Yes, so let us skip the pajamas and get ourselves a new robe! Think of being a doctor like being a lifelong student – if you stop learning new and wearing new hats, you're in trouble! Now, imagine a world where every doctor, from the newbies to the seasoned pros, don't dive into research. It's like a world without a treasure trove of super helpful info – pretty dull, right? So, unless every dentist or more broadly healthcare professional gulps down the goodness of research, we're left with a world starving for the most valuable and at times lifesaving information. Let's keep the curiosity alive, because that's the key to a world full of awesome wisdom! Research and publications for Private Practitioners
For a long, long time or let’s say that it is almost a stone age belief in the field of medical science, that people believed that writing scientific papers or doing research was just for the doctors who are more academic folks rather than the hardcore clinicians…. (Fig 2)
The belief precisely comes from the fact that research publications are essential to get academic promotions or pay raise or secure an academic job or just because it is made mandatory by the various committees including NMC, DCI or NAAC. But you know what? That's not the deal for private doctors or clinicians. They usually say no to the whole writing and publishing thing because it seems like a big hassle and no significance. But is it really? Let's find out! Beating up this stone –age belief about research and publication, I want to quote in the most confident way that - Believe it or not, those private hospitals, clinics, and labs are like hidden treasure troves of real-time information about diseases and how treatments are doing. It's like a secret base where all the action happens in real, way more than in those fancy research labs or colleges which are more focused on theory. These places, albeit much understated, are buzzing with the lowdown on what's actually working in the benefit of the patient and what's not! Guess what? Clinicians, actually conducts those last phase trials at times at much larger scale and much before than any of the academic institutes and they often play around with new and cool treatments and technologies that come every day in the ever growing market of healthcare industry and diagnostics. (Fig 3)
They might mix up some drugs in a different way or tweak the dosage to find what really works for their patients. But here's the kicker – private practitioners don't realize they're doing something super smart and helpful! If this invaluable data or simply experience on few patients doesn’t get documented, the whole world misses out on these great treatment tricks, and the clinician doesn't get the credit they deserve. Constructing a research paper and publishing it thereby is a win-win situation for the individual doctor for gaining spotlight and credibility and for the entire healthcare fraternity for enjoying the precious live and real updates in the field… So, there’s no point in keeping these awesome secrets to ourselves, right? Diving Deeper into the hardcore research into your private practice
The above write up was about how you can utilize the already collected patient data for building up of research portfolio of your clinic or private set up. The retrospective study on the already existing patient’s records does not involve much documentation in terms of ethical approval or meticulous patient consent, routine documents and patient consents also suffice the need for such kind of studies. However, prospective studies with newer interventions need several approvals including institutional ethics committee, patients consent in vernacular language as also sometimes even audio visual consent is required and if some new drug or instrument etc. is being used the whole drill is then orchestrated including FDA etc. Having said that introducing something novel or testing some drug for the first time on your patient is quite risky and private clinics personally I believe are very small units which also lack the necessary infrastructure and also the support in terms of government subsidies as also manpower; but still clinical trials which were once thought to be a domain of larger academic institutions only, gradually these have percolated down to bigger private or corporate hospitals and then into the much smaller private clinics as well. Conducting clinical trials as an add on in routine practice is especially common in common in the fields of diabetes and metabolism, psychiatry, dermatology, and ophthalmology. However, dentistry is not witnessing this trend especially in our part of the world. The western world though seem to be very much in the beam of increasing the magnitude of research and innovations in the private practice set ups. CANCEILL T et al. in their scoping review published in 2020 have revealed how precisely and meticulously dental practice based networks (D-PBNS) are functioning throughout the world. The review have listed top 24 D-PBNS majority from USA which have collaborated on multi centric studies that too in private clinics to bring out some break through innovations in the field. Developing countries like ours, have its own challenges including resource limitations, medical compliances, lack of good policy makers, insufficient as well as inefficient sources for funding and so on in setting up such research centers and collaborations. But having said that, enthusiastic private practitioners can easily surpass all shortcomings and do even better than those who work in government or corporate hospitals. This is because:- Since they are usually present over their site, most of the time, they may have better supervision over entire activities.
- They are easily available for other study-related activities such as during investigator meeting, site initiation, or monitoring. These are often ignored at most of the bigger centres.
- Starting a clinical trial setup in a private practice can be a rewarding venture, bringing innovation and cutting-edge treatments to your community.
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Let us all be vigilantly educated to perform and publish genuine research and not just remain well educated!!!!!
