Review Of Basic Science And Clinical Dentistry book. Read reviews from world's largest community for readers. The primary emphasis of this volume is to p. Review of Basic Science and Clinical Dentistry: Medicine & Health Science Books @ Review of Basic Science and Clinical Dentistry: Volume 2 by Wells, , available at Book Depository with free delivery.

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Review Of Basic Science And Clinical Dentistry

Further, given their broad set of skills, the involvement of community clinicians with research could facilitate the identification, design, and implementation of research in the community on a scale that could make a difference to the American population. Finally, participation in clinical research would benefit community clinicians in a variety of ways. Table 1 outlines these benefits, such as: contributing to the mission of medicine and improving the scientific basis for the practice of medicine; allowing clinicians to remain current with new innovations; and developing information systems to improve data-gathering associated with research.

Since , NIH has funded Clinical and Translational Science Awards CTSA at 55 academic institutions in 28 states with a goal of 60 institutions by when the project will be fully implemented and linked [ 14 , 15 ].

A major goal of the CTSA program is the development of teams of investigators from a variety of research disciplines who can take scientific discoveries from the laboratory and turn them into treatments and strategies for patients in offices and communities. However, even with their introduction only a small proportion of community providers actually participate in clinical research.

The goal of this research is to identify the barriers and propose solutions to challenges associated with engagement of community clinicians to facilitate current and future CTSA and other community researcher participation in medical research. In addition to the NIH endorsement, value associated with community provider participation is becoming more apparent [ 16 , 17 ]. As a component of the NIH roadmap, consideration was given to the development of a sustained cadre of large numbers of practicing clinicians who could participate in clinical research in the context of their community practice [ 1 , 2 ].

We were funded by NIH to develop a conceptual framework as a model for a system that would allow a large number of clinicians to participate in clinical research while they care for patients in their office settings.

To assist NIH in the development of a conceptual framework as a model for this new type of infrastructure for translating research into practice and back [ 2 ], we conducted a classic formative evaluation [ 18 — 21 ]. This manuscript addresses the challenges that must be addressed to motivate community clinicians to commit to a sustained engagement in research in the settings in which they deliver clinical care.

As part of the effort supported by the NIH roadmap, we conducted a study to identify the feasibility of a new national cadre of practicing clinicians who could participate in clinical research in the context of their community practices by focusing on barriers to research participation and strategies to overcome them.

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This paper describes the barriers reported by community clinicians and proposes potential strategies for avoiding them. Methods Overview We used an iterative process to focus the content of interviews to best assess the perspective of clinicians and other key stakeholders regarding the feasibility of ongoing research participation by community clinicians in their own practice settings.

Clinicians included physicians, dentists, and nurse practitioners. We began with an environmental scan of academic and trade journals, the internet, and public- and private sector reports of clinical and community-engaged research.

The results of this review were used to develop semi-structured interview protocols that varied somewhat according to the interviewees' experience with clinical research. The protocols served as a general guide with example probes rather than as a set of specific questions to be asked of every respondent.

From September through August , the evaluation team conducted key informant interviews of clinicians and other stakeholders to assess the feasibility of implementing research in the context of ongoing community practices.

Using a two-phase process, we initially developed a preliminary list of candidate organizations and individuals who could potentially provide information about the feasibility of adapting healthcare delivery systems and clinical practice to support clinical research in community practices.

After review of candidate bios, publications, and references pertinent to their clinical, published, or administrative leadership , for phase one interviewers, we identified a set of candidate informants to provide information about the feasibility of the program.

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For phase two interviews, we then conducted interviews relevant to the feasibility of a program of community-based clinical research overall and within specific urban and rural settings across all regions of the US. Participant interview methods The initial approach to obtaining stakeholder input began with a focus on four key groups of stakeholders whose representatives we expected could provide unique information regarding the incentives, disincentives, and barriers to clinician enrollment of their patients in clinical research.

The four key groups include: 1. Individuals community clinicians, study leaders, and study coordinators who already participate in clinical research networks. Community clinicians in whose office clinical research could potentially take place, though they have no prior history of participating in research.

Review Of Basic Science And Clinical Dentistry

Professionals directing clinical research networks involving research in community practices that could serve as prototypes for research in community settings. Our expectation was that these representatives could provide unique information regarding the incentives, disincentives, and barriers to clinicians' enrollment of their patients in clinical research.

We considered each representative to be a key stakeholder whose input into and support of various facets of a clinical research program within their community would contribute to its success. Identification of participants and data sources We sought not only to identify a reasonable number of informants in each major category e.

We also focused on those informants who could provide data on specific costs of conducting clinical research. We used key contacts supplemented by 'snowball' sampling in which we asked each informant to identify additional individuals we should interview from selected categories [ 22 ].

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Masarykovy University NA Pages. Finally, this article will help practitioners to integrate their experience and skill with modern research evidence as well as to educate their patients to reach a final clinical decision.