Title: The Research Requirement: An Overview of the 18 Step Process
1The Research RequirementAn Overview of the 18
Step Process
2Edward P. Sloan, MD, MPHAssociate
ProfessorDept of Emergency Medicine
- University of Illinois College of Medicine
- Chicago, IL
3Attending Physician Emergency Medicine
- University of Illinois Hospital
- Our Lady of the Resurrection
- Medical Center
4OverviewGlobal Objectives
- Provide a unique opportunity
- Guide efforts to maximize success
- Minimize overall work requirement
- Produce presentations, papers
- Improve patient care
- Improve your careers
5OverviewSession Objectives
- Provide framework for work efforts
- Establish what must be done
- Develop optimal work process
- Discuss how to design a project
- Review project implementation
6Research FrameworkKey Support Elements
- Research faculty and staff
- Research mentor
- Research packet/binder
- Research infrastructure
- Research shift
- Research meeting presentations
7Key Support Elements Research Faculty Staff
- Steve and Ginny
- Research faculty
- Secretaries
- Other residents
- Medical students
- Other faculty
8Key Support Elements Research Mentor
- Any faculty member will do
- Knows how to do research
- Knows the subject area
- Wants to work with you
- Likes to work via email, etc
- Identify this person early
9Key Support Elements Research Packet/Binder
- Includes examples of work product
- Two page proposal summary
- IRB proposal
- Data collection sheet
- Reference listing, annotated bibliography
- Manuscript
- Abstract
- Poster presentation
- Oral presentation
10Key Support Elements Research Packet/Binder
- Includes diskette/files for each product
- Two page proposal summary
- IRB proposal
- Data collection sheet, access dbase file
- Reference listing, annotated bibliography
- Manuscript
- Abstract
- Poster presentation
- Oral presentation
11Key Support Elements Research Packet/Binder
- Use these as templates
- Do not recreate the wheel
- Copy these formats exactly
- Work with staff to use these files
- Modify these files and save x 2
- On another floppy
- On your computer and our computers
12Key Support Elements Research Infrastructure
- Research faculty, staff, students
- State of the art computers
- Slidemaker
- Postermaker
- Excellent software (in house)
- Access to medical records
13Key Support Elements Research Shift
- Scheduled with chief resident
- Usually on Mondays
- 10 am to 4 pm
- Meeting with research staff x 1 hr
- Work for 4 hours
- Complete activity form at end of session
14Key Support Elements Research Meet Presentation
- Research committee, 3rd Tuesday
- 130 pm, 469 CME
- Formal update on activity
- Forces the work to get done
- Larger faculty group
- Allows for broader input, less risk
15Research Meetings Key Concepts
- Update on work done off-line
- Complete more work, not just meet
- Bring your research notebook, binder
- Bring all of your articles, ref
- Bring computer files on floppy
- Clearly define next steps
16Research Requirement Specific Work Requirements
- Meet deadlines for interim work
- Attend research shifts
- Present to research committee
- Provide a final product, Jan 1
- Last six months are a cushion
17Work Completion TimingAn 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
18Work Completion TimingAn 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
1918 Month Work ScheduleMonth 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
2018 Month Work ScheduleMonth 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
2118 Month Work ScheduleMonth 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
2218 Month Work ScheduleMonth 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?
- Whats the upshot?
2318 Month Work ScheduleMonth 4 2 Page Summary
- Introduction
- Study question
- Methods
- Major data elements, analysis
- Expected conclusions
- Clinical impact
2418 Month Work ScheduleMonth 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
2518 Month Work ScheduleMonth 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
2618 Month Work ScheduleMonth 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
2718 Month Work ScheduleMonths 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
2818 Month Work ScheduleMonth 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
2918 Month Work ScheduleMonth 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
3018 Month Work ScheduleMonth 12 Data Tables
- Standard format for tables
- Demographics, equal groups
- Main interventions, outcomes
- Results of analyses
- Cost information
- Other interesting information
3118 Month Work ScheduleMonth 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
3218 Month Work ScheduleMonth 14 Intro, Methods
- Whats 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
3318 Month Work ScheduleMonth 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 difffered, or
didnt
3418 Month Work ScheduleMonth 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.
3518 Month Work ScheduleMonth 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
3618 Month Work ScheduleMonth 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
- Its Miller time!
3718 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
38ConclusionsLearning Points
- This is a step-wise process
- Must stay up with requirements
- There is time for expected delays
- Each session must complete a step
- Organize your work based on the steps
- Keep track of the work efforts
39RecommendationsManagement Implications
- Always bring your work with you
- In communications, state your step
- Inform us if behind in your steps
- Cut your losses early
- Hook onto others work if necessary
- Get it done!