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Network of Canadian EM Researchers�The ‘NiCER’ Network �A Deep Dive

Laurie J. Morrison, NCER chair

University of Toronto

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COI Declaration

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Thank you, NCER Executive

Gary Joubert

Founder/Vice Chair

Patrick Archambault

Catherine Varner

Keerat Grewal

Cathy Clement

RP Chair

Shanna Siriyildiz

Gail Chapman

Jeff Perry Founder

/Past Chair

David Savage

Emerg Res Chair

Venkatesh

Thiruganasambandamoorthy

Jennifer Gale

Primary CAEP

Laurie Morrison

Founder/Chair

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Michael Austin

CERN

Sam Vaillancourt

CAEP QuIPs

Warren Cheung

CAEP Education

NCER Liaison members�

Kerstin DeWitt

CAEP Research

Eddy Lang

CAEP Academic Section

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  • Vision
    • Better collaboration
    • Better research
    • Better care
  • Peer Support
    • Independent Peer review
    • Mentorship
    • Environment of Support
    • Legacy of Success – Meaningful Endorsement

NCER Peer Support

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  • 80 NCER members
    • 42 researchers and 38 Research Professionals
  • Emerging Researchers Sub-committee
    • Chair David Savage
    • Past Chairs Justin Yan and Stephanie Vandenberg
  • Research Professional Sub-committee
    • Chair Cathy Clement

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What is the Gap NCER is trying to address?

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Emergency Medicine Research

  • Why so few EM researchers
  • What are the essentials to support,
  • How to enable them
  • How to overcome challenges

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The Fundamentals to EM Specialty Development

  • Defined scope of work
  • Respect for high quality clinical care
  • Creativity and Impact through Education/Implementation

…………………………………………..

  • Published evidence in high citation journals beyond the readership of EM
  • External Credibility

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Formula for Survival post Resuscitation

E. Søreide et al. / Resuscitation 84 (2013) 1487– 1493

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Propose the Formula for �EM Specialty Development in the New Millennium

Invest in

and Advance the

Science of EM

X

Optimize Early

Local

Implementation

Continued

Emphasis on

Educational

Efficacy &

Efficiency

X

Better

Science

Patient Care

EM Outcomes

Credibility

EM Specialty

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NCER is the Village to Enable Researchers

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5 Enablers - Researcher

  • Protected Time
    • ≥70%

  • Credentials
  • Infrastructure
  • Mentorship
  • Environment

Education Quips Basic Clinical

Health Services Policy Implementation

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  • Why this sub-group?
    • Most likely to benefit from support
    • So much to learn in early practice
      • Billing, wellness, professionalism
      • Managing complaints and regulatory compliance
      • Role model
      • Young family
      • New to academic and institutional bureaucracy
      • Stretched to the limit
      • Capacity to learn like a sponge
      • Capable of having an impact on the specialty

Invest in Building Capacity – Invest in our young faculty ≤ 7 years

Emerging Researchers

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  • Why this sub-group?
    • Most likely to benefit from networking and shared best practices
      • Build relationships through networking across the nation
      • Support wellness & professional growth through peer support
      • Many are working under budgetary and implementation challenges unique to EM research
      • Share best practices and resources and connections
      • Promote the value of the EM RP in Clinical Trial success
      • Provide a venue for Continuing Education
      • Improve the overall productivity of the research team

Invest in Building Infrastructure – Supporting EM Research Professionals

Research Professionals

Cathy Clement

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Guide: Legal Realities of the Self Employed Academic

  • CMPA scope does not include
    • Non-clinical academic responsibilities
    • Contract law
  • Contracts and ethics submissions
    • Institutional sign off
    • Researcher sign off

  • Institutional and Physician priorities may not align
  • Institution will protect itself at the expense of the physician
  • Faculty Associations may exclude protecting physicians

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Guide: Necessary Infrastructure for Clinical Competence

  • Office of ED administration
    • Contracts, budget reporting
    • Training, regulatory compliance
  • Institutional compliance
    • Compliance with legislation and

policies in a changing environment

  • College competency
    • Regulatory compliance
    • Performance issues
  • Accountant & Financial Advisor
    • Paperwork and wise choices

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Guide: Necessary Infrastructure for Research

  • Office of research administration
    • Contracts, grant budget reporting
    • Training, regulatory compliance
  • Privacy officer
    • Compliance with legislation in a

changing environment

  • Ethics board
    • Ethics approvals at arms length
  • Human Resources
    • Hiring, maintaining, retiring,
    • Performance issues

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Provide Mentoring�Does Mentoring Make A Difference?

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Lecturer to Assist Prof

Assoc Prof/ Prof

Assist to Assoc Prof

Admin Educ Invest Scientist Teacher

Morrison LJ et al, Med Teach. 2014 Jul 1;36(7):608-14

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Results

  • 90% moderate to strong satisfaction with mentored faculty
  • More likely to:
    • Quality of life
    • Satisfaction with current work arrangements
    • Sufficient time to meet academic requirements
    • Sense of fit or belonging
    • Perception of support
    • Income

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Take Away on Mentorship

  • Quantitative Data
    • Increased rate of promotion
      • temporal, gender

  • Qualitative Data
    • Satisfaction
    • Sense of Belonging, Appreciation, Support

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NCER is Translating this formula of success to Emergency Medicine Researchers Across Canada

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�>50 NCER Endorsed Protocols�>$15 Million in Peer Reviewed Funding���

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NCER Bibliography

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Lake Louise February 24-27 2020

NCER launched in 2016

We meet in person the first week of February every year Hybrid started in 2023 – alternating east and west.

Lake Louise

Mont Tremblant

Alternating

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Corrine Hohl

BC

Shelley McLeod

ON

Eric Mercier

Raul Daoust PQ

Andrew McRae

AB

Teresa Chan

ON

Steve Brooks

ON

Natalie Le Sage

PQ

Andrew Hall

ON

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www.ncer.ca

Medical

Science

X

Local

Implementation

Educational

Efficiency

X

EM Outcomes

EM Specialty

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www.NCER.ca

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