Saturday, November 22 - 8:30-9:20 am
Plenary Session I: Minimally Disruptive Medicine; Victor Montori, MD, Mayo Clinic
Efforts to provide evidence-based care to patients with multiple chronic conditions often fall short in part due to poor compliance with guidelines and in part due to patient adherence to care. While ignorance may explain some of these behavior, structural factors offer an alternative explanation that has received less attention. In particular, the cumulative complexity that results from the implementation of disease-specific guidelines without full account of patient context, values, or goals. Indeed, limited attention to the balance of patient capacity and workload could improve the value of care, enhance its patient-centeredness, and improve care for patients with multi morbidity. Designing care that advances patient goals while minimizing healthcare's footprint of people's lives is the purpose of Minimally Disruptive Medicine.
1. To understand the manner in which healthcare causes non adherence
2. To enumerate the elements of the cumulative complexity model
3. To describe Minimally Disruptive Medicine and at least 3 activities that could be reoriented to achieve its goals.
Victor M. Montori, MD is a Professor of Medicine at Mayo Clinic. An endocrinologist and health services researcher, Dr. Montori is the author of more than 400 peer-reviewed publications and editor of 2 books of evidence-based endocrinology. He is member of the National Advisory Council of the Agency for Healthcare Research and Quality, the Editorial Advisory Board for the BMJ, and Director of Community Engagement in Research at the Mayo Center for Clinical and Translational Science. He is a recognized expert in evidence-based medicine and shared decision making, and developer of the concept of minimally disruptive medicine. He works in Rochester, Minnesota, at Mayo Clinic's KER Unit, to advance person-centered care for patients with diabetes and other chronic conditions.
Sunday, November 23 - 8:00-8:50 am
Plenary Session II: What is PCORI trying to Change - and Why?
Three Questions: 1. What does engaged research look like? 2. What is PCORnet and can it lead to a learning healthcare system? 3. How do I get some of that PCORI funding?
- To achieve an understanding of how PCORI views Patient-Centered Outcomes Research – and how this differs from traditional clinical research
- To understand PCORI’s major funding mechanisms – broad announcements, targeted announcements, and pragmatic clinical studies
- To understand the vision of embedded research – PCORnet and beyond.
Joe V. Selby, M.D., M.P.H., is the first Executive Director of the Patient-Centered Outcomes Research Institute (PCORI). A family physician, clinical epidemiologist and health services researcher, he has dedicated his career to patient care, clinical research and administration. At PCORI, he works to identify and address strategic issues and opportunities for PCORI and to implement and administer the research agenda authorized by the PCORI Board of Governors.
Building on the foundational work of the Board, Selby leads the continuing development of PCORI as a research organization, overseeing the implementation of its research agenda, its external communications, and its work to establish effective on-going, two-way engagement channels with each of PCORI’s key stakeholder groups, beginning with patients.
Selby joined PCORI from Kaiser Permanente, Northern California, where he was a researcher for 27 years, serving as Director of the Division of Research for the last 13 years. In this role, he led a department of more than 50 investigators and 500 research staff working on more than 250 ongoing studies. An accomplished researcher, Selby has authored more than 220 peer-reviewed articles, primarily in the areas of primary care delivery; diabetes mellitus outcomes and quality improvement; colorectal cancer screening strategies; population management for chronic conditions; and quality measurement.
Selby was elected to membership in the Institute of Medicine in 2009. A native of Fulton, Missouri, Selby received his medical degree from Northwestern University; his training in family medicine from Contra Costa County Family Medicine Program, Martinez, CA, and his master’s in public health from the University of California, Berkeley. He served as a commissioned officer in the Public Health Service with the National Health Services Corp from 1976-1983 and received the Commissioned Officer's Award in 1981.
Dr. Selby was appointed PCORI executive director on May 16, 2011.
Wednesday, November 25 - 7:45-9:00 am
Plenary Session III:The Changing Landscape of Primary Care Research
The type of research that we engage in as primary care researchers is not isolated but interacts closely with phenomena and development in other disciplines in our societies. In this presentation, Dr. Légaré will briefly review the landscape of primary care research in the past 30 years as it relates to population health and individual well-being. Using a few examples of primary care research, including some from the shared decision making domain, she will draw parallels between the evolving landscape of primary care research and key phenomena in other disciplines. Based on this, she will then highlight a few of the challenges faced by primary care researchers as well as lessons learned. Lastly, her presentation will conclude with some reflections on how primary care research may look in the next few years and beyond.
- Review the landscape of primary care research over the past 30 years
- Highlight a few of the challenges faced by primary care researchers and lessons learned
- Reflect on where next for primary care research
A family physician in Quebec City since 1990, Dr. Légaré is full professor with the Department of Family Medicine and Emergency Medicine at Université Laval and Canada Research Chair in Implementation of Shared Decision Making in Primary Care. Her first degree was in architecture, after which she trained for a career in primary care research. First, she obtained a Master’s degree in Community Health, assessing behavior change in both patients and health care professionals using socio-cognitive theories. Then, in 2005, she obtained a PhD in Population Health from the University of Ottawa where she trained under the supervision of Professor Annette O’Connor, then Canada Research Chair in Health Care Consumer Decision Support at the School of Nursing. Dr. Légaré’s research program aims at providing healthcare professionals and patients with the needed tools to optimize decision making in the context of primary care but also across the healthcare continuum.