"Developing A Research Project During Residency

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"Developing A Research Project During Residency

  1. 1. DEVELOPING A RESEARCH PROJECT DURING RESIDENCY Mohammad Hassan Pervaiz, MD September 2005
  2. 2. OBJECTIVES <ul><li>To familiarize new residents with available RESEARCH RESOURCES </li></ul><ul><li>To identify key steps for research PROJECT DEVELOPMENT </li></ul>&quot;Every path to a new understanding begins in confusion.&quot; Mason Cooley
  3. 3. WHAT IS “RESEARCH” inquire into systematic investigation to establish facts “ Research” is an active, diligent and systematic process of inquiry in order to discover, interpret or revise facts, events, behaviors, or theories, or to make practical applications with the help of such facts, laws or theories.
  4. 4. TYPES OF MEDICAL RESEARCH <ul><li>Clinical Research </li></ul><ul><li>a-Retrospective (chart review) </li></ul><ul><li>b-Prospective </li></ul><ul><li>c-Meta-Analysis </li></ul><ul><li>d-Clinical Trials e-Epidemiological Research </li></ul><ul><li>f- Health services/ Policy analysis </li></ul><ul><li>Basic Science </li></ul><ul><li>a-Animal research </li></ul><ul><li>b-Non-animal research </li></ul>Which ones are for residents ??
  5. 5. RESOURCES <ul><li>PEOPLE </li></ul><ul><li>RESIDENT RESEARCH COORDINATOR </li></ul><ul><li>MSU/ SPARROW FACULTY </li></ul>
  6. 6. FACULTY INTERESTS <ul><li>DEPARTMENT OF MEDICINE FACULTY </li></ul><ul><li>OTHER MSU FACULTY </li></ul><ul><li>NON-MSU FACULTY </li></ul><ul><li>OUT-OF-TOWN FACULTY </li></ul>DR. PENNER THROMBOSIS DR. ROSENMAN OCUPATIONAL MEDICINE DR. HAVLICHECK INFECTIOUS DISEASE DR. GERLACH IMMUNOLOGY AND SEROLOGY DR. FERENCHICK GENERAL IM DR. GOSSAIN ENDOCRINOLOGY DR. ABELA CARDIOLOGY DR.CONLEY HEME-ONC CHIEF DIVISION
  7. 7. FACULTY INTERESTS Dr. George Abela Chief, Cardiology Thrombosis, plaque rupture, platelet aggregation, vascular injury Dr. Ved Gossain Chief, Endocrinology Diabetes, obesity, thyroid and growth hormone disorders Dr. Gary Ferenchick Chief, General Medicine Medical student education, information technology Dr. John Gerlach Chief, Immunology & Serology Immunogenetics of human, transplant immunology, transfusion medicine Dr. Daniel Havlichek Chief, Infectious Diseases HIV and Hepatitis Dr. Ken Rosenman Chief, Occupational Medicine Disease from chemicals, heavy metals and mineral dusts Dr. John Penner Chief, Thrombosis Thrombosis and homeostasis, hemophilia Dr. Barbara Conley Chief, Heme/Onc Cancer drug development; Pancreatic, head and neck cancer; molecular markers for cancer
  8. 8. FACULTY INTERESTS INTERNAL MEDICINE Dr. Mary Nettleman, chair epidemiologic and health outcomes research Dr. Davoren Chick, Program Director healthcare services and healthcare quality, COPD
  9. 9. Dr. Heather Laird-Fick graduate and undergraduate medical education, health care quality and disparities Dr. Francesca Dwamena using the principles of effective doctor-patient relationships to understand and manage patients' symptoms Dr. Rey Bouknight health services and outcomes research for minority and poor populations especially in the areas of diabetes and cancer ; healthcare quality for IM clinic
  10. 10. Dr. Asad Mohmand Undergraduate medical education Dr. Robert Smith doctor-patient communications and relationships, medically unexplained symptoms, somatization, teaching patient-centered interviewing, and other psychosocial principles Dr. Ade Olomu translating research into practice in the area of improving secondary prevention of myocardial infarction.
  11. 11. Dr. Michael Zaroukian medical education, information technology and informatics, internal medicine curriculum development, and web-based education and evaluation systems in medical education. Dr. Ralph Watson basic and clinical research in hypertension. Dr. Aron Sousa electronic medical record to teach students and residents how to use population health skills and techniques in their own practices
  12. 12. INSTITUTIONAL REVIEW BOARD <ul><li>UCRIHS is an Institutional Review Board (IRB) </li></ul>UNIVERSITY COMMISION ON RESEARCH INVLOVING HUMAN SUBJECTS Federal and University regulations require that all research projects involving human subjects and materials of human origin be reviewed and approved by an IRB before initiation
  13. 13. UCHRIS <ul><li>Under the regulations, all investigators (faculty &/or graduate students) who will conduct research that involves human subjects or materials of human origin (blood or tissue samples taken from live humans) must submit an application to UCRIHS </li></ul><ul><li>Approval of the research protocol must be in place before the investigator begins data collection. </li></ul><ul><li>IRB Reliance is an agreement between MSU and Sparrow Hospital which allows an investigator to have a research protocol undergo IRB review through UCRIHS, and Sparrow will accept the review of the lead institution </li></ul>
