I am heading for the explicitly international perspective of the ‘Clinical Academic Careers’ meeting in Dublin tomorrow, which is part of this year’s SAPC conference. I'll be commenting in my capacity as President-Elect of the World Organization of Family Doctors (WONCA). Let’s leave aside my sense of irony and grief that I shall be doing this as a little Englander whose country thinks it can manage alone – and will probably have to....I am writing this as a citizen of the world, where the professional networks of doctors, researchers, and scientists can span borders and bring fruitful ideas to deliver better care for our peoples. ...continue reading →
Emma Wallace is a Senior Clinical Research fellow in the Health Research Board (HRB) Centre for Primary Care Research at the Royal College of Surgeons in Ireland (RCSI) Medical school
This week, the Society of Academic Primary Care (SAPC) conference is being hosted by the Department of General Practice, of the RCSI, in Dublin. As part of the organising committee for the conference I am very much looking forward to welcoming primary care researchers from all over the world to Dublin to partake in what is sure to be a stimulating and diverse programme. In parallel to the conference, a clinical academic career in Family Medicine/General Practice (GP) meeting will take place to share international experiences and best practice with attendees from Sweden, Canada, the United Kingdom (UK) and Ireland. In anticipation of this meeting, I will share some of my own experiences and reflections as a GP undertaking structured PhD training in Ireland ...continue reading →
As a career offering diverse experiences, challenge and intense satisfaction, academic family practice surely cannot be beat. Many of us may have begun our academic practice early in our career, particularly those of us who were biomedical clinicians-scientists. However, for me the journey to a full academic career, as maybe more typical for family practice clinician scientists, developed over several decades.
Tom Fahey is Professor of General Practice in The Royal College of Surgeons in Ireland and a general practitioner in Dublin, Ireland
In late 2015 I was fortunate to be awarded a James M. Flaherty visiting professorship from the Ireland Canada University Foundation (ICUF). The purpose of this award is to enable academic exchange between Canada and Ireland. Earlier this year I visited the Universities of Ottawa, Toronto and British Columbia and also met with the editorial team of the CMAJ. In the latter part of my visit I met with Dr. Wendy Norman, Canadian Institutes of Health Research (CIHR) and Public Health Agency of Canada (PHAC) Chair ...continue reading →
Liz Sturgiss is a lecturer at the Academic Unit of General Practice of the Australian National University
I faced attending PHCRIS this year with some trepidation. I'll admit that, as a (very) early career GP researcher, the recent months of de-funding announcements have filled me with disappointment. Have I chosen a career path worth pursuing? Is this a valuable way to spend the next 30 years of my working life?
I'm pleased to say I've been left with a feeling of great hope having been inspired by my primary healthcare research mentors and leaders.
Domhnall MacAuleyis a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK. He is currently attending the 2016 Primary Health Care Research Conference in Canberra, Australia
“This is the time to be in general practice...This is the time to be in general practice research,” said Steve Hambleton, former chair of the Primary Health Care Advisory Group, a body created to look at options to reform care for people with complex and chronic illness. Steve gave the opening conference address. He spoke about the advisory group's work, their wide ranging membership including family doctors, other providers and consumers, and he outlined three areas that would be major challenges in the future: chronic care, obesity, and preventable disease. Steve also reminded us that those patients with the greatest number of diseases see the greatest number of doctors. The final report, delivered on ...continue reading →
Dr Grant Russell is a family physician, Head of School of Primary Health Care, and Professor of General Practice Research at Monash University in Melbourne Australia.
Every few months, someone writes about the parlous state of academic primary care. It was Domhnall MacAuley’s turn a few months ago, as he lamented that academic Family Medicine Departments lack direction, that there was no market for traditional GP research and the academic GP community is getting more and more distant from the patient and from their clinical colleagues. Domhnall’s concerns extended beyond the walls of the university – suggesting that, across general practice the “concept of personal, primary and continuing care exists only in memory”.
Anxiety about the future of the discipline of family medicine is not new. I remember 25 years ago telling an esteemed GP I was thinking about becoming a family physician, only for the celebrated old doctor to say, “I don't know why you want to – see, general practice is finished.” Others have written, and often, about the state of family medicine since the term first began to be used in the 1940s. Underlying all of this are questions of security – “Are we good enough?” “Do we fit?” “Does anyone listen to us?” ...continue reading →
High quality primary health care (PHC) research is a powerful community resource. Strengthened and contextualised with insights and expertise from policy makers, practitioners and consumers, it informs improvements in the frontline of the health system.
Question: How to increase that power? How can we better routinely inform, access and utilise quality research?
One Answer: Bring research users and researchers face-to-face for deliberative dialogue, debate and discussion. After all, we know that we can only really make a difference when people work with people to share real-world, as well as research, knowledge and skills.
Joanne Reeveis an Associate Clinical Professor in Primary Care at Warwick Medical School in the UK, and the Chair of the Society for Academic Primary Care
A recent editors' blog by Domhnall MacAuley suggested that it is “difficult to see a future for academic general practice.” I propose that the solution lies in the broader discipline of Academic Primary Care (APC).
Academic Primary Care matters. APC is a distinct discipline driving improvement in primary care through education and research. Academic general practice lies at the heart of this wider multidisciplinary community committed to improving whole-person centred primary health care. The APC community lead health service research driving improvements in policy and practice in key priority areas such as antibiotic stewardship and cardiovascular risk management. But APC also tackles the distinct challenges facing the Primary Care community: for example, the need for new person-centred models of acute and chronic care to address problems of treatment burden and ‘too much medicine’. APC supports the redesign of Primary Care through re-engaging with the core principles of continuous, comprehensive, accessible, whole person-centred care. ...continue reading →