About Us
DPBRN's mission was: "To improve oral health by conducting dental practice-based research and by serving dental professionals and their patients through education and collegiality".
Our vision was: "To lead the field of dental practice-based research and dental collegiality."
What makes for a successful PBRN: A PBRN can be defined as a group of outpatient care practices that, although primarily devoted to providing health care services, has affiliated as a group -- and typically with an academic health center -- to investigate research questions and to share experiences and expertise. The network constituted an organization that transcended any single research project.
The importance of this research: DPBRN was an effort to help dental professionals directly improve the efficiency and effectiveness of dental care. Essentially, it was research done about and in the "real world" of daily clinical practice. Unfortunately, much of dental research to date has not had an immediate applicability to daily dental practice. In fact, some have referred to much of the dental research conducted to date as "scientifically valid, statistically significant, but clinically useless". We wanted to change that.
Relevant questions: Successful networks have solicited research questions that participating practitioners feel are directly relevant to daily practice. Network clinicians want to do research that will have an impact on patient health outcomes, patient satisfaction, or the efficiency of the daily delivery of care. Research focused on disease progression or its treatment will be of interest because it is focused on improving patients' health outcomes.
Achievable goals: Experiences from PBRNs suggest that setting objective, staged, achievable goals will create a successful track record, leading to long-term success of the network. Because of this, DPBRN dis-aggregated proposed projects into defined stages, using objective benchmarks that were monitored by and communicated to network participants regularly.
Recognition of members: Successful networks recognized members for their participation and accomplishments. Network practitioner-investigators were recognized in publications and reports from the network, provided a framed certificate suitable for placement in their office's waiting room, and were recognized on the DPBRN web site. Receiving Continuing Education credit for certain training and orientation modules also served as a form of recognition.
Regular contact: Regular contact is important to the success of PBRNs because it socializes members through observation and imitation. Regular contact was achieved by communication in a web-based online study club, by updating network practitioner-investigators and provided network news on at least a quarterly basis, depending upon the networks' activities, and by annual face-to-face meetings.
Specific feedback and results: One characteristic of successful PBRNs is that network practitioners be seen as, and involved as, more than data gatherers. If practitioners provide input on the design, conduct, and/or analysis of studies, and receive feedback on these ideas, the network is more successful and productive. Success is enhanced if the tangible application to their practice is evident, and patients in their practices may realize improved outcomes as a result of the practice's participation in research.
Opportunity to input ideas: An important feature is that academic researchers and practicing clinicians engage in close collaboration at each stage of the research process. Recognizing this, we included a question in our enrollment questionnaire regarding ideas for future PBRN research projects. Ideas will continue to be elicited using the web-based online study club and using periodic written and electronic communications sent to PBRN practitioner-investigators.
Leadership: If oral health research advances are to be regularly infused into daily clinical practice, dental professionals must see the relevance of these advances to their daily practice. Engaging clinicians in research and in the excitement of discovery, requires leadership that our Dental PBRN administrative structure provides. Practitioner-investigators must understand the fundamentals of clinical research, see how research design determines what conclusions can be made, and how these conclusions affect how they treat their patients. Our experiences and those from other PBRNs suggest that the optimal strategy is to build upon clinicians' observations from their own practices, get them engaged in discussions with other DPBRN members about scientific approaches to answer questions that they feel are important to their daily practice, and then establish scientific consensus that they feel is clinically meaningful and relevant to their daily clinical practice.