Clinical documentation research methodology

1. “Clinical Documentation and Scientific Research” Workshop on
“Research methodology”
CME by Tamil Nadu Orthopaedic Association (TNOA)
Organiser – SPOT Hospital
April 2015
Dr. K. Kalaivanan - Asian Joint Reconstruction Institute (AJRI)

2. The Crux
• ? Crime
• Failure to learn ?
• Failure to apply, what you learnt is ?
• Failure to share / teach what you learnt is ?
and so, its important to Publish in this electronic era
its not Publish or Perish….its all about Publish & Flourish

3. Dr. Ramesh Babu Vice President TNOA
For a Publication
• Clinical documentation - most important
• Any form of documentation +
• Full documentation ++
• Investigation - Diagnosis - Treatment - Follow up
Its nothing a bad or good, each case teaches us something useful

4. Prof. Dr. Nalli. R. Uvaraj Ex President TNOA
Scientific presentation - Medal presentation
• Know your Audience
correct topic in a correct place in a correct time
knowledge level of our auidence, type of presenting hall,
the part of presentating day
• Clarity
speak simple clear, one slide one point, font size, colors, Ergonomics,
graphs, images speaks sound
• Practice makes perfect
more than once, twice, thrice... / lively

5. Prof. Dr. Nalli. R. Uvaraj Ex President TNOA
Scientific presentation - Medal presentation
• Maintaining Audience attention
eye contact / keep it interesting
make their ears, eyes, Brain busy
• Beware – Audiovisual Equipment Incompatibility
always have a Backup
Crux - innovative / useful Topic for the community is a must
The Dress code & Body language adds up +

6. Prof. R. Sivakumar President Elect TNOA
Choosing a research topic
• search – repeated search – Research
• Research – systemic collection, analysis and data interpretation
PICO criteria for developing foreground research question -
Sackett
P: Population of Interest Patients or the problem to be addressed
I: Intervention Exposure to be considered – treatment / tests
C: Control or Comparison Control or comparison interventon treatment/
placebo/ standard of care
O: Outcome Outcome of Interest

7. Prof. R. Sivakumar President Elect TNOA
Is my research question sound ?
• FINER criteria for developing a research questions – Hulley
F : Feasible Sufficient resources – time staff fund, design, sample size
I : Interesting Interesting investigators like researchers collaborators
N : Novel Literature search – new findings mentors experts
E: Ethical Ethical guidelines, review board regulations+
R: Relevant Influence on clinical practice furthering research and health
policy

8. Prof. R. Sivakumar President Elect TNOA
Type of research question Type of study
Prevalence or burden of disease Cross – sectional study
Etiology Cohort or case control study
Diagnosis Cross-sectional study
prognosis Cross sectional study
Treatment Clinical trial
Choose the study based on research question

9. Dr. P. Ramesh Ganga Hospital, India.
• 1st Talus lying outside – Case report
• After 5 cases of Talus lying outside – Case series
• Didn’t stop there , went on with the thinking on understanding the
mechanism of injury, proved practically, treatment options, follow-up,
result,
• The crux of a Phd – Thesis – A Study in all aspects.

10. Dr. P. Ramesh Ganga Hospital, India.
“Dr MGR Medical University Phd Guidelines , Tamil Nadu”
S No Contents
1 Introdiction
2 Background of the problem
3 Purpose of the study
4 Review of literature
5 Patient demography
6 Research methodology design
7 Theoretical framework
8 Proform and Questionnaire
9 Bibliography
10 Expected recommendations

11. Dr S Chockalingam Apollo Hospitals, Tirchy
Research in private practice
• Busy practice – less time
• Funds for facility +
• Lack of qualified hands
• Example:
• As c/o lowback increase among nursing staff = is the protocol for
handling patient is followed ? , stimulate training session
• Increase in Air mattress usage for bedsore = is the scoring
misused ? whether over treating?
Group practice
Has its own merits and demerits
Merits > Demerits.

12. Dr S Muthuraman Tenkasi, SecretaryTNOA
Research in a rural set up
• Your work makes you pride , irrespective of the place “where you
are from”
• “One man army”
• Its only about “self interest” , rest matters nothing
• More useful to surgeons , patients – as a community based –
covering huge population in villages

13. Dr C Raja Ravi Varma President TNOA
Career Guidance in orthopaedics
• Its about the destination
• It’s about the way for the destination
• SWOT principle – Strength , Weakness, grab the
Oppurtunities and Team work is the Key
• Practice = Solo , Group , multi Speciality
• Keep moving…never ending…enjoy the Journey.

14. “Clinical Documentation and Scientific Research”
the type of studies

15. Thanks
• Ask for the Authors for the complete version of ppt.
• Login into TNOA website for complete version of ppt.
• Special thanks for Tamil Nadu orthopaedic Association – Dr. Ramesh
Babu Vice President TNOA, SPOT Hospital
Dr. Kalaivanan Kanniyan
Associate Consultant – AJRI
Asian Joint Reconstruction Institute
SIMS Hospitals, Chennai, India.
drkkbriyan@gmail.com, 9790881689.