PROS Committee Page:(last updated Feb 11, 2010)
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What's New:
NEW ARTICLE ABOUT PROS: (posted Feb 11, 2010)
The following article was published in the Fall 2009 Green Mountain Pediatrician newsletter, Vermont Chapter AAP
Why PROS?
What research questions do you have?
Practitioner commitment
Mission and Guiding Principles
PROS web site
Why PROS?–During your very busy practice day, have you wondered whether your anticipatory guidance talks are having an effect? Do the parents remember, and more importantly, do they act on your advice?
Seeing the many kids rapidly increasing weight and BMI, have you questioned…”just what WOULD succeed in reversing this child’s trend toward obesity?”
Has a parent ever asked when you thought their son would start into puberty?
Walking into an exam room and trying not to cough at the acrid smell of tobacco smoke being exhaled by a parent, have you been frustrated because the patient continues to wheeze? And how can you convince the parents not only to place the child on maintenance inhaled corticosteroids, but also to keep a smoke free home or quit altogether?
Have you wondered what you can offer a family when the child is having behavioral or mood problems and they can’t get access to a mental health professional?
Are there office or practice routines you think might be improved? And how do you get it done?
These are all topics that PROS practitioners and researchers have wondered about and are the subject of prior, current, or pending PROS research projects.
What research questions do you have? During these very busy times and pressured practice environments, it may seem daunting to participate in any research project. Although the financial compensation is usually minimal, the personal and professional rewards are truly maximal.
The PROS practitioner does have an incredible central staff at the AAP main office in Elk Grove Village who will guide and assist through all phases of a PROS study from start to finish. If you need help with a local IRB (if you don’t know what that is, then luckily you probably do NOT have a local IRB), the PROS staff can help with the application and the renewal processes. All PROS studies have exceptional researchers who help participating physicians design all aspects of the study and all are usually approved by both a University and the AAP IRB. The study protocols are usually simple and easily integrated into a busy office practice…this is because the PROS coordinators, who are almost all full time busy clinicians, hammer/cut/paste/knead/modify and usually pilot test every PROS study prior to rolling it out to the general PROS practitioners.
Practitioner commitment - The PROS practitioner does have to make a few commitments, including being certified in human subjects training, usually by the NIH Web-based Training or by your local academic institution. The practitioner must agree to abide by the study protocol so the integrity of the study is maintained, and no biases are introduced…or as our patients would say…”no cheating”! That sounds obvious but during a very busy or stressful office day, you may be tempted to “just skip that one” and move onto the next patient.
Many PROS practices have an office manager or lead person in the office interested and willing to help with studies (keeping logs, getting consents, or organizing study paperwork). Often, the studies will have some honorarium that can be used to reward the staff or an ad hoc research assistant. Although the studies are designed to be able to be performed in a busy pediatric practice, all studies will take some time from the practitioner’s day (full disclosure!), and help and buy in from staff is always appreciated.
The personal and professional rewards, again, are what drive the thousands of PROS practitioners from throughout the United States and Canada and Puerto Rico to continue in this research network.
Mission and Guiding Principles
In 2003, PROS agreed to the following revised mission statement:
The mission of PROS is to improve the health of children and enhance primary care practice by conducting national collaborative practice-based research.
PROS also agreed to five Guiding Principles, the first two being:
- PROS believes that the pediatric practice, in reflecting the full diversity of clinical problems, patients, and practitioners, is the appropriate laboratory for studying pediatric primary care issues. The pediatric practitioner, as a source and judge of relevant research questions and appropriate methods, is therefore an active participant in all phases of PROS projects.
- PROS weds the wisdom of the practitioner to scientifically sound research methods.
If this mission and guiding principles resonate with you, then we encourage you to join PROS. There are several very exciting studies you can join now, and others coming up soon. Participation will reward you with a sense of contribution to the field of pediatrics that will compliment your satisfaction in helping your individual patients and families.
PROS Web Site
Check out the PROS website at www.aap.org/pros. Click on JOIN PROS for the registration form, and read about current and upcoming studies. There is no fee and no commitment to specific studies upon joining. And all PROS and interested members are welcome and encouraged to come to the annual PROS meeting at the NCE. The Coordinator meeting is listed in the NCE schedule and is typically on the Friday and Saturday at the start of the NCE. It is free and no prior registration is needed. Hope to see you there!
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