title: CAEP 2014 Academic Symposium: "How to make research succeed in your emergency department: How to develop and train career researchers in emergency medicine".
abstract: OBJECTIVE
  We sought to 1) identify best practices for training and mentoring clinician researchers, 2) characterize facilitators and barriers for Canadian emergency medicine researchers, and 3) develop pragmatic recommendations to improve and standardize emergency medicine postgraduate research training programs to build research capacity.
  
  
  METHODS
  We performed a systematic review of MEDLINE and Embase using search terms relevant to emergency medicine research fellowship/graduate training. We conducted an email survey of all Canadian emergency physician researchers. The Society for Academic Emergency Medicine (SAEM) research fellowship program was analysed, and other similar international programs were sought. An expert panel reviewed these data and presented recommendations at the Canadian Association of Emergency Physicians (CAEP) 2014 Academic Symposium. We refined our recommendations based on feedback received.
  
  
  RESULTS
  Of 1,246 potentially relevant citations, we included 10 articles. We identified five key themes: 1) creating training opportunities; 2) ensuring adequate protected time; 3) salary support; 4) infrastructure; and 5) mentorship. Our survey achieved a 72% (67/93) response rate. From these responses, 42 (63%) consider themselves clinical researchers (i.e., spend a significant proportion of their career conducting research). The single largest constraint to conducting research was funding. Factors felt to be positive contributors to a clinical research career included salary support, research training (including an advanced graduate degree), mentorship, and infrastructure. The SAEM research fellowship was the only emergency medicine research fellowship program identified. This 2-year program requires approval of both the teaching centre and each applying fellow. This program requires training in 15 core competencies, manuscript preparation, and submission of a large grant to a national peer-review funding organization.
  
  
  CONCLUSIONS
  We recommend that the CAEP Academic Section create a process to endorse research fellowship/graduate training programs. These programs should include two phases: Phase I: Research fellowship/graduate training would include an advanced research university degree and 15 core learning areas. Phase II: research consolidation involves a further 1-3 years with an emphasis on mentorship and scholarship production. It is anticipated that clinician scientists completing Phase I and Phase II training at a CAEP Academic Section-endorsed site(s) will be independent researchers with a higher likelihood of securing external peer-reviewed funding and be able to have a meaningful external impact in emergency medicine research.
authors.affiliation: *University of Ottawa,Department of Emergency Medicine,Ottawa,ON.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Perry
authors.affiliation: ‡University of Manitoba,Department of Emergency Medicine,Winnipeg,MB.
authors.forename: Carolyn E
authors.initials: CE
authors.lastname: Snider
authors.affiliation: ¶Canadian Association of Emergency Physicians,Ottawa,ON.
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Artz
authors.affiliation: *University of Ottawa,Department of Emergency Medicine,Ottawa,ON.
authors.forename: Ian G
authors.initials: IG
authors.lastname: Stiell
authors.affiliation: ‡‡Rescu,Li Ka Shing Knowledge Institute,St. Michael's Hospital,Toronto,ON.
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Shaeri
authors.affiliation: **The University of Western Ontario,Department of Medicine,Division of Emergency Medicine,London,ON.
authors.forename: Shelley
authors.initials: S
authors.lastname: McLeod
authors.affiliation: ††Department of Family Medicine and Emergency Medicine,Université Laval and CHU de Québec Research Center,Quebec City,QC.
authors.forename: Natalie
authors.initials: N
authors.lastname: Le Sage
authors.affiliation: §University of British Columbia,Department of Emergency Medicine and Vancouver Coastal Health,Vancouver,BC.
authors.forename: Corinne
authors.initials: C
authors.lastname: Hohl
authors.affiliation: *University of Ottawa,Department of Emergency Medicine,Ottawa,ON.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Calder
authors.affiliation: *University of Ottawa,Department of Emergency Medicine,Ottawa,ON.
authors.forename: Christian
authors.initials: C
authors.lastname: Vaillancourt
authors.affiliation: ¶¶Department of Emergency Medicine,University of Alberta,Edmonton,AB.
authors.forename: Brian
authors.initials: B
authors.lastname: Holroyd
authors.affiliation: ***Department of Emergency Medicine,Sidney Kimmel Medical College of Thomas Jefferson University,Philadelphia,PA.
authors.forename: Judd E
authors.initials: JE
authors.lastname: Hollander
authors.affiliation: ‡‡Rescu,Li Ka Shing Knowledge Institute,St. Michael's Hospital,Toronto,ON.
authors.forename: Laurie J
authors.initials: LJ
authors.lastname: Morrison
mesh_terms: D035843:Biomedical Research / Q000458:organization & administration*; D002170:Canada; D002321:Career Choice; D003226:Congresses as Topic; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D012955:Societies, Medical
keywords: emergency medicine; fellowship; graduate training; research