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TRANSCRIPT
“Physician Engagement”
Bret Friday, MD, PhD-NCORP PIEssentia Health Community Cancer Research
Program
Alliance Spring Meeting 2017
“CRP View of Engagement”
Presentation Objectives
Ø Why Physician Engagement is ImportantØ Challenges to Engaging PhysiciansØ Tools to Improving Engagement
History of Cancer Research at Duluth Clinic/Essentia Health
1977 – Founding member of NCCTG1983 – NCI support awarded – CCOP2006 – Pediatric clinical trials initiated – COG2010 – Essentia Central initiates program - Brainerd2011 – Essentia West initiates program - Fargo2014 – NCI support awarded – NCORP
Catchment area covers portions of 3 states-MN, WI, ND
Essentia Health Community Cancer Research Program
Approximately 65 ongoing clinical trials
Ø NCORP/NCTNØ CCDRØ IndustryØ Investigator initiatedØ Foundation
Definition of Research Engagement?
Ø Engagement = AccrualsØ LeadershipØ Meeting attendanceØ Investigator initiated projectsØ Personal interest
Engagement Variability-EHCCRP
Physician Encounters Accrual EngagementA 2932 30 10.2B 2376 18 7.5C 2188 9 4.1D 412 1 2.4E 1704 4 2.3F 1424 2 1.4G 2413 3 1.2H 372 0 0
Total accruals = 67If Engagement = 10 for all, accruals = 138
Why is Engagement Important?
Ø Maintain group membershipØ NCORP grant renewal/fundingØ COC AccreditationØ Optimal patient careØ Importance of physician to enrollmentØ Ensure research infrastructureØ Timely completion of studiesØ Advance knowledge – Moonshot
2011-40% CCOP MDs enrolled 0 patients
Physician Challenges to Engagement
Ø CompensationØ Work-Life BalanceØ Comfort with complex trialsØ Leadership/Practice supportØ Access/Knowledge of trialsØ Patient acceptance/attitudeØ Research staff supportØ Study design/timelines
Engagement-Data
Model Tested
Data Sources
Ø 2011 CCOP Progress ReportØ 2011 CCOP Administrators SurveyØ 2011 CCOP Physician SurveyØ 2012 AMA Physician Masterfile
Study Results
Study Results
Positive - Organization Peer pressureSupport screen/enrollAccrual requirement
Attitudes Personal valueTrial relevance
Personal PI
Negative - Attitudes Trial complexityPersonal Age
non-oncology
Study Results-My Interpretation
ØHire good physiciansØOrganization can’t fix bad physiciansØSupport physicians with research staffØ Incentivize physiciansØEducate physicians about studiesØGet physicians directly involved
Improving Physician Engagement
EHCCRP Initiatives
ØPhysician KnowledgeØPhysician RecognitionØPatient/Community outreachØStaff Support for MDØPhysician Involvement
Physician Knowledge
Physician Recognition
Patient/Community Outreach
Patient/Community Outreach
Staff Support for MD
ØStudy staff screen all new patientsØFollow up orders placed by research teamØOutreach travel as neededØAttend tumor boards
Physician Involvement
ØCancer Research CommitteeØ Investigator initiated project supportØEncourage meeting attendanceØScientific Review
Conclusion
ØEngagement is importantØEngagement level is not fixedØNo single solution
•Questions? Ideas?