pace, MD, University of Colorado, Denver
Practical issues in implementing PBR
OBJECTIVE: Will inform attendees of the practical issues of conducting PBR, including the benefits and the challenges encountered and how to overcome them
9:15 - 10 a.m. / Keynote: Jeffery A. Dusek, PhD, Integrative Health Research Center, Penny George Institute for Health and Healing
Integrative Medicine PBR; BRAVENET and PRIMIER
OBJECTIVE: Will inform attendees of the advances of Integrative Medicine research and how it is influencing the direction of allopathic practice
10 - 10:15 a.m. / Break
10:15 - 10:45 a.m. / Rusty Kallenberg, MD, & William Sieber, PhD, UC San Diego
Overview of PBR Efforts at UCSD
OBJECTIVE: Will inform attendees of the PBR efforts at UCSD in order to learn about possibilities, and how to move their practices forward for PBR
10:45 - 12:15 p.m. / Presentations on Logistics of PBR - I
·  Paul J. Mills, PhD, UC San Diego
Overview of Presentations
·  Shahrokh Golshan, PhD, UC San Diego
Research designs appropriate for PBR
OBJECTIVE: Will present and discuss different design and statistical issues involved in common and practical PBR trial designs and how to collaborate with a statistician
·  Samantha Hurst, PhD, UC San Diego
Qualitative Assessments
OBJECTIVE: Will inform attendees about the use of qualitative data in developing contextualized evaluation/research efforts in their practices, including bridging qualitative data with quantitative data in mixed methods designs
·  Rusty Kallenberg, MD, UC San Diego
Identifying practical and proper endpoints; PROMIS
OBJECTIVE: Will inform attendees of the NIH PROMIS questionnaire system and how to use it for their PBR
12:15 - 1:15 p.m. / Round Table Lunches: Bring your PBR Project Planning Questions
1:15-2:45 p.m. / Presentations on Logistics of PBR - II
·  Ryan Bradley, ND, MPH, UC San Diego and National College of Natural Medicine
PRECIS Guidelines and Pragmatic Clinical Trials
·  OBJECTIVE: Will inform attendees of the many issues surrounding conducting pragmatic research trials within the clinic setting; the benefits of these trials to obtaining effectiveness data for their practice
·  Laura Redwine, PhD, UC San Diego
Building PBR Collaborations
OBJECTIVE: Inform attendees how to build successful collaborations amongst other clinicians and researchers to advance their PRB efforts
·  William Sieber, PhD, UC San Diego
Patient Engagement, Subject recruitment and Data Collection
OBJECTIVE: Patient engagement in PBR is fundamental. This presentation will inform attendees of various ways to get patients participating in research, as well as important issues related to data collection.
2:45-3:15 p.m. / Ryan Bradley, ND, MPH, UC San Diego
Successful Implementation of IM PBR
OBJECTIVE: Will inform attendees of the nuts and bolts of how to successfully design and implement integrative PBR
3:15-3:30 p.m. / Break
3:30-3:45 p.m. / Paul J. Mills, PhD, UC San Diego
Resources and Pilot Funding Programs Available
OBJECTIVE: Will inform attendees of resources available at UCSD and opportunities to apply for pilot funding to support and conduct PBR
3:45-4:15 p.m. / Panel Discussion With Speakers & Call To Action
OBJECTIVE: This panel will enable further discussion and interaction on the workshop topics

Faculty List

Course Director:

Gene (Rusty) A. Kallenberg, MD
Division Chief of Family Medicine
Executive Director of Center for Integrative Medicine
Professor of Family Medicine and Public Health
UC San Diego, La Jolla, CA

UC San Diego Faculty:

Paul Mills, PhD

UC San Diego Professor of Family Medicine and Public Health

Director of the Center of Excellence for Research and Training in Integrative Health

Director of the UC San Diego Clinical Research Biomarker Laboratory

Co-director of the UC San Diego Clinical and Translational Research Institute’s Translational Research Technology (TRT) Laboratories Program

Director of Research at the Chopra Center for Wellbeing

William Sieber, PhD

Professor, UC San Diego Department of Psychiatry

Department of Family Medicine and Public Health

Shahrokh Golshan, PhD

Director of the Methodology, Biostatistics and Data Management

UC San Diego Department of Psychiatry

Ryan Bradley, ND, MPH

Assistant Professor, UC San Diego Department of Family Medicine and Public Health

Associate Professor, National College of Natural Medicine

Laura Redwine, PhD

Assistant Professor, UC San Diego Department of Psychiatry

Associate Director of the Center of Excellence for Research and Training in Integrative Health

Samantha Hurst, PhD, MA

Associate Project Scientist, UC San Diego Department of Family Medicine and Public Health

Visiting Faculty:

Jeffery A. Dusek, PhD

Director of Research at the Penny George Institute for Health and Healing

Allina Health, Minneapolis, MN

Wilson Pace, MD

Director of the American Academy of Family Physicians National Research Network

Director of the Shared Networks of Colorado Ambulatory Practices & Partners (SNOCAP)

University of Colorado, Denver, CO

Disclosure Summary:

It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual’s control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker’s outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.

Faculty / Name of Commercial Interest / Nature of Relevant Relationship

The following have no relevant financial relationships to disclose:

Ryan Bradley, ND, MPH

Jeffery A. Dusek, PhD

Shahrokh Golshan, PhD

Samantha Hurst, PhD

Gene Kallenberg, MD

Paul Mills, PhD

Wilson Pace, MD

William Sieber, PhD

Laura Redwine, PhD

The CME staff, meeting planners, planning committee and CME committee reviewers do not have any relevant financial relationships to disclose.

This educational activity may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product. The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego School of Medicine.

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