research lecture : 18 month research plan
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Research Lecture : 18 Month Research Plan. Edward P. Sloan, MD, MPH FACEP Professor Department of Emergency Medicine University of Illinois College of Medicine Chicago, IL. Attending Physician Emergency Medicine University of Illinois Hospital Our Lady of the Resurrection Hospital Chicago, IL. - PowerPoint PPT PresentationTRANSCRIPT
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Edward P. Sloan, MD, MPH, FACEP
Research LectureResearch Lecture:: 18 Month Research Plan 18 Month Research Plan
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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 HospitalOur Lady of the Resurrection Hospital
Chicago, IL
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Edward P. Sloan, MD, MPH, FACEP
DisclosuresDisclosures
• FERNE Chairman and President
• ACEP Clinical Policy Committee
• ACEP Scientific Review Committee
• No individual financial disclosures
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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_2007_research_lecture_sloan_18month_research_plan_111207_finalcd 04/21/23 02:23 Edward P. Sloan, MD, MPH, FACEP