Michael Parchman, MD, MPH

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South Texas Ambulatory Research Network

• Michael Parchman, MD, MPH
• Walter Calmbach, MD, MPH
• Marisa Rodriguez, BS
• UT Health Science Center at San Antonio

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What is a Practice-Based Research Network?

• An organization of community clinicians who
  work together with researchers to answer
  meaningful questions that will improve patient
  care

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Why is Practice-Based Research Needed?
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STARNet Leadership
Board of Directors Carlos Campos, MD Leo
Cigarroa, MD Mitch Finnie, MD Abel Muñoz,
MD Soloman Paley, MD Ramon Reyes, MD Lloyd Van
Winkle, MD
Walter Calmbach, MD, Michael Parchman, MD and
Marisa Rodriguez
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The South Texas Ambulatory Research Network
(STARNet)

• MISSION
• to create and disseminate new knowledge for
  community primary care physicians that will
  improve the health of our patients here in South
  Texas
• OBJECTIVES
• conduct studies and projects in the clinics and
  communities of STARNet members
• link community primary care clinics to resources
• create a community of learning among STARNet
  members and their communities in South Texas

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Where are PBRNs in the Research Pipeline?
The Academic Health Science Center
T2
T1
Bench
Bedside
Community
Bookshelf
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• If we want more evidence-based practice, we
  need more practice-based evidence.
• Green LW and R. Glasgow, 2006

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Examples of STARNet Studies

• Exercise in the Elderly
• Panic Disorder in Patients Presenting with Chest
  Pain
• Patient Preference for Discussion of Family
  Conflict/Violence
• Quality and Outcomes of Diabetes Care in Primary
  Care Settings
• Improving Risk Factors for Complications of Type
  2 Diabetes in Primary Care (current)
• History and Physical Findings of Patients with
  MRSA Skin Infections in South Texas (current)
• Using interactive multimedia to promote
  colorectal cancer screening (current)
• Patient Safety survey (current)
• Electronic primary care research network
  (current)
• Aspirin in reducing events in the elderly
  (current)

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COLLABORATION IS KEY!
Identify knowledge gap
Systematic search for adequate answer
Implement in practice
Serious input from clinicians and office staff
Generate and clarify study question
Analyze and interpret results
Collect data
Design Study
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Ramon Reyes, MD Helotes, TX

• "I have had only positive comments from
  patients who are usually excited and pleased to
  be able to be a part of the studies. Patients
  don't just cooperate, they are enthusiastic
  participants. Many of our patients are impressed
  that their doctor's office is involved in medical
  research and that they can share in that.

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• "The projects are interesting and designed to be
  an asset to the daily practice function. The
  studies have never been a problem in fact, they
  do, on occasion, give rise to questions from
  patients that lead to important doctor-patient
  interactions.

Able Munoz, MD Austin, TX
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Lloyd Van Winkle, MD Castroville, TX

• "STARNet is a part of my practice where
  everyone wins, the patient, the practice, and the
  specialty of Family Practice. I believe much of
  the future evidence establishing the value of
  primary care, in general, and family practice,
  specifically, will grow out of office-based
  medical research. So being involved in STARNet is
  my way of helping to insure a future that
  includes healthy patients, healthy practices, and
  a healthy future for family medicine.

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What do I need to do to join the network?How
can I join a research project?