DeHaven M J, Wilson G R, Murphree D D
Department of Community Health and Family Medicine, University of Florida, Jacksonville.
Fam Med. 1994 May;26(5):303-8.
There is a growing consensus that an improved research environment is needed for family medicine to continue to evolve. At the same time, there is relatively little discussion about practical ways to implement such an environment. Many believe that our efforts in this area lag far behind our accomplishments in education, training, and the practice of family medicine.
This manuscript discusses one community-based academic department's experience in formulating and implementing a research program. By slowly involving faculty in research and by instructing and encouraging residents, a research environment can be incorporated into a residency program's routine. The approach described in this manuscript is evolutionary and relies on committing resources to research while slowly involving faculty and residents in the process.
Measures of research output (funding, publishing in refereed journals, and presenting at professional conferences) suggest that the program has achieved some momentum in the area of research. Although relatively modest by the standards of some university-based programs, the program's achievements demonstrate that a community-based, university-affiliated program can initiate a viable research effort.
Our experience has taught us that implementing a research program is a relatively lengthy process comprised of multiple components. First, individual projects typically consist of a process of funding, presenting, and publishing. Sharing research results with colleagues locally and at professional meetings is an especially important socialization component of research and scholarship. Second, it is important to use refereed and nonrefereed journals as outlets for scholarship, since the process of writing is itself important, especially for family physicians who lack formal research training. Finally, funding proposals and publications almost always require revision and resubmission, a process which contributes to creating and further refining the skills needed by successful researchers.
人们越来越一致地认为，家庭医学若要持续发展，就需要一个更好的研究环境。与此同时，对于如何营造这样一个环境的切实可行方法，讨论相对较少。许多人认为，我们在这方面的努力远远落后于我们在家庭医学教育、培训和实践方面所取得的成就。
本手稿讨论了一个以社区为基础的学术部门在制定和实施一项研究计划方面的经验。通过逐步让教员参与研究，并指导和鼓励住院医师，研究环境可以融入住院医师培训计划的日常工作中。本手稿中描述的方法是渐进式的，依赖于为研究投入资源，同时逐步让教员和住院医师参与其中。
研究产出的衡量指标（资金、在同行评审期刊上发表文章以及在专业会议上发言）表明，该项目在研究领域已取得了一定的进展。尽管按照一些大学项目的标准来看相对有限，但该项目的成果表明，一个以社区为基础、隶属于大学的项目能够启动一项可行的研究工作。
我们的经验告诉我们，实施一项研究计划是一个由多个部分组成的相对漫长的过程。首先，单个项目通常包括资金筹集、成果展示和发表的过程。与当地同事以及在专业会议上分享研究成果，是研究和学术活动中一个特别重要的社交环节。其次，将同行评审和非同行评审期刊用作学术成果的发表渠道很重要，因为写作过程本身就很重要，尤其对于缺乏正规研究培训的家庭医生而言。最后，资金申请和出版物几乎总是需要修订和重新提交，这一过程有助于培养并进一步提升成功研究者所需的技能。
