Research into Practice and Practice into Research
|Jeffrey A. Linder, MD,
A Q&A with Dr. Jeffrey
Linder, Director of the Brigham and Women's Primary Care Practice-Based
Are you a researcher who is interested in recruiting BWH patients for a
study? Or are you a clinician who believes that bringing research into your
practice may help improve patient care?
Whether you are a researcher, clinician or both, the mission remains the
same-improve patient care and advance medicine. Helping to connect the primary
care world with the research world under this mission is Jeffrey A. Linder, MD,
MPH, FACP. Linder is director of the Brigham and Women's Primary Care
Practice-Based Research Network (BWPC PBRN).
Nationally certified by the Agency for Healthcare Research and Quality
(AHRQ), the BWPC PBRN is a network of 14 hospital-based practices,
community-based practices and community health centers affiliated with BWH. The
network aims to create and promote a community of primary care clinicians and researchers
collaborating in scholarly activity to improve the practice and outcomes of
primary care. The following is an interview with Linder.
the goal of the PBRN?
A. As our
tag line says, the Brigham and Women's Primary Care Practice-Based Research
Network is working to "put research into practice and practice into research."
Breaking that apart a bit, first, by "putting research into practice," the PBRN
seeks to improve primary care practice through research and quality improvement
Second, and probably more important, by "putting practice into
research," I hope we can bring the reality of primary care practice to research
and investigators. Many research projects fail to recognize the time, space and
financial constraints faced by real primary care practices.
Likewise, much of what gets published is not generalizable to real
primary care practice. By involving primary care clinicians and patients early
in the scholarly process, I hope we can improve the feasibility and relevance
of research and quality improvement projects that come to our practices.
Our BWPC PBRN Steering Committee includes representatives from each of
the practices and the Director of Primary Care, Dr. Joseph Frolkis. We have met
three times since last fall, drafted a mission statement, and created an
application process for investigators who would like to engage with our
practices, clinicians and patients.
the process work?
A. When contacted by a researcher
about a research project, practices will check to see that the project has been
vetted and approved-a "seal of approval"-by the BWPC PBRN Steering Committee.
Therefore, we are asking investigators who seek a clinical practice setting to
conduct research, quality improvement or scholarly projects to submit a 4-page
application to the Steering Committee. Proposals will be reviewed by two
members of the Steering Committee and me.
of project proposals are you looking for?
forward, I hope we see more "ground up" projects that germinate from within the
BWH Primary Care Practices. I hope the BWPC PBRN will serve as a trans-practice
networking mechanism that brings clinicians and investigators together to
perform and disseminate scholarly work that improves primary care.
If frontline clinicians have an idea for a research or quality-improvement
project that they feel should be run in one of our practices or that they hope
to disseminate beyond our practices, please contact the BWPC PBRN.
clinicians and researchers get more information?
clinicians and researchers can visit our new
website. The website includes information about the BWPC PBRN and
information for investigators. Please take a look at the website and let us
know if you have thoughts or suggestions.
I look forward to trying to bridge the divide that often exists between
the frontline clinical and research worlds. By bridging that divide, my hope is
we can make the research better, but more importantly, make primary care
practice better for us and our patients.
|Harry Reyes, BWPC PBRN Network Manager (right) works with Dr. Linder on the daily operations and website management. |