  14. 14. UCRIHS <ul><li>Peter Vasilenko, Ph.D., Chair </li></ul><ul><li>202 Olds Hall, Michigan State University East Lansing, MI 48824-1047 Phone: (517) 355-2180 Fax: (517) 432-4503 </li></ul><ul><li>E-mail: ucrihs@msu.edu </li></ul><ul><li>http://www.humanresearch.msu.edu </li></ul>
  15. 15. HIPAA <ul><li>The Health Insurance Portability and Accountability Act </li></ul>UCRIHS reviews HIPAA related research protocols at the same time as the regular UCRIHS review
  16. 16. DEVELOPING YOUR OWN PROJECT <ul><li>SELECT YOUR AREA OF INTEREST </li></ul><ul><li>SELECT A RESEARCH MENTOR </li></ul><ul><li>FORMULATE A RESEARCH QUESTION </li></ul><ul><li>COLLECT BACKGROUND INFORMATION AND DEVELOP A HYPOTHESIS </li></ul><ul><li>DEVELOP A PROJECT PROTOCOL </li></ul><ul><li>APPLY TO IRB (UCRIHS) </li></ul><ul><li>START PROJECT AFTER IRB APPROVAL </li></ul><ul><li>INTERPRET AND ANALYZE COLLECTED DATA </li></ul><ul><li>FUTURE PLANS (may include one or more of following) </li></ul><ul><ul><ul><ul><li>~ Dissemination of results (presentation, publication, etc) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>~ Further data collection </li></ul></ul></ul></ul><ul><ul><ul><ul><li>~ Grant submission </li></ul></ul></ul></ul>
  17. 17. IRB REQUIREMENTS FOR RESEARCH PROTOCOL <ul><li>RESEARCH STATEMENT </li></ul><ul><li>ABSTRACT </li></ul><ul><li>PROJECT DESCRIPTION ~ STUDY DESIGN ~ SAMPLE SIZE JUSTIFICATION ~ STATISTICAL ANALYSIS ~ BACKGROUND INFORMATION </li></ul><ul><li>~ REFRENCES </li></ul><ul><li>CONSENT PROCESS </li></ul><ul><li>HIPAA </li></ul>
  18. 18. “ EMR” <ul><li>COMPUTERIZED DATABASE </li></ul><ul><li>AVAILABLE ONLINE </li></ul><ul><li>EXCELLENT RESOURCE FOR EFFICIENT DATA EXTRACTION </li></ul><ul><li>CONTACT DR. ZAROUKIAN </li></ul><ul><li>IMPORTANT TO INFORM DR.ZAROUKIAN EARLY DURING RESEARCH DESIGN DEVELOPMENT </li></ul><ul><li>CONTACT DRS. BOUKNIGHT AND/OR DR.LAIRD-FICK IF INTERESTED IN CLINIC QUALITY ASSESEMENT STUDIES USING EMR. </li></ul><ul><li>WEB: http://www.emr.msu.edu </li></ul>
  19. 19. RESOURCES FOR STATISTICS <ul><li>MSU INTERNAL MEDICNE FACULTY </li></ul><ul><li>MSU CENTER FOR STATISTICAL TRAINING AND CONSULTING: (CSTAT) </li></ul><ul><li>CSTAT can provide consulting on </li></ul><ul><ul><ul><ul><li>Research design/experiments/surveys </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Selection of appropriate statistical methods </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Selection of statistical software </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Statistical analyses </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Interpretation of results </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Presentation of results </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Referrals </li></ul></ul></ul></ul><ul><li>CONTACT: www.cstat.msu.edu </li></ul>
  20. 20. MSU RESEARCH ELECTIVE <ul><li>2 blocks of research time allowed </li></ul><ul><ul><li>all paperwork to be submitted at least 6 weeks prior to the start of elective. </li></ul></ul><ul><li>A letter from you stating your desire to do a research rotation or continuity experience. Letter must identify: </li></ul><ul><ul><li>Your research mentor </li></ul></ul><ul><ul><li>The research topic </li></ul></ul><ul><ul><li>Outline of the research plan </li></ul></ul><ul><ul><li>Expected product of research experience (e.g. paper or poster) </li></ul></ul><ul><li>A letter from your research mentor . In the letter it must be stated that the mentor has agreed to work with you and the letter specifies: </li></ul><ul><ul><li>Research topic </li></ul></ul><ul><ul><li>Research plan </li></ul></ul><ul><ul><li>Any patient contact during the research rotation. </li></ul></ul><ul><ul><li>Agreement to evaluate you at the end of the rotation using our form. </li></ul></ul><ul><ul><li>If you are requesting a weekly research experience spanning several months, your research mentor must agree to fill out an evaluation each quarter that you are involved in the weekly research experience. </li></ul></ul><ul><li>Web: http://www.im.msu.edu/program/research3.htm </li></ul>
  21. 21. SUMMARY <ul><li>Go to available MSU web links to learn about the resources in greater details </li></ul><ul><li>Familiarize yourself with the research interests of the appropriate faculty researcher before approaching them </li></ul><ul><li>Ask Dr.Dwamena for help ! </li></ul><ul><li>Start Early! </li></ul><ul><li>&quot;I know quite certainly that I have no special gift. Curiosity, obsession and dogged endurance have brought me my ideas.&quot; Albert Einstein </li></ul>
  22. 22. IMPORTANT WEB-LINKS <ul><li>MSU IM ~ Research http://im.msu.edu/program/research3.htm </li></ul><ul><li>UCRIHS http://www.humanresearch.msu.edu/ </li></ul><ul><li>SPARROW IRB http://www.sparrow.org/irrc/irrc_aboutirrc.asp </li></ul><ul><li>CSTAT www. cstat . msu . edu </li></ul><ul><li>MSU INTRAMURAL RESEARCH GRANT https://www.vprgs.msu.edu </li></ul><ul><li>CHM ~ Research http://humanmedicine.msu.edu/research/ </li></ul><ul><li>HEALTH TEAM ~ Research http://www. healthteam . msu . edu /medicine/research. htm </li></ul>
  23. 23. QUESTIONS !

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