title: Maintenance of Certification Part 4 Credit and recruitment for practice-based research.
abstract: BACKGROUND
  Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success, researchers must design studies that provide added value to participants. This study evaluates recruitment of pediatricians into a study, before and after the development and addition of a quality improvement (QI) curriculum approved for American Board of Pediatrics Maintenance of Certification (MOC) Part 4 Credit as an enrollment incentive.
  
  
  METHODS
  Researchers implemented multiple outreach methods to enroll pediatric practices over 28 months. Field note review revealed that many physicians declined enrollment, stating that they prioritized MOC Part 4 projects over research studies. A QI curriculum meeting standards for MOC Part 4 Credit was developed and added to the study protocol as an enrollment incentive. Enrollment rates and characteristics of practitioners enrolled pre- and post-MOC were compared.
  
  
  RESULTS
  Pre-MOC enrollment contributed 48% of practices in 22 months; post-MOC enrollment contributed 49% of practices in 6 months. An average of 3.5 practices enrolled per month pre-MOC, compared with 13.1 per month post-MOC (P < .001). Clinicians in pre- and post-MOC groups were similar in age, gender, race, and time spent on patient care; practices enrolled post-MOC were more likely to be located in federally designated Medically Underserved Areas than those enrolled pre-MOC (28.6% vs 12%, P = .03).
  
  
  CONCLUSIONS
  Addition of MOC Part 4 Credit increased recruitment success and increased enrollment of pediatricians working in underserved areas. Including QI initiatives meeting MOC Part 4 criteria in practice-based research protocols may enhance participation and aid in recruiting diverse practice and patient populations.
authors.affiliation: Julius B. Richmond Center of Excellence, and jgorzkowski@aap.org.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Gorzkowski
authors.affiliation: Julius B. Richmond Center of Excellence, and.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Klein
authors.affiliation: Pediatric Research in Office Settings, Department of Research, American Academy of Pediatrics, Elk Grove Village, IL; and.
authors.forename: Donna L
authors.initials: DL
authors.lastname: Harris
authors.affiliation: Julius B. Richmond Center of Excellence, and.
authors.forename: Kristen R
authors.initials: KR
authors.lastname: Kaseeska
authors.affiliation: Julius B. Richmond Center of Excellence, and.
authors.forename: Regina M
authors.initials: RM
authors.lastname: Whitmore Shaefer
authors.affiliation: Pediatric Research in Office Settings, Department of Research, American Academy of Pediatrics, Elk Grove Village, IL; and.
authors.forename: Alison B
authors.initials: AB
authors.lastname: Bocian
authors.affiliation: Pediatric Research in Office Settings, Department of Research, American Academy of Pediatrics, Elk Grove Village, IL; and.
authors.forename: James B
authors.initials: JB
authors.lastname: Davis
authors.affiliation: Pediatric Research in Office Settings, Department of Research, American Academy of Pediatrics, Elk Grove Village, IL; and.
authors.forename: Edward M
authors.initials: EM
authors.lastname: Gotlieb
authors.affiliation: Pediatric Research in Office Settings, Department of Research, American Academy of Pediatrics, Elk Grove Village, IL; and Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont.
authors.forename: Richard C
authors.initials: RC
authors.lastname: Wasserman
mesh_terms: D002568:Certification / Q000592:standards* / Q000639:trends; D004502:Education, Medical, Continuing / Q000592:standards / Q000639:trends*; D004521:Educational Measurement / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000193:education / Q000592:standards* / Q000639:trends; D010560:Personnel Selection / Q000592:standards; D010820:Physicians / Q000592:standards*; D058996:Quality Improvement / Q000592:standards* / Q000639:trends; D016526:Workload / Q000592:standards
keywords: quality improvement; research methods