Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Journal Name: 
Pediatrics
Authors: 
Gorzkowski,J.A.
Klein,J.D.
Harris,D.L.
Kaseeska,K.R.
Whitmore Shaefer,R.M.
Bocian,A.B.
Davis,J.B.
Gotlieb,E.M.
Wasserman,R.C.
Abstract: 
BACKGROUND: Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success, researchers must design studies that provide added value to participants. This study evaluates recruitment of pediatricians into a study, before and after the development and addition of a quality improvement (QI) curriculum approved for American Board of Pediatrics Maintenance of Certification (MOC) Part 4 Credit as an enrollment incentive. METHODS: Researchers implemented multiple outreach methods to enroll pediatric practices over 28 months. Field note review revealed that many physicians declined enrollment, stating that they prioritized MOC Part 4 projects over research studies. A QI curriculum meeting standards for MOC Part 4 Credit was developed and added to the study protocol as an enrollment incentive. Enrollment rates and characteristics of practitioners enrolled pre- and post-MOC were compared. RESULTS: Pre-MOC enrollment contributed 48% of practices in 22 months; post-MOC enrollment contributed 49% of practices in 6 months. An average of 3.5 practices enrolled per month pre-MOC, compared with 13.1 per month post-MOC (P < .001). Clinicians in pre- and post-MOC groups were similar in age, gender, race, and time spent on patient care; practices enrolled post-MOC were more likely to be located in federally designated Medically Underserved Areas than those enrolled pre-MOC (28.6% vs 12%, P = .03). CONCLUSIONS: Addition of MOC Part 4 Credit increased recruitment success and increased enrollment of pediatricians working in underserved areas. Including QI initiatives meeting MOC Part 4 criteria in practice-based research protocols may enhance participation and aid in recruiting diverse practice and patient populations
9
1
2014
Keywords: 
criteria, Curriculum, Development, electronic, Medically Underserved Area, Medicine, Methods, patient, Patient Care, Pediatrics, Physicians, population, practice-based research, protocol, quality, quality improvement, race, Research, review, Standards, success, Time, Universities, Vermont