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- W4387242169 abstract "Supporting the career pathways of clinician-investigators (CIs) during residency and fellowship training presents a complex, multifaceted issue—a “wicked problem” that encompasses numerous stakeholders, with diverse priorities, values, competing interests, and agendas. Consensus on solutions may be elusive due to many intractable issues, such as human capital for mentorship, funding for protected research time during residency, and lack of research infrastructure. These factors collectively hinder CIs’ development during graduate medical education (GME). Since the COVID-19 pandemic, financial constraints have further exacerbated these limitations. How can we best support residents and fellows pursuing CI careers in this challenging environment?CIs play an essential role in translating scientific discoveries into medical practice; thus, sustaining this workforce is vital. Despite specialty-specific accreditation and board certification requirements, support for GME CIs predominantly occurs at individual residency or fellowship program levels. Given the complex and interconnected nature of CI training pathways, one solution lies in uniting and igniting these siloed communities for collective impacts, through the establishment of a CI community of practice (CoP). A CoP incorporates 3 key features—“mutual engagement, joint enterprise, and shared repertoire”1—which shift the focus from valuing individual achievements to collective experiences of clinicians and scholars. This can enhance and sustain successes across many programs.To form and sustain a CoP, 3 modes of belonging are essential: engagement, imagination, and alignment.2Engagement promotes collaboration, imagination stimulates self-reflection and new possibilities, and alignment ensures open communication and consistency in community values and goals. As a CoP evolves in a rapidly changing and complex environment, it would benefit from interacting with other CoPs beyond its local sphere of influence to survive and thrive.1,3This Rip Out provides practical recommendations for building a local CoP, expanding to a network of practice (NoP), and legitimizing the landscape of practice (LoP) for CIs. An LoP is an interconnected, complex social learning system where various CoPs coexist.4 GME research leaders, program directors, and designated institutional officials can strengthen and sustain their CoPs by extending collaborative networks across programs and institutions. Conceptually, the 3-Phase Evolution of Clinician Investigators CoPs focuses on the “collaboration continuum” (x-axis) to extend beyond boundaries (y-axis). This boundary crossing can amplify learning, collaboration, and innovation within and across communities." @default.
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- W4387242169 date "2023-10-01" @default.
- W4387242169 modified "2023-10-15" @default.
- W4387242169 title "Building a Strong Clinician-Investigator Community of Practice" @default.
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- W4387242169 doi "https://doi.org/10.4300/jgme-d-23-00508.1" @default.
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