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About PROS

WHAT IS PROS?


prosbrochure

PROS (Pediatric Research in Office Settings) is a practice-based research net work that was established by the American Academy of Pediatrics (AAP) in 1986. PROS approximately 1,700 pediatric practitioners from 700 practices all 50 states, Puerto Rico and Canada, teamed with a research staff at AAP headquarters in Elk Grove Village, IL and research consultants from around the country. The network has experienced steady growth since its inception.

Download the PROS Brochure pdf

WHAT IS PROS MISSION?


The mission of PROS is to improve the health of children and enhance primary care practice by conducting and fostering national collaborative practice-based research.

Seven Guiding Principles:

  • PROS believes that the pediatric practice, in reflecting the full diversity of clinical problems, patients, and practitioners, is the appropriate laboratory for studying pediatric primary care issues. The pediatric practitioner, as a source and judge of relevant research questions and appropriate methods, is therefore an active participant in all phases of PROS projects.
  • PROS weds the wisdom of the practitioner to scientifically sound research methods.
  • PROS routinely collaborates with other research groups, but PROS practitioners and staff remain actively involved in the design and implementation of all phases of investigation.
  • PROS serves as a resource to other practice-based research networks.
  • PROS disseminates study results broadly to influence clinical policies and improve care.
  • PROS not only contributes to the evidence base but also studies the best ways to implement that evidence.
  • PROS projects are consistent with the mission of the AAP and further AAP goals and objectives.
CORE VALUES:
  • PROS is dedicated to:
    • Defining and advancing the best care for all children.
    • Performing research that carries significant meaning to pediatric practitioners.
    • Creating a community of caring researchers and practitioners.
    • Within PROS, fostering ongoing research relationships and a sense of camaraderie that advances the cause of child research and invigorates participating clinicians.
    • Outside of PROS, cultivating relationships within the broad child health research community.
  • PROS values the unique contributions of every member and participant
  • PROS studies emphasize and strive for:
    • Elegance
    • Simplicity
    • Practicality
    • Relevance
HOW IS PROS ORGANIZED?
The PROS Network consists of practices and practitioners organized at the state (chapter) level. The involved chapters each have a chapter coordinator and co-coordinator appointed by the AAP Chapter President. Ninety percent of the practitioners are physicians; the rest are nurse practitioners or physicians assistants. Over 90% of PROS practitioners identify their primary activity as direct patient care.
Organizational Chart pdf

HOW IS PROS GOVERNED?

The PROS Network is governed by a Steering Committee that formulates policy decisions, including the final choice of studies. The committee's decisions are informed by regularly obtained feedback from the chapter coordinators and their participating practices.

The committee is appointed by AAP Board of Directors and consists of:

Chair
Chapter Coordinators (4)
Chair of Advisory Committee to the Board on Research
Chair of Committee on Pediatric Research
Consultants (1)
Liaison from National Medical Assocation (NMA) Pediatric Section
Liaison from AAP Section on Epidemiology
Liaison from Continuity Research Network (CORNET)
Liaison from Health Resources and Services Administration (HRSA) and Maternal and Child Health Bureau (MCHB)
Liaison from AAP Section on Young Physicians
Liaison from the Section on Bioethics
Liaison from the AAP's Practice Improvement Network (PIN) of the Quality Improvement Innovation Network (QUINN) Liaison from Pediatric Research Consortium (PERC)

HOW DO RESEARCH PROJECTS BECOME PART OF THE PROS NETWORK?


PROS practitioners and researchers work together to generate research questions, design study materials and protocols, obtain research funding, collect study data, analyze collected data, and publish results. This collaboration is accomplished through AAP chapter-based groups of practitioners recruited and maintained by pediatrician chapter coordinators, who in turn meet twice a year with PROS research staff and consultants.

WHAT HAS PROS ACCOMPLISHED?

Since its inception, PROS has studied diverse child health topics (eg, asthma diagnosis and treatment, onset of secondary sexual characteristics in young girls, management of very young febrile infants, immunization status of children, treatment of pediatric patients with psychosocial problems, decision-making for postpartum discharge of mothers and their healthy infants, and how practitioners diagnose child abuse in primary care settings.  Most recently, topics studied include: parental smoking cessation (Pediatrics. 2013; 132(1):109-117; Pediatrics. 2012; 130(6): e1471-e1478), reducing body mass index of children (Pediatric Obesity. 2012;7(1):3-15), electronic health record systems research (The Journal of Pediatrics. 2012; 160(5): 719-724), and onset of secondary sexual characteristics in boys (Pediatrics. 2012;130(5): e1058-e1068).  The new knowledge generated in PROS studies has led to changes in the clinical guidelines of the AAP and other organizations, such as preschool vision screening (Pediatrics, 1992; 89: 834-838) and the management of febrile infants (JAMA 2004; 291: 1203-1212).



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