Download - Edward P. Sloan, MD, MPH, FACEP Conducting Successful EM Resident Research: 18 Month Research Plan
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Edward P. Sloan, MD, MPH, FACEP
Conducting Successful EM Conducting Successful EM Resident ResearchResident Research::
18 Month Research Plan 18 Month Research Plan
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Edward P. Sloan, MD, MPH, FACEP
2008 UIC Research Course
UIC EM Residency ProgramUIC EM Residency ProgramChicago, IL Chicago, IL
September 25, 2008September 25, 2008
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Edward P. Sloan, MD, MPH, FACEP
Edward P. Sloan, MD, MPH FACEP
Professor
Department of Emergency MedicineUniversity of Illinois College of Medicine
Chicago, IL
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Edward P. Sloan, MD, MPH, FACEP
Attending PhysicianEmergency Medicine
University of Illinois Hospital
Chicago, IL
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Edward P. Sloan, MD, MPH, FACEP
The Research The Research Requirement:Requirement:A Plan for EM A Plan for EM
Resident ResearchResident Research
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Edward P. Sloan, MD, MPH, FACEP
A Research Plan:A Research Plan:An Overview of the An Overview of the
18 Step Process18 Step Process
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Edward P. Sloan, MD, MPH, FACEP
Work Completion TimingWork Completion TimingAn 18 Month ScheduleAn 18 Month Schedule
• Focus on work when E.D. month
• Know the end work product
• Push forward during res shift
• Plan to work during off hours
• Communicate, update
• Email, page often
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Edward P. Sloan, MD, MPH, FACEP
Work Completion TimingWork Completion TimingAn 18 Month ScheduleAn 18 Month Schedule• Two 6 hour shifts each month +/-
• One research shift, one off-line
• 12 hours/month x 18 months
• Approx 240 hours over three years
• Keep track of hours
• This info promotes success
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 1: Write the AbstractMonth 1: Write the Abstract• Talk to us
• Get an article
• Talk to us again
• Get another article
• Copy a well done study
• Write an abstract
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 2: Literature SearchMonth 2: Literature Search• Go to index medicus
• Use reference manager
• Ask us for key words
• Show us the articles
• Find a few more articles
• Select the best 10
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 3: Bib, Exec SummaryMonth 3: Bib, Exec Summary• Examine methods, pt population• What were the results, conclusions?• What is left unanswered?• How will your study help?• Write a two paragraph overview• Write one paragraph to summarize
each of the 10 articles
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 4: 2 Page SummaryMonth 4: 2 Page Summary• Why is the study compelling?
• What will it tell us?
• How will you do it?
• What data will be collected?
• What do you expect to find?
• What’s the upshot?
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 4: 2 Page SummaryMonth 4: 2 Page Summary• Introduction
• Study question
• Methods
• Major data elements, analysis
• Expected conclusions
• Clinical impact
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 5: Data Collect ToolsMonth 5: Data Collect Tools• Use access database
• Use formatted data sheets
• Modify what exists
• Use the same variables, codes
• Get input here!!! Danger!!
• Consider your data tables
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 6: IRB ApplicationMonth 6: IRB Application• UIC documents on line
• Other sites have format in place
• Expedited review is likely
• Consider training requirement
• Patient protections paramount
• We can help to promote success
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 7: Identify CasesMonth 7: Identify Cases• E.D. logs must be used
• There are no shortcuts
• Pound thru the log to find the cases
• Consider the medical records dept
• Consider other logs (OR, ICU)
• Consider lab, radiology computers
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonths 8-9: Chart ReviewMonths 8-9: Chart Review • Four 6 hour sessions per month
• Most intensive work period
• Talk with us if help is needed
• Key planning with medical records
• Review within days of being pulled
• Consider food, music, rewards
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 10: Data EntryMonth 10: Data Entry• Use a computer at the office
• Caution with a home computer
• Save and copy files
• Put onto the office computer
• Need to run a frequency count
• Need to clean data set
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 11: Data AnalysisMonth 11: Data Analysis• Work with the faculty
• Let us guide your efforts
• Learn how easy the process is
• Expect both sessions at office
• Expect to use 2 x 2 tables
• Produce summary tables
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 12: Data TablesMonth 12: Data Tables• Standard format for tables
• Demographics, equal groups
• Main interventions, outcomes
• Results of analyses
• Cost information
• Other interesting information
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 13: AbstractMonth 13: Abstract• Go to the pre-written abstract
• Fill in the numbers
• Use a standard format
• Give enough numbers to inform
• Conclude based on the info
• Suggest public health importance
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 14: Intro, MethodsMonth 14: Intro, Methods • What’s the issue?
• Why is your study important?
• What is your study question?
• What did you do?
• How did you do it?
• Address pt protections issues
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 15: Discussion DataMonth 15: Discussion Data• Look at the data from the 10 articles: what
did others find?
• Compare your data with theirs
• Compare other factors (demographics)
• Explain your results relatively
• Be able to state why your results differed, or didn’t
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 16: Results, DiscussMonth 16: Results, Discuss• Results highly structured
• Explain your main results
• Written results augment tables
• Summarize data differently
• Parallel construction in discussion
• Focus on your study results, impact
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 17: PresentationMonth 17: Presentation
• Format in place for oral & poster
• 18 power point slides for poster
• 30 power point slides for oral
• Fill in your data, no new work
• Print your poster or presentation
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work Schedule18 Month Work ScheduleMonth 18: Paper Edit, RefMonth 18: Paper Edit, Ref• Push to get your paper reviewed
• Make the necessary changes
• Modify the table, text
• Put in the references
• Build the reference list
• It’s Miller time!
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Edward P. Sloan, MD, MPH, FACEP
18 Month Work ScheduleBig Picture• Allows for incremental work
• Easier to follow
• Easier to catch up
• Provides framework for binder
• Allows for ongoing assessment
• Makes success likely
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Edward P. Sloan, MD, MPH, FACEP
ConclusionsConclusions
• Master plan• Discreet steps• No one step or phase is overwhelming• Greater likelihood for success• Can be developed in detail with EM
residents or faculty
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Edward P. Sloan, MD, MPH, FACEP
RecommendationsRecommendations
• Keep it simple• Follow the steps• Publish successfully • Have a clinical impact• Improve patient care
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Thank you.Thank you.
[email protected]@ferne.org
[email protected]@uic.edu312 413 7490312 413 7490
ferne_2008_research_lecture_sloan_18month_plan_092508_final04/10/23 22:32 Edward P. Sloan, MD, MPH, FACEP